Open Forum

hello!

do you require your providers to review results prior to an RN acting on it? examples:

normal mammo result--result goes to the provider's epic inbox--do you allow the RN to review the normals and notify patient prior to the provider actually reviewing it in epic?

abnormal pathology result: in physician's documentation, he states if pathology comes back as 'positive for 'x', do XYZ; then, RN sees the pathology report in the provider's epic inbox prior to the physician seeing the result but based on physician directive in his dictation, the result came back as positive for 'x' so RN does 'xyz.'

really focusing on, can an RN act on these results PRIOR TO PROVIDER review and directive.

thank you for sharing your practices and thoughts.

hello!

do you require your providers to review results prior to an RN acting on it? examples:

normal mammo result--result goes to the provider's epic inbox--do you allow the RN to review the normals and notify patient prior to the provider actually reviewing it in epic?

abnormal pathology result: in physician's documentation, he states if pathology comes back as 'positive for 'x', do XYZ; then, RN sees the pathology report in the provider's epic inbox prior to the physician seeing the result but based on physician directive in his dictation, the result came back as positive for 'x' so RN does 'xyz.'

really focusing on, can an RN act on these results PRIOR TO PROVIDER review and directive.

thank you for sharing your practices and thoughts.

Thank you Karen!

So if the physician already states what he wants in his dictation, similar to that as a protocol, do you feel the provider still needs to physically review the results prior to the RN performing the task directed? That's the part where  I can certainly see both sides. Curious to hear your thoughts! Thank you again for weighing in!

 

Kind Regards,

 

 

Carrie Lemke, DNP, RN, NPD-BC

Nursing Professional Development-Specialist, Clinical Nursing Practice Leadership Team

Midwest Region-Medical Groups

 

 

 

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This electronic message is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.

hello!

do you require your providers to review results prior to an RN acting on it? examples:

normal mammo result--result goes to the provider's epic inbox--do you allow the RN to review the normals and notify patient prior to the provider actually reviewing it in epic?

abnormal pathology result: in physician's documentation, he states if pathology comes back as 'positive for 'x', do XYZ; then, RN sees the pathology report in the provider's epic inbox prior to the physician seeing the result but based on physician directive in his dictation, the result came back as positive for 'x' so RN does 'xyz.'

really focusing on, can an RN act on these results PRIOR TO PROVIDER review and directive.

thank you for sharing your practices and thoughts.

Thank you Karen!

So if the physician already states what he wants in his dictation, similar to that as a protocol, do you feel the provider still needs to physically review the results prior to the RN performing the task directed? That's the part where  I can certainly see both sides. Curious to hear your thoughts! Thank you again for weighing in!

 

Kind Regards,

 

 

Carrie Lemke, DNP, RN, NPD-BC

Nursing Professional Development-Specialist, Clinical Nursing Practice Leadership Team

Midwest Region-Medical Groups

 

 

 

---

This electronic message is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.

hello!

do you require your providers to review results prior to an RN acting on it? examples:

normal mammo result--result goes to the provider's epic inbox--do you allow the RN to review the normals and notify patient prior to the provider actually reviewing it in epic?

abnormal pathology result: in physician's documentation, he states if pathology comes back as 'positive for 'x', do XYZ; then, RN sees the pathology report in the provider's epic inbox prior to the physician seeing the result but based on physician directive in his dictation, the result came back as positive for 'x' so RN does 'xyz.'

really focusing on, can an RN act on these results PRIOR TO PROVIDER review and directive.

thank you for sharing your practices and thoughts.

Thank you Karen!

So if the physician already states what he wants in his dictation, similar to that as a protocol, do you feel the provider still needs to physically review the results prior to the RN performing the task directed? That's the part where  I can certainly see both sides. Curious to hear your thoughts! Thank you again for weighing in!

 

Kind Regards,

 

 

Carrie Lemke, DNP, RN, NPD-BC

Nursing Professional Development-Specialist, Clinical Nursing Practice Leadership Team

Midwest Region-Medical Groups

 

 

 

---

This electronic message is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.

hello!

do you require your providers to review results prior to an RN acting on it? examples:

normal mammo result--result goes to the provider's epic inbox--do you allow the RN to review the normals and notify patient prior to the provider actually reviewing it in epic?

abnormal pathology result: in physician's documentation, he states if pathology comes back as 'positive for 'x', do XYZ; then, RN sees the pathology report in the provider's epic inbox prior to the physician seeing the result but based on physician directive in his dictation, the result came back as positive for 'x' so RN does 'xyz.'

really focusing on, can an RN act on these results PRIOR TO PROVIDER review and directive.

thank you for sharing your practices and thoughts.

Thank you Karen!

So if the physician already states what he wants in his dictation, similar to that as a protocol, do you feel the provider still needs to physically review the results prior to the RN performing the task directed? That's the part where  I can certainly see both sides. Curious to hear your thoughts! Thank you again for weighing in!

