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Joel,
It would be inappropriate/illegal
for anyone other than the ordering physician to change the order. I would suggest taking lunch to the PCP’s
office and do a lunch and learn session and educate them on the basics of
vascular test ordering. It is a
small investment into establishing a strong relationship with the PCP’s
that will pay off later. In my practice we give them a 1 page brochure that
matches the test to an approved indication. We also let them know that rule out’s
and family history are not appropriate indications.
Contact me off of flo-net and I can send
you the brochure we use.
Phil White BS RVT
From:
Sent: Thursday, February 17, 2011
7:48 AM
To: [log in to unmask]
Subject: Vascular Lab Test
Ordering Logistics
We are a newer outpatient echo and vascular lab
9cardiac and vascular office). Up until this point we have not gotten a
lot of outside referrals from physicians we may not be familiar with. Most
of our tests are ordered internally so if there is a problem with the type of
test that is ordered, we take up with that physician tell them why the test
they ordered is inappropriate, switch it and move on.
Now that we are getting more outside referrals from primary care etc., the
question is... What is the best way to make sure the patient gets the
appropriate test? I'm thinking definitely review the test ordered a
day ahead of time. But then do we just switch it to what our dr. thinks
is right or should we page the ordering physician (PCP) in the middle of
their day every single time? We obviously like the referrals and do not
want to make any one upset by switching their test, but some of these are just
blatantly the incorrect test. I had one of our techs page the referring
yesterday and he was on vacation so she did what was indicated, seeing that
what was ordered did not have proper indications. I know all of you have
had these experiences and I also know I will never eliminate this situation
entirely but in your experience what is the best practice to engage in
from a day to day standpoint to avoid these as much as
possible? Much appreciated.
Joel Dykstra RVT, RDCS