The idea behind this focus is that with quality care and discharge planning, once the patient goes home, the process of healing should continue rather than face setbacks that require a costly return to the hospital. In the event that an order is unclear in any way, though, the standard of care requires the hospital’s nursing staff to consult with the physician, physician assistant, or nurse practitioner who made the order to seek clarification.Īs a former hospital administrator, I’m well aware that Medicare closely examines re-admission rates because they, of course, impact the amount of money Medicare has to spend on patient care. The hospital policies and procedures also provide that, “Authorized prescribing Practitioner and Clinical Staff will manage patient orders to effectively provide safe care.” This part of the hospital policy accurately reflects that nurses have a role in providing safe patient care. The surveyor noted that the hospital’s own policy requires physician orders to be “complete, clear, accurate, and legible such that there is no ambiguity regarding the order.” This resulted in a patient experiencing elevated blood sugars and required giving the patient insulin to correct the problem. The surveyor found that Ascension Seton Medical Center Austin failed to ensure that physicians on its medical staff ordered carbohydrate control diets for diabetic patients. Although Texas law prohibits the corporate practice of medicine-meaning that doctors, not hospitals, practice medicine-hospitals still have an important role in ensuring safe, quality medical care. These survey citations shed light on the reality of how modern healthcare should be provided.
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