 

Kind Regards,

 

 

Carrie Lemke, DNP, RN, NPD-BC

Nursing Professional Development-Specialist, Clinical Nursing Practice Leadership Team

Midwest Region-Medical Groups

 

 

 

---

This electronic message is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.

hello!

do you require your providers to review results prior to an RN acting on it? examples:

normal mammo result--result goes to the provider's epic inbox--do you allow the RN to review the normals and notify patient prior to the provider actually reviewing it in epic?

abnormal pathology result: in physician's documentation, he states if pathology comes back as 'positive for 'x', do XYZ; then, RN sees the pathology report in the provider's epic inbox prior to the physician seeing the result but based on physician directive in his dictation, the result came back as positive for 'x' so RN does 'xyz.'

really focusing on, can an RN act on these results PRIOR TO PROVIDER review and directive.

thank you for sharing your practices and thoughts.

Thank you Karen!

So if the physician already states what he wants in his dictation, similar to that as a protocol, do you feel the provider still needs to physically review the results prior to the RN performing the task directed? That's the part where  I can certainly see both sides. Curious to hear your thoughts! Thank you again for weighing in!

 

Kind Regards,

 

 

Carrie Lemke, DNP, RN, NPD-BC

Nursing Professional Development-Specialist, Clinical Nursing Practice Leadership Team

Midwest Region-Medical Groups

 

 

 

---

This electronic message is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.

hello!

do you require your providers to review results prior to an RN acting on it? examples:

normal mammo result--result goes to the provider's epic inbox--do you allow the RN to review the normals and notify patient prior to the provider actually reviewing it in epic?

abnormal pathology result: in physician's documentation, he states if pathology comes back as 'positive for 'x', do XYZ; then, RN sees the pathology report in the provider's epic inbox prior to the physician seeing the result but based on physician directive in his dictation, the result came back as positive for 'x' so RN does 'xyz.'

really focusing on, can an RN act on these results PRIOR TO PROVIDER review and directive.

thank you for sharing your practices and thoughts.

Thank you Karen!

So if the physician already states what he wants in his dictation, similar to that as a protocol, do you feel the provider still needs to physically review the results prior to the RN performing the task directed? That's the part where  I can certainly see both sides. Curious to hear your thoughts! Thank you again for weighing in!

 

Kind Regards,

 

 

Carrie Lemke, DNP, RN, NPD-BC

Nursing Professional Development-Specialist, Clinical Nursing Practice Leadership Team

Midwest Region-Medical Groups

 

 

 

---

This electronic message is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.

hello!

do you require your providers to review results prior to an RN acting on it? examples:

normal mammo result--result goes to the provider's epic inbox--do you allow the RN to review the normals and notify patient prior to the provider actually reviewing it in epic?

abnormal pathology result: in physician's documentation, he states if pathology comes back as 'positive for 'x', do XYZ; then, RN sees the pathology report in the provider's epic inbox prior to the physician seeing the result but based on physician directive in his dictation, the result came back as positive for 'x' so RN does 'xyz.'

really focusing on, can an RN act on these results PRIOR TO PROVIDER review and directive.

thank you for sharing your practices and thoughts.

Thank you Karen!

So if the physician already states what he wants in his dictation, similar to that as a protocol, do you feel the provider still needs to physically review the results prior to the RN performing the task directed? That's the part where  I can certainly see both sides. Curious to hear your thoughts! Thank you again for weighing in!

 

Kind Regards,

 

 

Carrie Lemke, DNP, RN, NPD-BC

Nursing Professional Development-Specialist, Clinical Nursing Practice Leadership Team

Midwest Region-Medical Groups

 

 

 

---

This electronic message is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.

hello!

do you require your providers to review results prior to an RN acting on it? examples:

normal mammo result--result goes to the provider's epic inbox--do you allow the RN to review the normals and notify patient prior to the provider actually reviewing it in epic?

abnormal pathology result: in physician's documentation, he states if pathology comes back as 'positive for 'x', do XYZ; then, RN sees the pathology report in the provider's epic inbox prior to the physician seeing the result but based on physician directive in his dictation, the result came back as positive for 'x' so RN does 'xyz.'

really focusing on, can an RN act on these results PRIOR TO PROVIDER review and directive.

thank you for sharing your practices and thoughts.

hello!

do you require your providers to review results prior to an RN acting on it? examples:

normal mammo result--result goes to the provider's epic inbox--do you allow the RN to review the normals and notify patient prior to the provider actually reviewing it in epic?

abnormal pathology result: in physician's documentation, he states if pathology comes back as 'positive for 'x', do XYZ; then, RN sees the pathology report in the provider's epic inbox prior to the physician seeing the result but based on physician directive in his dictation, the result came back as positive for 'x' so RN does 'xyz.'

really focusing on, can an RN act on these results PRIOR TO PROVIDER review and directive.

thank you for sharing your practices and thoughts.

Would you like me to share our policy on this? We just updated it with the newest best practices. 

hello!

do you require your providers to review results prior to an RN acting on it? examples:

normal mammo result--result goes to the provider's epic inbox--do you allow the RN to review the normals and notify patient prior to the provider actually reviewing it in epic?

abnormal pathology result: in physician's documentation, he states if pathology comes back as 'positive for 'x', do XYZ; then, RN sees the pathology report in the provider's epic inbox prior to the physician seeing the result but based on physician directive in his dictation, the result came back as positive for 'x' so RN does 'xyz.'

really focusing on, can an RN act on these results PRIOR TO PROVIDER review and directive.

thank you for sharing your practices and thoughts.