At Grossmont/Sharp Hospital, we met with the risk management and legal folks
to establish what we could and could not give as preliminary report. The
general idea was that we can communicate "Findings," not "Interpretation."
In other words, just as a nurse can write a blood pressure reading into a
chart, we can say "Lumen filled in the femoral and popliteal veins," or
"Flow significantly accelerated in ICA," since these constitute
observations, not conclusions.
It gets a teeny bit slippery, of course, but it works out. It's always
difficult when a doc demands a percent stenosis rather than a broad category
> From: Richard A. Wyrens
> Reply To: UVM Flownet
> Sent: Thursday, August 29, 2002 9:44 AM
> To: [log in to unmask]
> Subject: Reports (prelims)
> Attn: Flownetters,
> Here we go again!!.. How many of you leave preliminary reports on
> the charts? Is the terminology important in so far as whether this
> report is considered a sonographers interpretation of the exam just
> completed or as I call it on the chart (sonographers impression) ???
> We need to all be on the same page as to how much information to impart
> to the chart and the physicians. Thanks for any input to give me some
> insight into this problem. Ric Wyrens RVT
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