> Subject: Re: medical care of PD patients
> From: "Charles T. Meyer, M.D." <[log in to unmask]>
> Date: Wed, 11 Jul 2001 09:14:10 -0500
Camilla
Regarding the time, I believe it is written in the Kardex and is the
"exact" time but I may be wrong. I haven't been on that side of it in 4
years although plenty of time (4X) since then but as a patient and all PD
related. I think my Idea may get shot down by JCAH (JCAHO) in
accreditation issues and State Laws, Since nurses have to be sure that the
medication given is actually taken by the patient I believe they
must observe the patient actually swallowing the pill. If it is
possible I would like to see it tried on some patients. I still suggest
that the head nurse be told the necessity of meds being given exactly on time.
Charlie
At 04:46 PM 7/10/01 -0400, you wrote:
>Charlie-- I suspect you are right about self-dosing not being legal. In
>fact, I believe that for the CG to give the meds is technically illegal
>too--though our local hospital allowed me to do that when the doctor
>charted it.
>However, I was interested that you said the exact time of doses must be
>charted--in the NH where Peter was at first they simply charted that the
>meds were given or refused---NOT the time given, and this was a problem
>with his tight PD schedule and their one hour leeway---impossible for one
>nurse to tell when the previous shift had REALLY given the meds, so they
>could be either too close, or too far apart. I have to wonder if they were
>negligent in not noting the time , or whether a NH is exempted from that
>requirement?
>
> >Janet,
> >
> >No it would not necessarily stop the education but it probably is not good
> >practice or legal. Records must be kept for each medication and the time
> >it is given. I think that we could be responsible for getting the exact
> >time for a single dose and telling the nurse when she came into the room
> >but I think there would be too much fear of liability if more than one med
> >was given to take and something happened if the patient misdosed
themselves.
> >
> >Charlie
>
>Camilla Flintermann, former CG for Peter 83/70/55
> Oxford, Ohio
> <[log in to unmask]>
>
> on the web at http://www.geocities.com/camillahf/index.html
> and also at
http://members.tripod.lycos.nl/genugten/flinterm.htm
>
> "Ask me about the CARE list for Caregivers of
> Parkinsonians ! "
> And visit the CARE webring at http://www.pdcaregiver.org
>
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Charles T. Meyer, M.D.
Middleton, WI
PD DX 12 years (at age 44)
Age 56
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