Cross-conflicting regulations health facility edition
by Tom aka Rusty Rustbelt
Health care thoughts: Cross-conflicting regulations health facility edition
The most recent regulatory question I had trouble answering. The situation is as follows (the state will remain nameless):
State nursing home inspectors: certain antibiotics cannot be administered for certain conditions without a three day lab culture being done first; if the nursing home administers certain antibiotics without the three day culture the facility, administrator and nurses are subject to citations and penalties.
State physician licensing board: physicians can order the administration of medications including antibiotics within the standards of practice, failure to do so may be considered malpractice State nurse licensing board: a nurse is to follow the orders of a licensed physician (or PA or NP supervised by a licensed physician) unless the orders fall outside the standards of practice or treatment is contraindicated (medication conflict for example); failure to do so may be subject to disciplinary proceedings
State nursing home inspectors: failure to follow physician orders makes the facility, administrator and nurses subject to citations and penalties, and possible referral to various licensing boards Office of the Inspector General: treatments which violate state or federal regulations (even unintentionally) may make the billing for such treatments an act of fraud.
So, a physician orders an antibiotic for a patient to be started immediately, in violation of the three day rule…….. the correct answer is?
(We did get a solution, sorta, will share that later.)
The correct answer is CYA. 🙂 However you can manage to do that.
Nice post and I would guess they would wait the three days unless the doctor is responsible.
Seems you have attracted lots of spam comments.
we don’t need any one to tell us what or how to think we can do it for are selves, unlike you.