THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net
S U M M A R Y
DIARY: July 25, 2008 01:00 PM Friday;
Rod Welch
Millie Neupogen at Kaiser notifies Infusion Clinic about CT mistakes.
1...Summary/Objective
2...Infusion Clinic Notified Difficulties Using Power Port for CT Test
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CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
1403 -
1403 - ..
1404 - Summary/Objective
1405 -
140501 - Follow up ref SDS 5 0000. ref SDS 4 0000.
140502 -
140503 -
140504 -
140505 -
140507 - ..
1406 -
1407 -
1408 - Progress
1409 -
140901 - Millie got the first of two (2) Neupogen treatments prescribed for
140902 - this week. Work was performed in the Infusion Clinic at Kaiser.
140904 - ..
140905 - She received a single injection for the protocol prescribed yesterday
140906 - by UCSF in the Chemotherapy Order on 080724, ref SDS 6 PWSY, and
140907 - reflecting the treatment schedule by Zan in the Kaiser Oncology
140908 - Pharmacy on 080609. ref SDS 1 L16I
140909 -
140910 - [On 080726 Bonnie used the protocol for 2 Neupogen treatments.
140911 - ref SDS 7 983L
140913 - ..
140914 - [On 080801 Florida disclosed that Kaiser Infusion Clinic has
140915 - standardized the protocol for Neupogen treatments using 2
140916 - injections for 480 mcg. ref SDS 8 9W9I
140918 - ..
140919 - Discussion with Zan today in the Oncology Pharmacy Department
140920 - indicated that on 080711 he put a note in Millie's medical chart to
140921 - schedule Neupogen treatments for the next cycle in August. ref SDS 2
140922 - RW3F He explained today that Neupogen treatments have not been listed
140923 - in Millie's schedule at Kaiser the past few weeks, because the
140924 - Infusion Clinic has to enter the schedule for each treatment in
140925 - Kaiser's computer. Evidently, the Infusion Clinic has not had time to
140926 - schedule the work, as shown in the record on 080711. ref SDS 2 T25F
140927 - Zan suggested mentioning to Paula that continuing treatments need to
140928 - be scheduled.
140930 - ..
140931 - Discussion with Paula revealed that work has been hectic in the
140932 - Infusion Clinic the past few weeks. During this discssion, two other
140933 - people were waiting to get Paula's attention on matters that require
140934 - immediate attention. Paula made a note to have someone schedule
140935 - Millie's Neupogen treatments for another 4 weeks.
140936 -
140937 - [On 080726 Bonnie entered in Kaiser's computer system Millie's
140938 - schedule for Neupogen treatments for August. ref SDS 7 BS5H
140940 - ..
140941 - [On 080809 Donna extended Millie's schedule of Neupogen
140942 - treatments through September. ref SDS 9 NQ4O
140943 -
140944 -
140945 -
1410 -
SUBJECTS
Default Null Subject Account for Blank Record
1503 -
150401 - ..
150402 - Infusion Clinic Notified Difficulties Using Power Port for CT Test
150403 -
150404 - Follow up ref SDS 3 0001, ref SDS 2 OC9G.
150405 -
150406 - Paula asked about results of the CT test last Friday on 080718,
150407 - ref SDS 3 0001, following up discussions on 080711, when Paula
150408 - recommending that Millie coordinate with the CT Department to verify
150409 - that everything was lined up for the test a week later. ref SDS 2 OC9G
150411 - ..
150412 - Mentioned briefly that pressure injection of contrast medium for the
150413 - CT test overflowed the Power Port, causing the test on 080718 to fail.
150414 - ref SDS 3 NW5M Commended work in the Infusion Clinic the next day on
150415 - 080719 by Sheree and Julie helping Millie recover from problems the
150416 - day before. ref SDS 4 OG6F Millie's letter to Kaiser on 080721
150417 - credited Kaiser's work on 080719. ref SDS 5 FT5I
150419 - ..
150420 - [On 080811 Paula investigating solutions to support CT
150421 - Department for Millie's next test OA 080912; issue has been
150422 - elevated, but no progress from management reported at this
150423 - time, ref SDS 10 LD3H; there seems to be at least three (3)
150424 - solutions. ref SDS 10 CW3O Paula coordinating with primary
150425 - care physician about contacting Kaiser Oakland to perform
150426 - Millie's next CT test. ref SDS 10 DE79
150428 - ..
150429 - Paula said the Infusion Clinic did not get a copy of the letter on
150430 - 080721. She appreciated hearing today that the Infusion Clinic was
150431 - effective helping recover from problems.
150433 - ..
150434 - Discussed the report from Azita at UCSF yesterday that the UCSF CT
150435 - Department notified the UCSF Infusion Clinic that Huber needles for CT
150436 - tests require "high pressure tubing" for CT test pressure injection of
150437 - contrast medium. ref SDS 6 OK63
150439 - ..
150440 - Paula said the Kaiser Infusion Clinic in Walnut Creek has these
150441 - needles on hand for high pressure injection of contrast medium to
150442 - perform CT tests.
150444 - ..
150445 - She asked who did the work accessing port, and seemed to indicate
150446 - communication channels between Infusion Clinic with Interventionary
150447 - Radiology may support constructive review to strengthen performance
150448 - for the next test in 7 weeks.
150450 - ..
150451 - After the meeting at Kaiser for Neupogen and scheduling follow on
150452 - work, submitted the record to Paula on the CT test last week...
150453 -
150454 - 1. Subject: CT Test Last Friday, and Assistance by Infusion Clinic
150455 - Date: Fri, 25 Jul 2008 15:25:01 -0700
150459 - ..
150460 - 2. Paula,
150462 - ..
150463 - 3. While I was getting Neupogen treatment today, Rod talked to you
150464 - about my CT test last Friday on July 18th. There may be some
150465 - lessons learned that can help future tests with collaboration
150466 - among the departments at Kaiser.
150468 - ..
150469 - 4. Here is the record on the CT test. It has links to related
150470 - events, for example when we met the week before and you
150471 - suggested I check with the CT people to make sure everything
150472 - was going to be okay (I did my best!!). Please avoid clicking
150473 - links, and if you do, click the "Back" button in the browser to
150474 - return to the main record on July 18th. ref SDS 3 0001
150475 -
150476 - [On 080811 Paula investigating solutions to support CT
150477 - Department for Millie's next test OA 080912; issue has been
150478 - elevated, but no progress from management reported at this
150479 - time, ref SDS 10 LD3H; there seems to be at least three (3)
150480 - solutions. ref SDS 10 CW3O Paula coordinating with primary
150481 - care physician about contacting Kaiser Oakland to perform
150482 - Millie's next CT test. ref SDS 10 DE79
150484 - ..
150485 - 5. Thanks to you, Cisi, and Bella, and to all the nurses for
150486 - taking such good care of me in the Infusion Clinic.
150487 -
150488 -
150489 -
150490 -
150491 -
150492 -
1505 -