It happened again, another hospital that won’t allow doctors to culture a patient with new presenting sepsis who has a central line, catheter or ventilator because if the cultures come back positive they’ll get dinged. But don’t worry they’ll still start 3 antibiotics 🙃
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@RNSuperHero
How is that even allowed?! Unethical at the least and if they’re worried about getting dinged wait until they get the subpoena.
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@RNSuperHero
How is this a thing? How can u dose A/B or antifungals if you don't know which bacteria or fungal infection is growing ???
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@EJA3232
They literally will hunt the ordering provider down and have a special “meeting” say a pts been in icu a week and now is sepsis positive. No blood cultures or sputum cultures unless you wanna get a write up.
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@RNSuperHero
I worked at one facility that would culture only if the patient had been in the facility <48 hours. Same with C. Diff testing.
Because bottom line over patients every damn time for both hospitals and CMS.
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@RN_Atheist
Yup! Seen that many times. No cdiff testing on inpatients after 24-48 hours. Treat as if it’s positive 🤦🏼♀️
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@RNSuperHero
That's not CMS guideline treatment of the initial presentation of severe sepsis (this is literally what I do for a living). These institutions will not be reimbursed for their Medicare patients if they don't follow the guidelines...
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@firescape1066
Oh I know but they think if they never test then wow they never have any hospital quarter infections to report so I guess it goes not noticed
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@RNSuperHero
Do they have an antibiotic stewardship program? Seems they would be screaming about this if they did!
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@BassoonYsu
But nobody gets cdiff because they won’t text for it on patients already hospitalized over 24 hours!
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@RNSuperHero
This should be turned in to Medicare & Medicaid for fraud on both the federal & state levels.
Ommissive practices to be paid higher $$$ on claims (to avoid penalties) would fit nicely in this category.
What is happening is a literally criminal.
Can be done anonymously.
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@meg_texas
Last time I ran into this two years ago me and a fellow traveler reported and nothing happened sadly
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@RNSuperHero
WTF? How do u know what you’re treating? How do u rationalise your antibiotic use after a few days of treatment?
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@debbie_fearon
They just throw broad spectrums at em and hope the sepsis goes away. Literally. I’m not kidding.
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