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  • 1.  Who Places Orders for your Procedural Areas?

    Posted 2 days ago

    Good day all,

    No judgement here, but I just want to gauge what is the cultural norm is or what should be the standard of who places orders for procedural areas at your ambulatory care sites? 

    For this context, I am mostly thinking about sedation or non-sedation cases in a clean or sterile procedural suite. The orders involved can be anything from IV starts, IV fluids, meds, vitals, discharge criteria, and etc. 

    I have worked in two outpatient procedural suites in two FQHCs, one has the physician do them all and another has nursing do them all. What about your areas? 

    Thanks for the help!

    Kevin



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    Kevin La, RN
    Nursing Supervisor
    University of Michigan
    Windsor Ontario
    519-982-5235
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  • 2.  RE: Who Places Orders for your Procedural Areas?

    Posted 4 hours ago
    RE: an ambulatory care practice where there is no nursing supervision; APNs are present for  patient encounters:
    1. C-ma's are in a separate union from providers and managed by non-clinical personnel (immediate manager (billing & coding certified); office administrator (Health Administration degree).
    2. Medications for procedures are ordered by management personnel (actually by the administrative secretary); 
    3. at least once the incorrect BOTOX formulation was purchased (cosmetic);
    4. on more than one occasion single-dose 30 mL vials for local anesthetics (lidocaine, bupivacaine, and ropivacaine) were purchased versus multi-dose vials. 

    -mobley

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    Aleesa M Mobley PhD APN-BC  (she/her/hers) Why Pronouns Matter

    Associate Professor - Clerkship Director [Researcher/Pain Management/Substance Use Disorder]

    Physical Medicine & Rehabilitation - Neuro Musculoskeletal Institute 

    Lippincott Procedures: Subject Matter Expert - Wolters Kluwer Publishing

     

    Rowan Medicine Bldg., 42 E. Laurel Rd, Ste 1700, Stratford New Jersey 08084 

    T: 856-566-7010 | F: 856-566-6956| C: 856-230-1229 

    mobley@rowan.edu | som.rowan.edu 

     

    Learning is not attained by chance, it must be sought for with ardor and attended to with diligence [Abigail Adams (1744 - 1818), 1780].




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