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the Almighty Yankee Dollar

On Sun, Oct 28, 2012 at 8:42 PM, Patty <[log in to unmask]> wrote:

> Thats so sad. I take pride and am passionate about my studies, how they
> look and I treat every study as a potentional ICAVL audit. How do techs
> sleep at night knowing they did not complete a protocol and possibly missed
> a DVT?
>
> Sent from my Verizon Wireless 4G LTE smartphone
>
>
>
>
> Doug Marcum ** wrote:
>
> Patty
> Unfortunately and realistically, accreditation can mean to some facilities
> that all the paperwork was submitted correctly and the studies sent in were
> inclusive of everything necessary. Unless the ENTIRE department is held
> accountable (including the interpreting physicians) accreditation is a
> formality that easily can digress back to substandard quickly :(
>
>
>
> Doug Marcum
> RDMS,RDCS,RVT(APS),RPhS
> Advanced Ultrasound Consultants
> Global Vein Solutions
> 321-231-2191
> www.advancedusconsultants.com
>
> On Oct 28, 2012, at 7:12 PM, Denise Levy <[log in to unmask]> wrote:
>
> The comparison of an arm and leg DVT is not consistent. Below the knee is
> more of a health risk than a brachial..
>
> Denise Levy
>
> cell 408-391-0837
> Saratoga, CA
> Ultrasound Professional Credentials
> RDMS, RVT
> Transcranial Doppler
> Skype denisevascular12
>
>
>
> On Sun, Oct 28, 2012 at 3:44 PM, Patty Rudibaugh <[log in to unmask]>wrote:
>
>>  Denise,
>>
>> She informed me that these same ICAVL accreditated facilites also scan
>> only to the the elbow... I was shocked......What the heck is going on and
>> if these facilites are acrreditated like she says, how are they getting
>> away with it?
>>
>> ------------------------------
>> Date: Sat, 27 Oct 2012 22:07:31 -0700
>> From: [log in to unmask]
>> Subject: Re: Entire leg vs to knee venous
>> To: [log in to unmask]
>>
>> Talk about money loss. I can't tell you how many patients would appear in
>> the ER from another facility prior excluding the calf. The patient and
>> referring MD not satisfied with no DVT found. We are second referral and
>> the patient is admitted to treat a PE and calf clot. So the radiologist and
>> the other local hospital looses out for the DVT admission and the patient
>> gets to live another day.
>> Many an orthopedic surgeon who has lost a patient to PE and symptoms
>> started in the calf.
>> Do you sense how passionate many technologist are about finding DVT in
>> the LEG and the lower extremity does not end just below the knee.
>> I know most radiologist insist the entire Upper extremity is done
>> subclavian to the wrist.
>>
>>
>>
>>
>>
>> Denise Levy
>>
>> cell 408-391-0837
>> Saratoga, CA
>> Ultrasound Professional Credentials
>> RDMS, RVT
>> Transcranial Doppler
>> Skype denisevascular12
>>
>>
>>
>> On Sat, Oct 27, 2012 at 7:26 PM, Bill Johnson <[log in to unmask]>wrote:
>>
>> Bill from the Northwest.
>>
>> "Why we scan the entire leg"?  "...possible time saved and training
>> spent."?  I would answer "how much is a life worth?  Would your new
>> supervisor like us to save a dollar and miss a potentially life ending
>> clot?  Would she want us to take that risk on her, or her mother or her
>> daughter, son or husband?
>>
>> I do believe the best "argument" to an administrative type is the
>> importance of following the standards we have fought to uphold.  There are
>> more than enough reasons to support them.
>>
>> I cannot and refuse to support "when other facilities in the area scan
>> only to the knee and stop."  Ask your supervisor if these "other
>> facilities" are accredited, and, regardless, would she want your facility
>> held to a lesser, potentially life threatening standard?  I know you do not
>> want that.  If you supervisor understands the issues of potential lawsuits
>> for substandard care would not ask you to limit your exams.  I wonder if
>> your new supervisor is from the Radiology department.  Radiologists can
>> quote chapter and verse as to why nothing venous happens below the knee.
>> And they certainly have no compulsion to spend money or any resources on
>> noninvasive technology.  That is not where the money is.  I hope this does
>> not offend anyone, it is just my opinion.  I refuse not to rant, when
>> patient care is an issue.
>>
>> Patricia, please contact me offline; [log in to unmask] Your issue
>> is important to me.  It is about caring for patients.  I will do all in my
>> limited power to help.
>>
>>
>>
>> On Sat, Oct 27, 2012 at 7:41 AM, Patricia Rudibaugh <
>> [log in to unmask]> wrote:
>>
>> The new supervisor of our Vascular Lab asked me why we scan the
>> entire leg in a Venous Duplex scan when evaluating for DVT when other
>> facilities in the area scan only to the knee and stop.  The lab follows
>> ICAVL, SCU and our Medical Directors guidelines/protocols, however,
>> she is looking at the possible time saved and training spent.  Any
>> explainations out there? I have never heard of scanning only to the
>> knee, but I am new to Vascular since 2009. Is there something I am
>> missing???  Thanks in advance for your explainations...
>>
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