How're we handling incorrect orders?
I work in an outpatient facility, and often we are getting written orders from family medicine providers that are incorrect. One provider faxed over THREE different orders for a STAT add on- Ct ab/pel wo, ct ab/pel with, and ct ab/pel wo/w. Nothing in the reasons for exam did it state that the patient has uretal stones, gross hematuria, etc, just a general right sided pain and hx of diverticulitis. Our body rad and I protocolled it together as the Ct ab/pel w. We couldn't immediately get ahold of the provider either to clarify. Since we had orders for all three, our PSR submitted authorization for that exam and I left a voicemail with the provider's office of which exam we're proceeding with.
That provider called back just prior to the exam and is determined that we do the Ct ab/pel wo/w because the patient has a history of uretal stones. Nowhere in his notes or orders did it say that! He also didn't cancel any of the other orders.
Our PSRs are frustrated with me, which I understand to some degree but it's leaving me feeling embarrassed and as if I didn't do enough background on this patient. The rad is like "we can only work with what we know", but I can't shake the guilt that I was supposed to somehow know better, especially with our front office staff frustrated with me.
(I've been a CT tech for 5 years, xray for 21 years)