I work in an outpatient pharmacy, and I frequently run into situations where I may have to call the patients provider and discuss their treatment/therapy. I've always been able to communicate with primary care providers and with providers at hospitals. Recently had a situation where a patient was on 5 medications that prolong the QTc interval, 2 of them being the highest doses of very high risk medications. The patient was a 90 year old female who is at a higher risk for torsades. I needed to verify that the patient's EKG was being monitored, and preferably know that her last QTc was under 500. When I called the provider the nurse said that I need an ROI for that information. I have never had someone tell me that I need an ROI to coordinate care for a patient. I did not dispense the medication because I didn't feel it was safe without knowing her QTc. The nurse refused to even tell me if it was done recently.
Do outpatient pharmacists need ROIs to communicate care for a patient between primary care clinics? For things like verifying that EKG have been done?
Do outpatient pharmacists need ROIs to communicate care for a patient between primary care clinics? For things like verifying that EKG have been done?