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CAPC Palliative Care Discussion Forum
Palliative Care and the ICU

In Reply To: MANDATED CONSULTS
Next Reply: Re:Re:MANDATED CONSULTS
Next Message: Re:MANDATED CONSULTS

Post Re:MANDATED CONSULTS
Author: stone
Date: Oct 4, 2007 4:09 pm
I think that our medical ICU's would be not receptive to the idea of mandated consults-that may come across as paternalistic and it would be best to let them think of calling. Now that being said it seems that maybe if nursing staff have triggers and "suggest" the consult it would be received.
Replies: order by [Date] [Author] [Subject]
+ Re:Re:MANDATED CONSULTS (by Deb on 10/04/2007)
I also agree that mandated referrals may not be well received. I do round in the units and "suggest" to the nurses and they can then suggest to the physicians. It does require a lot of continuing education on why it is better to get me involved sooner rather then later...
Re:Re:MANDATED CONSULTS (by njoyner on 11/05/2007)
We do not mandate consults, but use the palliative care screening tool on those patients the bedside team finds effective.

We are currently doing a survey on dialysis patients in ICU and which ones are referred to palliative care. It rarely takes the screening tool now that palliative care is more visible.
Re:Re:MANDATED CONSULTS (by sgray on 11/05/2007)
Lwmelhad: thanks for the info, we too are doing those things, nice to know we are on the same track, just smaller in size.

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