what would you do?

Do I look like a door-mat, mule, beast of burden, multi-tasking nurse to you??? ugh!

crni

Yeah, you do. Sorry, maybe not door mat or mule.

Did this dr ever come see his pt? Never comes in but yet I'm sure he's going to charge hundreds of dollars for this so called consult. I think it's unsafe what's going on.

I would bring this up with your NM. And next time someone asks you to chart something for them tell them they have two hands and they ain't painted on.

no...this dr. did not come in to see the patient....

no...this dr. did not come in to see the patient....

Beyond the fact that this is just wrong, it could also be considered insurance fraud if he charges this patient for a consult.

I'd contact risk management. Stuff like this could get your facility in deep trouble...

The only place that it would be appropriate to chart that you spoke with this Dr. is in your Nursing Notes. Something like "1015 Gave update on pt assessment to Dr. Goldbrick who called to inquire about pt's condition. No orders received."

That ought to fix his lazy tail!

The only place that it would be appropriate to chart that you spoke with this Dr. is in your Nursing Notes. Something like "1015 Gave update on pt assessment to Dr. Goldbrick who called to inquire about pt's condition. No orders received."

That ought to fix his lazy tail!

I agree with charting this. Your NM also needs to be notified, due to possible fraud, committed by this Dr.; especially if he is charging the patient, via phone calls thru the nurse.

I agree with charting this. Your NM also needs to be notified, due to possible fraud, committed by this Dr.; especially if he is charging the patient, via phone calls thru the nurse.

FRAUD FRAUD FRAUD if he is billing for an exam....Report this asap.We have a staff dr that makes monthly rounds in the ltc and does not even pretend to touch anyone.I realize that with the sheer numbers of residents these guys see plus the low re-imbursments they receive they are going to be somewhat limited BUT I never chart "monthly exam by dr so and so"because there was NO exam... I always chart "monthly visit" I'll stand by that in court..

CRNI,

I agree don't put your butt on the line, cause that Doc isn't going to swim a stroke for you if anything legal were to happen. As far as the other "professionals" calling you go, I agree and tell them you have your own work to do. If it isn't stopped for you/with you, you know it will continue. You don't deserve to let others drop their own ball.

"Please note in the chart that I called, and that the patient is comfortable"

Telephone order read back and verified, Iam Lazy MD/Nancy Nurse, RN:devil:

There is still the issue of the patient's pain.

There is a scale for nonverbal patients called the PAINAD. Here's the URL.

It is similar to one used for infants (but don't use that one--one of the boxes indicates that a smile can be an expression of pain: maybe in a baby, but not anybody else!).

It measures pain with observable (and therefore pretty darned objective) criteria, on a scale of 0 to 10, just like for the rest of us.

Good luck with your patient.

And I hope the doctor, well, never mind. :angryfire

i must be missing something.

i didn't find the request all that outrageous.

besides, i would be charting anyway, that the md called to check on pt status.

it's not as if i'm doing anything extra.

leslie

I think the problem here is that the Dr requested that the nurse document that he called and...that the underlying meaning of this was that that was the only assessment/documentation that the Md was going to do for that pt.

It's kind of scary if thats his idea of a "follow up" especially if he is planning on charging for it.

Not referring to the original poster at all but, what if the nurse taking care of the pt was also lazy or substandard? And the pain consult was then only based on their assessment?

To earle58: here's what I found wrong with the doctor's phone call....

If he had called just to check on the patient, that is one thing....

But he INSTRUCTED ME TO CHART THAT THE PATIENT WAS COMFORTABLE ON THE CURRENT DRUG REGIMEN....and this implies that he has evaluated the patient in person....for which he is charging consulting fees....and that makes me complicit in his fraud....he is charging the patient or medicare for services not performed!

He is supposed to be the EXPERT pain specialist...that is what he is getting paid to do....I am the medication administrator....that is what I am paid to do....I don't think it is professionally wise to blur those lines....because once I step over that line and say, "well, the patient was 'comfortable'" and the doc bills for visits he didn't make, I am in a way, aiding his behaviour because I am charting as if everything is fine!!

Under medicare guidelines, every consulted doctor is supposed to see the patient every 24 hours, unless they are no longer needed, and they have to request sign off from the primary doctor....

Telling me what to chart about him is troubling, don't you think?