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triaging pts

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Hi all,

We are currently having a "discussion" at work. One of our OB's wants us to do a "medical screening" on pts that come in to be triaged and are cleared for D/C to home without being seen by the OB. This will avoid pts being held, and taking up bed space, until the am, when they come in to round. To be honest, the only differences from what we are currently doing are that a specific "protocol" will be followed, that requires two phone calls, two separate exams by the same nurse. The nurse must be experienced, etc...the wording and details are being worked out.

My concern is in calling it a "medical screening." I have no prob with the P & P, but I DO have a prob with the word "medical" added in before screening. I am being adamant that the wording be changed to eliminate "medical." I think we are leaving the door wide open to a huge lawsuit if we keep that word in there.

Am I being a pain in the butt? The answer is yes, I know that. But, I am truly concerned about this. Do any of you have anything similar, and what wording does your facility use?

Thanx,

Gay Marie Callahan

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