again--this is reality--when you are doing a study ordered by an er doc
for leg pain and the patient  comes in and has a cold foot--you do the
venous and --oops there is the artery too and it is not colored
up--throw the doppler in and --wow no flow-- do the venous, while you
are scaning the arteries , notify the er doc of your findings--he will
order the le arterial--we call our reading docs and they will order if
he doesn't.
same with cva patients that have been sent down for venous--no rocket
science to us but it saves time/life/limb to do it and call and get the
order.We document also that we double checked MD order on venous for
CVA.
LISA



-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Bomhoff,
Stephen
Sent: Thursday, September 27, 2007 6:41 AM
To: [log in to unmask]
Subject: Re: dvt = syncope, ACGME, ability to "tell the doctor how to do
his or her job"

Is it proper to do a study which has not been ordered?  If a patient
comes in with an order for a venous duplex and we suspect or see an
arterial issue, we need to call the ordering physician to have an
additional study ordered.  Is this what is going on throughout the
community?

Stephen L. Bomhoff  BS, RVT
Supervisor of Vascular Laboratories
Christiana Care Health Services
cell phone: (302) 893-1629  Office: (302) 733-2723  Pager: (302)
573-7627

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