Thanks. We do the same, but it causes a delay. I am looking for ways hospitals have addressed this in other ways- proactively that prevent delays. For example, cancelling the surgery if the H&P is not present 24 hours pre-op. If the H&P for tomorrow's cases are not on the chart by 5pm, the case is cancelled after notifying the surgeon by phone that it is not present. If the surgeon then faxes it, etc. , the case continues as planned. Otherwise, the case gets cancelled. Obviously, this will not fix add-ons, urgent cases, etc. We are measuring the reasons for case starts and delays in turnover. In a 1 months tome, the H&P was responsible for 80 of 90 total instances of delays. As you know, when the preceeding cases are delayed, it has a ripple effect throughout the schedule. That, and the fact that my nursing staff spends hours of wasted nursing man hours chasing surgeons around to get the H& P requirement fulfilled.
What reveolutionary tricks are people doing to get the H&P on the chart proactively???????????