[optimal] Re: From Denice in SF
- From: "Thomas C. Monego" <Thomas.C.Monego@xxxxxxxxxxxxx>
- To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx>
- Date: Wed, 31 Aug 2011 10:29:27 -0400
Massachusetts and Rhode Island are very tight on this, require RN, or and MD to
administer the drug. In New Hampshire the person has to have "Hospital"
certification which means taking a phlebotomy course. I still feel having 2
people in the FA room is a good thing from a patient safety standpoint. Over
30+ years I have seen enough problems and have testified in a lawsuit involving
Na F injection.
Tom
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of Cavicchi, Robert
Sent: Wednesday, August 31, 2011 9:38 AM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: From Denice in SF
Hi Beth,
We do this all time at Joslin which is located in the very conservative state
of Massachusetts.
Our clinic has 3 fellows who are responsible for FA injections but if they have
any trouble accessing a vein we call the "experts" in the Phlebotomy Lab
upstairs.
These guys are great and typically never let us down.
The phlebotomists access the site(s) and the MD's do the push and it is usually
works very well.
We researched this with the various "power-that-be"/licensing boards and found
that this is within the legal/ethical parameters of medical practice/care.
The MD's make any/all notations pertaining to the procedure.
Hope this helps,
bob
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of Beth Koch
Sent: Tuesday, August 30, 2011 11:53 PM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: From Denice in SF
Go for the OCT-C next!!
Hey question for all you out there, I have a tech in my practice that was a
phlebotomist and when our Rn had a hard stick for an FA, the tech decided to
insert the needle themselves but did not push. They called the Dr to push. In
NY state the only people can push and inject FA dye would be nurses and drs.
What is the professional consensus on this situation can a phlebotomist insert
a needle that has a potential for accidental push of meds. If anyone is not
sure, could you tell me where I can clarify this information? I don't believe
the tech documented that they made the stick, only that the Dr did the push.
Thank you for any help you can give,
Beth Koch COT, ROUB
bethkoch@xxxxxxxxxxxxxx<mailto:bethkoch@xxxxxxxxxxxxxx>
bethkoch66@xxxxxxxxx<mailto:bethkoch66@xxxxxxxxx>
(716)908-4105
What we have done for ourselves, alone dies with us,
What we do for others and the world remains and is immortal....
~Albert Pike
________________________________
From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On
Behalf Of Alan
Sent: Tuesday, August 30, 2011 9:18 PM
To: optimal@xxxxxxxxxxxxx
Subject: [optimal] Re: From Denice in SF
Great going! A few more credentials, and you will have the whole alphabet
covered. Wow!
All our best,
Alan and Diane
On 8/30/2011 6:24 PM, CPMC Ophthalmic Diagnostic Center wrote:
Just passed my CDOS exams. Yippee, glad that is behind me
Anyone want some counsel, while it is fresh in my mind, if you are thinking
about taking this test.
D.
Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS
Ophthalmic Diagnostic Center
CPMC Department of Ophthalmology
2100 Webster Street Suite 212
San Francisco CA 94115
(415) 600-3937 FAX (415) 600-6563
--
Alan Frohlichstein
5633 Crain Street
Morton Grove, Illinois 60053
847-965-7555
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