I have a obese diabetic with new diagnoses of CHF and is blind in one eye and just had a corneal transplant in the other eye. Her PCP is a community clinic MD and when you call there no one answers and no machine. If any major issues they want pts to go to ER.
Last time out of the hospital she has many meds that my clinical manager feels she is on too many medications and is concerned about interactions. I wrote PCP a letter with list of her psych meds and her BP meds and DM meds and expressed concern about medication interactions. I have not heard from her and pt is not to see her till next week.
My clinical manager wants me to go to the MD office to see if she will talk to me and ask her if she will decrease some of her meds. Have you ever gone to a MD office to talk to a PCP regarding a pt? I have encourged pt to change MD but she likes this MD.
Thanks, pt is still in Hosp. Is now on dialysis now I feel really bad that I did not do see the md and insist to talk to her. I know I do not have too but I would feel better. I did not go all the way for my pt.
Thanks, pt is still in Hosp. Is now on dialysis now I feel really bad that I did not do see the md and insist to talk to her. I know I do not have too but I would feel better. I did not go all the way for my pt.
Hold on a minute. The only one who should feel bad is the Dr. I cannot fathom a Dr not communicating with the nurses. She is in the hospital where she belongs. Not for one minute should you think that you let your pt down. How on earth were you supposed to prevent pneumonia and failing kidneys. I would refuse to take any cases that had that Dr's name on it. I would also document thoroughly your attempts to communicate with her. Complaining with your states agency is also not out of the question.
Hold on a minute. The only one who should feel bad is the Dr. I cannot fathom a Dr not communicating with the nurses. She is in the hospital where she belongs. Not for one minute should you think that you let your pt down. How on earth were you supposed to prevent pneumonia and failing kidneys. I would refuse to take any cases that had that Dr's name on it. I would also document thoroughly your attempts to communicate with her. Complaining with your states agency is also not out of the question.
I agree wholeheartedly with this comment! Your manager has set unrealistic expectations for you. It's great to be a strong advocate for your patient, but you did that by trying to communicate by phone, and by following up with written documentation. In addition, you provided education to the patient on the need for a follow-up MD appt.
As much as we care for our patients, we can't be solely responsible for their health. Be thorough in your assessments, document carefully, provide good education, and communicate with all health care providers. At the end of the day, realize you did the best you could do, and let it go. It's the only way to remain sane. :-)
emilysmom,RN
222 Posts
Thanks, pt is still in Hosp. Is now on dialysis now I feel really bad that I did not do see the md and insist to talk to her. I know I do not have too but I would feel better. I did not go all the way for my pt.