Thursday, July 23, 2009

East Cluster Meeting Minutes, July 22, 2009

Lots of great problem solving at today's meeting.

EXTERNAL RX: include phone/fax no. where to place folder?
- Red folder to be placed on provider’s desk on right hand side to be matched up with hard copy of prescription so they can go back to the pharmacy together.

3 YR. WCC: eyes/ear.
- Concluded that for 3yo wcc-no eyes/ears-a lot of work and often fruitless

Red Alerts; solutions?
- Create and use PA openings to handle overflow during the day

Routine immunizations for pregnant patients:
- No routine (live) immunizations, but ifluenza vaccine is indicated. Also see Penatal Care Guidelines on InContext.

Evaluate processes:
- Fish, red/green alerts, pre-visit prep
- For Future Agenda: check to see if above system is working or not (one month)

Limit rate of new actions:
- Limit rate of new actions-such as above
- So no one feels intimidated or stupid

Rap Sheets: should be put in pharmacy slot in AM ASAP?
-Rap sheet to be placed into BO slot for Faxing-was done by Anna-system not working; Becky will discuss w/ Mark to continue process-BO to do faxing

Lab requests that pt’s name, # be on FOBT card:
- will put pt’s name/initials, and CSN on stool cards when sending out or placed stickers on when pt is being seen

Refrigerator temp. readings no longer being done:
- Continue to keep refrigerator temp. eye solution needs be in refrigerator

Pregnant patients again:
- week’s of gestation needs to be noted on nursing note
- generic list of preps/guides-Cheryl has copies if one needs a copy

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