BSMH Assessment
A person needs to supply the provider with a letter from a specialist to be cleared for their assessment… What status do you put them in on LAB Test/MISC?
PENDCAN
How long should a Respirator Physical appointment be schedule for in the clinical (Dup) column and in the Provider column?
30min /15 min
What company do you charge a direct observation fee?
eScreen and Acuity
What is important to attached in Systoc (for billing) for Blood Borne Pathogen?
LAB Order SLIP
What incidents are to be put in Safe Care?
Any patient/staff safety event and any near miss. If unsure if it should be put in Safe Care, put it in Safe Care.
If a T-spot comes back anything but normal, where do we enter the results in Systoc for tracking?
Screening/Immunization
What information must be obtain when scheduling appointments in Systoc.
You must check to see if the person is registered in Systoc. If they are registered, you verify the information is correct to include email and checking the Allow KIOSK and Allow Email. If the person is not in Systoc, you must obtain the Name, Email address, and check the Allow KIOSK and check Allow Email Appointment Notification. (If the person will not allow email notification you must document in user field will not allow email)
What if a person says “I do not have to pee” when you call them back for a drug screen?
You must attempt the drug screen.
What Worker Comp visits should be assessed at check in? and in What time frame?
ALL INITIAL WC should be assessed by a clinical team member as soon as possible.
When are you allowed to clock in on Dimensions?
ONLY when you are in the center ready to see your first patient. You are not allowed to clock in on your phone outside of the facility.
When should orders be added to appointment?
As soon as the appointment is added in Systoc, so the KIOSK forms can be emailed out
Where do we put the employee description of the accident?
Injury Folder/ Patient Description of Accident. We must put exactly what the patient say or documents
When adding UDS and BAT in Screening folder what should be completed?
Everything you know about the screening
You have a referral to a specialist….What is your next step?
Obtain the order same day, confirm good phone # from patient, give patient a copy of the referral and add all information into Systoc, email order/request to company DER and WC adjustor (if you have it). Document ALL details in the injury treatment folder and Referral log.
What is done if a DOT's blood pressure is out of range?
Put in room to relax for 15 minutes and take BP manually. If still out of range, the provider will take the 3rd BP.
Example of when you would change the EXAM date in Lab Test/ MISC?
Anytime they have to come back into the center (Repeat CXR, Redraw).
When do you mark a task done?
Once the task has been completed and only task that you complete. Please know that the task must be marked done by the person who completed the task. A Nurse/MA can only give injections and therefore should not be marked done by any other staff, Xray can only be done by an Xray tech and should not be marked done by a Nurse.
Do you put the mouthpiece on the LifeLoc Phoenix 6.0 before or after the air blank?
Before
What should be documented in Appointment box for WC Initial?
Who authorized treatment with contact information, if UDS and/or BAT is required and if a NEW company billing information
How is a STS (standard threshold shift) identified on an Audio?
Review the Audio print out and look at the Most Recent Analysis and the Standard Threshold Shift (with Age Correction) to see if it says Yes or No. 2k-3k-4k thousand range and seeing if there is a difference of average of 10db or more from their baseline.
Your BSMH T-spot results come back borderline…What is your next step
1st Borderline-Redraw, 2nd Borderline-Chest X-ray.
What do you do if something has changed on their account?
Ask for the information in writing and forward to Jessica and Sharon and place information on Protocol tracker. Protocol tracker can be found on the shared drive under Company Update
What should we do if the patient comes out of the bathroom and temp is out of range?
Pour into another cup, just in case there is an issue with the cup, and complete the test as if everything was good, just mark that temp was out of range and document in remarks. If Federal, you must IMMEDIATELY complete another test under direct observation. If Non-Federal, contact the DER and ask what they would like done.
What should we do if the patient does not come in with authorization?
We should call the DER for Authorization. What if the DER is out of the Office? See if there is a DER 2. IF not leave VM Put note in Sytoc stating attempt to contact with time stamp. If Supervisor presents with patient, ask the supervisor has a way to contact the DER.
What needs to occur when STS is identified on screening?
Have physician sign off on Audio letter, contact DER of possible shift and confirm confirmation testing approval within 21 days. Schedule retest on a date an MD is in office. Give patient a copy of audio report and letter and advise them to avoid noise 14 hours prior to retest. ALL of this is to be completed before patient leaves the center.