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- Aug 26, 2014
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I know if you order invasive tests like ERCP on a patient with cholecystitis, that is an invasive test that will make you lose points on the exam.
However, what if I have the same patient with cholecystitis and I order a TSH or a Lipid panel, not necessarily important in this case, but they are superfluous tests. They aren't invasive and in reality, I would not order them, but will I lose points on the exam for ordering these? Are non-invasive tests that aren't exactly necessary OK to order on the test?
I am using CCScases.com, and they score me positively for ordering stuff that needs to be ordered, and will dock me points for invasive tests, but they never comment on whether it is OK to order noninvasive low yield tests?
Other Questions:
1. If a patient has a diagnosis, for example cholecystitis, do I order cholecystectomy first then consult general surgery, or do I consult general surgery and then order the cholecystectomy?
2. Do I put in admit orders like NPO diet, SCDs, SQ heparin, IV Fluids, HOB to 30 degrees after I move the patient to ICU/Ward, or should I put in those orders then move them to the ICU/Ward?
3. How important is it to order followup appointments for medications and such? Almost every case I've done on CCScases.com program mentions to give vaccines, counseling, preventative orders on the 2 minute screen. It has never told me I need to create a followup appointment and order a CBC in 2 weeks to followup starting Clozapine for example.
i appreciate any clarification
However, what if I have the same patient with cholecystitis and I order a TSH or a Lipid panel, not necessarily important in this case, but they are superfluous tests. They aren't invasive and in reality, I would not order them, but will I lose points on the exam for ordering these? Are non-invasive tests that aren't exactly necessary OK to order on the test?
I am using CCScases.com, and they score me positively for ordering stuff that needs to be ordered, and will dock me points for invasive tests, but they never comment on whether it is OK to order noninvasive low yield tests?
Other Questions:
1. If a patient has a diagnosis, for example cholecystitis, do I order cholecystectomy first then consult general surgery, or do I consult general surgery and then order the cholecystectomy?
2. Do I put in admit orders like NPO diet, SCDs, SQ heparin, IV Fluids, HOB to 30 degrees after I move the patient to ICU/Ward, or should I put in those orders then move them to the ICU/Ward?
3. How important is it to order followup appointments for medications and such? Almost every case I've done on CCScases.com program mentions to give vaccines, counseling, preventative orders on the 2 minute screen. It has never told me I need to create a followup appointment and order a CBC in 2 weeks to followup starting Clozapine for example.
i appreciate any clarification