CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 9 0000. ref SDS 7 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Neupogen 1 Treatment Prescription by UCSF 2 Injections Kaiser Protocol
040902 -
040903 - Follow up ref SDS 9 YY5H, ref SDS 7 YY5H.
040904 -
040905 - Millie got the 2nd injection today which was scheduled yesterday with
040906 - Florida. ref SDS 9 4Q44
040908 -  ..
040909 - Laura was the nurse today.
040911 -  ..
040912 - Laura found the prescription for Neupogen treatment on 080707, which
040913 - was ordered during the meeting yesterday by the doctor to correct the
040914 - mistake in the schedule of Neupogen treatments reported in the record
040915 - on 080620. ref SDS 7 YY50
040917 -  ..
040918 - Laura scheduled Millie for Neupogen treatment on 080707.
040920 -  ..
040921 - Laura asked for the Chemotherapy Orders showing the amount of Neupogen
040922 - treatment prescribed for today.
040924 -  ..
040925 - This is reported in the record on 080626, this past Thursday, except
040926 - UCSF forgot to enter the prescription. ref SDS 8 PWSY  Millie
040927 - therefore cited Chemotherapy Orders calling for...
040928 -
040929 -            Neupogen 480 mg SQ on D2 + 3
040930 -
040931 - ...reported on 080529, ref SDS 2 PWSY, and which Zan used to set up
040932 - the account on 080609. ref SDS 3 L16I  She said that Florida did not
040933 - ask for an actual document yesterday on 080627. ref SDS 9 PPUW
040935 -  ..
040936 - Research on Neupogen side effects was reported on 080629. ref SDS 10
040937 - RQ9I
040939 -  ..
040940 - Laura said that since she knows Millie, and wants to be a team player
040941 - she will give Millie treatment today without the Chemotherapy Orders,
040942 - and asked Millie to submit it to document the record, similar to
040943 - Catherine's request at UCSF on 080626 for Kaiser's documentation
040944 - showing the Power Port surgery on 080708 is tested successfully.
040945 - ref SDS 8 MZ9L
040947 -  ..
040948 - Millie's first treatment with Neupogen in the Infusion Clinic was on
040949 - 080620. ref SDS 7 F67F
040951 -  ..
040952 - Laura said that the UCSF Chemotherapy Orders for 480 mcg of Neupogen,
040953 - prescribed by the Doctor Johnson at Kaiser on 080609, ref SDS 3 L16I,
040954 - requires 2 separate injections of 240 mcg each under Kaiser's quality
040955 - care protocol.  This conflicts with a single self-injection Neupogen
040956 - treatment of 480 mcg, which Millie received from the Kaiser Outpatient
040957 - Pharmacy on 080609.  Later that day, the doctor corrected the problem
040958 - by ordering treatment in the Infusion Clinic, ref SDS 3 IL6I, and
040959 - cancelled erroneous order for Neupogen from the Outpatient Pharmacy.
040960 - ref SDS 3 K195
040961 -
040962 -     [On 080719 Julie applied Kaiser protocol for 2 injections to
040963 -     implement UCSF prescription for 480 mcg Neupogen. ref SDS 11 OG6J
040965 -      ..
040966 -     [On 080726 Bonnie applied Kaiser protocol for 2 injections of
040967 -     Neupogen. ref SDS 12 983L
040969 -      ..
040970 -     [On 080801 Florida disclosed that Kaiser Infusion Clinic has
040971 -     standardized the protocol for Neupogen treatments using 2
040972 -     injections for 480 mcg. ref SDS 13 9W9I
040974 -      ..
040975 -     [On 080802 Anne treatment Millie with 1 injection for Neupogen
040976 -     treatment of 480 mcg. ref SDS 14 9W9I
040978 -      ..
040979 -     [On 080906 Millie treated with 1 injection for Neupogen.
040980 -     ref SDS 15 UZ7K
040982 -  ..
040983 - Laura explained Kaiser's protocol of 2 injections reduce risk of
040984 - tissue damage caused by a single large injection of Neupogen.  Laura
040985 - further noted that giving 2 shots increases risks of infection, but
040986 - the quality care protocol recognizes this is less of a problem than
040987 - tissue damage caused a single large injection.
040989 -  ..
040990 - There seems to be a great many details that compound complications in
040991 - health care which cause confusion, stress, fatigure, and mistakes,
040992 - noted by the doctor on 080609. ref SDS 3 837J  Experienced
040993 - professionals trained to implement complex protocols correctly ensure
040994 - delivery of quality care treatment.
040995 -
040996 -
040997 -
040998 -
040999 -
041000 -
041001 -
041002 -
0411 -