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: June 11, 2009 10:32 AM Thursday; Rod Welch

Scheduled Kaiser Infusion Clinic to access Millie's port tomorrow 1030
for the CT test on Friday 1120.,

1...Summary/Objective


..............
Click here to comment!

CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Called Kaiser at the front desk 925 295 4030.
040902 -
040903 - Was on hold for 20 minutes, finally talked to Jen, but not sure.
040905 -  ..
040906 - Asked for transfer to the Chemotherapy Infusion Clinic.
040908 -  ..
040909 - Today, suprisingly Cisi answered the phone immediately.
040911 -  ..
040912 - Explained calling for Millie to follow up Arlette's work yesterday
040913 - afternoon.
040915 -  ..
040916 - Cisi asked how this call was came through on the physician's direct
040917 - line, rather than the patient's call line that automatically goes to
040918 - an answering machine for call backs based on time available and
040919 - priority?
040921 -  ..
040922 - Explained having just been transferred from the front desk.
040924 -  ..
040925 - Cisi asked who transferred the call?
040927 -  ..
040928 - Said it may have been Jen, but I'm not certain, because it was a
040929 - quick call.
040931 -  ..
040932 - Cisi said she will call and tell Jen she made a big mistake
040933 - transferring a call from the patient to the physician's line.
040935 -  ..
040936 - Cisi asked about the purpose of the call.  She said if it something
040937 - easy, she can take care of it; but, if it is complicated, the call
040938 - will have to placed again to the patient message line for evaluation
040939 - of priority.
040941 -  ..
040942 - Explained having called the clinic and left messages 3 times the past
040943 - 2 days, and nobody has called.
040945 -  ..
040946 - Cisi apologized for delay responding to the patient message system
040947 - for the Oncology Chemotherapy Infusion Clinic.  She explained the
040948 - staff is getting training today to introduce a new computer system,
040949 - and this has everybody tied up.
040951 -  ..
040952 - Explained having driven to Kaiser yesterday after not getting response
040953 - from the clinic to prior messages.  Talked to Arlette in the customer
040954 - lobby of the Oncology Department, and explained Millie needs a nurse
040955 - scheduled to access per Power Port for a CT Test tomorrow at 1120.
040956 - Arlette went into the Chemotherapy Infusion Clinic after it was
040957 - closed.  She returned about 10 minutes later and said that she had
040958 - scheduled Millie for a nurse to access her Power Port for injecting
040959 - contrast medium in the CT Department for a test scheduled on 090612
040960 - 1120.  At that time, Arlette said a nurse will call today and tell
040961 - Millie what time the port access procedure will be performed tomorrow.
040963 -  ..
040964 - So far, nobody has called.
040966 -  ..
040967 - Cisi said that since Kathi is assigned to give Millie Gemzar
040968 - chemotherapy today at 1400, she can make arrangements to access
040969 - Millie's Power Port for the CT test tomorrow.
040970 -
040971 -        [On 090612 1030 turns out Kathi does not work on Fridays, and
040972 -        Florida was assigned; she does not have credenitals to access
040973 -        Millie's Power Port, so Barbi did the work. ref SDS 6 PQRQ
040975 -  ..
040976 - Cisi transferred the call to Kathi for scheduling the work.
040977 -
040978 -
040980 -  ..
0410 -
0411 -
0412 - 1035
0413 -
041301 - Talked to Kathi.
041302 -
041303 - She said Millie is scheduled for chemotherapy with Gemzar today at
041304 - 1400.
041306 -  ..
041307 - Reviewed the record yesterday that Arlette notified Doctor Johnson
041308 - that chemotherapy scheduled for today was cancelled, because UCSF is
041309 - working on an alternate treatment plan, reported on, 090610 1643,
041310 - ref SDS 1 Q49V  This was confirmed in a letter to the doctor late last
041311 - night, reported, 090610 2213. ref SDS 2 WX4W
041313 -  ..
041314 - Kathi said that Doctor Johnson has probably cancelled the order, but
041315 - she has not had time to check the computer.  Kathi also mentioned that
041316 - Kaiser is introducing a new electronic management system that takes
041317 - time to learn, so the staff is having difficulty adjusting.
041319 -  ..
041320 - Kathi found the entry in the Kaiser Computer that Arlette made
041321 - yesterday for a nurse to access Millie's Power Port tomorrow in time
041322 - for Millie's CT test 090612 1120.
041324 -  ..
041325 - Kathi scheduled the work for 1030 tomorrow.
041326 -
041327 -            [On 090611 1618 Mike calls and says UCSF needs AST lab to
041328 -            complete blood work from Kaiser lab on 090602 required to
041329 -            evaluate safety treating Millie with MPA protocol.
041330 -            ref SDS 3 K96M
041332 -             ..
041333 -            [On 090611 1632 letter from Mike requests adding AST lab to
041334 -            prior lab on 090602. ref SDS 4 YU3N
041336 -             ..
041337 -            [On 090611 1637 Millie's letter to Arlette explains Kaiser
041338 -            is accessing the Power Port on 090612 1030, and so requests
041339 -            Arlette order AST lab with the port at that time, which
041340 -            takes about 10 minutes. ref SDS 5 VK6W
041342 -  ..
041343 - That provides nearly an hour to do the work, which nominally takes 5
041344 - mintues, and Millie will walk to the CT Department in the basement,
041345 - aobut .25 miles.
041347 -  ..
041348 - Thanked Kathi for assistance.
041349 -
041350 -            [On 090612 1030 turns out Kathi does not work on Fridays,
041351 -            and Florida was assigned to access Millie's Power Port for
041352 -            the CT test at 1120; but, there is no order in the computer
041353 -            for the Infusion Clinic to access Millie's Power Port for
041354 -            the CT test, because this was scheduled for yesterday on
041355 -            090611 1400 for Millie to get Gemzar, which was canceled;
041356 -            however; Florida does not have credenitals to access
041357 -            Millie's Power Port, so Barbi did the work. ref SDS 6 PQRQ
041358 -
041359 -
041360 -
041361 -
041362 -
041363 -
041364 -
041365 -
041366 -
0414 -