Thursday, April 17, 2008

Chart Reviews and Coumadin dosing

A few of you have raised a question on the timing of coumadin dosing. I have checked and doubled checked to be certain and according to Dr. Tewksbury and Cheri Fitzpatrick in the lab we will NOT affect lab results if we administer Coumadin at 1600 instead of 2000. 1600 is the default time set in order sentences so it will eliminate the retiming issues that we have had since we went live with Powerchart. So although this will be a change for us to adminster coumadin on day shift instead of nights rest assured we will not disrupt the lab results and most patients usually dose at this time at home so it will be more continuitity of care for them.

Chart reviews~yes, RN's are still expected to complete 2 charts per month. Our most recent quarter results are still lacking. With our decrease in the number of RN's it really shows if only one of us is not completing their share.

I will post the actual numbers but it was staggering the effect that just one person not completing them has on our statisitics. Thank you to those of you that are completing them-keep up the good work!

Tracy

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