Joel I agree with Phil.
 The PCP may order the test but unfortunately,it is the receptionist or referral 
person who often creates the order....I'd get as much info from the patient (and 
remember they aren't always reliable) and if it doesnt seem to fit call the 
PCP,even if the doctor is on vacation the office should be able to read you the 
chart and help make the determination

From: Phil White <[log in to unmask]>
To: [log in to unmask]
Sent: Thu, February 17, 2011 7:45:17 AM
Subject: Re: Vascular Lab Test Ordering Logistics

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:UVM Flownet [mailto:[log in to unmask]] On Behalf Of Joel D
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, RDCSTo unsubscribe or search other topics on UVM Flownet link 
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