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Aspirin overdose may be thought by some to be an "old" problem. While there are many other pain relief products on the market, and aspirin is generally avoided in children, aspirin overdose remains a serious problem.
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When a patient presents at Frankfort (KY) Regional Medical Center with neurological symptoms, a "code neuro" is called. In addition to ED staff jumping into action, the lab, radiology, and additional nursing help are alerted.
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Unless they are return patients, it's a rare event for ED providers to see the individuals they treat after they've been discharged.
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How's this for a turnaround? A few years ago, patient satisfaction levels in the three EDs of the Cambridge (MA) Health Alliance were in the lowest decile in Massachusetts, and now they are consistently in the top quartile.
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"It's too bad someone didn't give you thrombolytics, because you probably wouldn't be paralyzed now."
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If highly religious nurses or physicians feel that it is appropriate to pray with patients and to share their faith, some patients will appreciate this, while others might not. However, it's unlikely this practice will lead to a lawsuit.
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[This quarterly column on coding in the ED is written by Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC, president of Edelberg Compliance Associates, Baton Rouge, LA. If there are coding issues you would like to see addressed in this column, contact Edelberg at phone: (225) 454-0154. E-fax: (225) 612-6904. E-mail:
[email protected].]
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At long last, The Joint Commission has completed the revision process for the National Patient Safety Goal (NPSG) that governs medication reconciliation.
