In office procedures
Started by paindoctor2014
No.
Why would you need intralipid? I do check sugars on diabetics. Hospital policy. Probably not necessary.
None of the above.
No one does pregnancy tests??
Only if you think it is yours.
xray tech whispers in patient's ear "any chance of pregnancy?"
patient laughs
we carry on with our lives....
I don't test.
However, I have seen at least 10 cases of immaculate conceptions in my ER career, none as a pain doctor.
Suggestion - if you see fingers and toes in your scout film, abort the procedure.
However, I have seen at least 10 cases of immaculate conceptions in my ER career, none as a pain doctor.
Suggestion - if you see fingers and toes in your scout film, abort the procedure.
You do not need intralipid if you are doing bread and butter injections (esi, Mbb, rfa).
If you do sympathetic blocks, then you should probably have some, along with a rescue box.
If you do sympathetic blocks, then you should probably have some, along with a rescue box.
Advertisement - Members don't see this ad
Patient signs on consent form that there is no chance they could be pregnant. If they’re not sure, either they take a pregnancy test or delay procedure.
For diabetics, we ask their most recent blood sugar and A1C for steroid injections. We check it if they don’t know or if no recent check, especially if history do poor glycemic control.
For diabetics, we ask their most recent blood sugar and A1C for steroid injections. We check it if they don’t know or if no recent check, especially if history do poor glycemic control.
I've been the bearer of surprising news x2 in the pre-procedure area. One was shocked in a happy way, the other...not so much. Both procedures canceled.
Hospital requires test or signing a refusal form noting risk.
Hospital requires test or signing a refusal form noting risk.
Yeah, I use a1c > 9 as a hard cut off and want a fingerstick that day if between 8 and 9.
What's your cutoff?
not sure about Baron's -
my cut off is 8.5, unless doing MBB or RFA as Baron alluded to.
my cut off is 8.5, unless doing MBB or RFA as Baron alluded to.
Do you count on pts to know their A1C and report it reliably? We do fingersticks, and sometimes that does result in day of cancellations/reschedules because "oh, it must have been that 32oz sweet tea I had on the way over"
in this area, all the major health systems and labs use Epic.
i find that there is an inverse relationship between an individual knowing what their A1C number is and how well they are actually controlling their diabetes.
i find that there is an inverse relationship between an individual knowing what their A1C number is and how well they are actually controlling their diabetes.
Advertisement - Members don't see this ad
One of the few things I loved working at a large hospital/academic center was having Epic and being able to read all of the notes from PCPs, other specialists. Made things so streamlined. Now I've got 5 different imaging portals to look things up on, and if records aren't faxed to us, I don't know what surgery they had, what new med their PCP put them on, etc.
