Posted: 17-Feb-2012 16:32|
We are in the process of handing most of our non clinical work over to admin staff. However there are a few areas we are not too sure of. What do you all do with regards to
- ordering child imms - admin order or do you continue to order them?
- logging hospital spirometry results - who does it?
Posted: 17-Feb-2012 17:06|
All our ordering is done by admin, though I will give a list of vaccines we are running low on.
I never get to see the child health forms which can make forward planning a little tricky.
Our hospital doesn't give detailed spirometry reports so no problem there.
All cytology admin done by receptionists.
Consequently I am not given any admin time either, so referrals, TQs done in spare moments
Posted: 17-Feb-2012 17:22|
How would you feel about admin logging spiro results though? I worry about logging errors in such a complex area
Posted: 17-Feb-2012 19:41|
I don't do much admin, lucky me [:)], but I do record the hospital spiro results as it's the admin staff who are worried they could make a mistake.
Posted: 18-Feb-2012 16:47 1|
I do tons of admin and hate it but have tried passing it on but so many mistakes have been made that I have taken most of it back again.
I get the spiro results to put on but am training someone to do it at the moment. One of our nurses orders all the vaccines on line. One of our HCAs does all the path lab ordering. I also get the hospital letters for oxygen (HOOFs) so I can document and follow up.
one of the receptionists does all the smear results now and another does regular searches to make sure all the results are back, documents results and audits for us but it's taken about 3 years to get to this point.
I tried to give admin all the nurses appts to put on but it's easier to do it myself now. All the nurses have admin to do but it makes sure it's done properly. Unless you have someone you can truest and who understands clinical READ codes, it's quite difficult.
I've trained 3 different people over the years to do audits and searches but they've all left the practice. maybe it's something I've said or done!!
Posted: 18-Feb-2012 17:37|
wow, our 'admin' staff won't do anything other than reception and don't want to participate in anything as too busy
Posted: 18-Feb-2012 18:31|
My last practice the 'admin staff' did all the admin...everything. I didn't know how much till I moved. The 'reception staff' did some stuff like scanning letters onto docman but mostly they did reception stuff like answering phones.
Where I am now Nurses and HCA do a lot of the admin, smear results, ordering vaccs, ordering supplies from labs.... I miss the well trained admin staff!
Just a thought, my opinion, not fact or law.
Posted: 18-Feb-2012 18:44|
our admin staff do everything just about.. are all trained by a fantastic new PM who ensures nothing admin is left for the nurses.. its great. we only have our blood results to action..I also do all my own immunisation admin ( my choice) This process has taken about a year to develop and its incredible the amt of free nurse time its allowed.
Posted: 18-Feb-2012 21:19|
I am still concerned, as I will be training admin to log spiro results, and I just think that it is such a complex area that errors could be made.
As for admin taking over some of our non clinical work, it has taken me 11yrs at this practice to persuade them of the need to free up some more nurse time. It has been slow but they are eventually coming around to it!
Posted: 19-Feb-2012 18:01|
I understand your concern. Where I am we have a bit of a mixed package but I do all of the sprio admin as I have yet to find someone non-clinical who understands what needs adding but that may be because of how I am teaching.
I do think it can be done by a non-clinical person but they need an understanding of not only what read codes match what information but also how to decipher hospital letters. In the end only you will be able to judge if your admin team will be up to the task.
Good Luck, BM
Posted: 19-Feb-2012 22:11|
One of my other bug bears is imms and vacs for new patients. I have done a long crib sheet (Thanks to Karen R) for what imms were given in what year and what the appropriate READ codes are for those, but still they get it wrong so I'm having to take it back and give it to one of the nurses to do.
Of course this affects our figures and also has the potential for the nurses giving the wrong immunisations.
I just tell the PM that the nurses need more admin time so if admin can't get it right, the nurses need to do it in protected time.