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What happened to standard forms? - Dallas

Posted: Sep 22, 2011

Suddenly we have new QA and it's gotten crazy! We have some new PA's that dictate things so out of order as compared to the "norm" and QA wants us to give it to them instead of making reports alike as we were trained to do. I've had some dictate drug allergies in review of systems and medications in the plan and QA wants this. I don't get it. I just don't understand how a doctor can know to check the plan for what meds a patient is on.

I also have a PA that will say "like" every other word such as "the patient like came in and like he was like not feeling well and like I asked like what he thought had made him like feel bad." Where do they find these people?

I just cringed when I read that - Like, groovy man.

[ In Reply To ..]
The use of the word "like" after every third word out of someone's mouth is one of the biggest things that will make the hairs on the back of my neck stand up - like fingernails on a chalk board for me.

I think - and this is only my assumption - that QA might be thinking that it's the facility's issue to deal with the idiot PAs and their training or lack thereof. It certainly will be easier for you to just do it as they say it rather than try to figure out where it should go.

Is the document going to be a mess? Yes. Is critical information in the document? Yes. Even if it's in the wrong place, it's still there.

Especially if this is a verbatim account, I'd do it verbatim. Someone else somewhere will read this and realize the PAs are idiots and hopefully do something about it.

I've received many emails from QA - Dallas

[ In Reply To ..]
Tell me that I've made mistakes. Nine years ago it was beat into my brain by the former owner, who has since passed away, that all reports need to be the same so that it's easy to locate what you're looking for, especially allergy location and medications. These new QA folks obviously have never had to look at a report quickly in an emergency situation.

P.S. - Dallas

[ In Reply To ..]
They have even started changing how vital signs are typed. You'd think BP would be important along with temp but we have some who want height first, weight is somewhere in the middle, half the time there's no BP or temp, you might get a pulse every now and then. It's UNREAL and making me HATE this job.

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