Applies to: Front Office Leads, Cllinic Leads
 
When our physicians are called in to do an emergency surgery before their clinic starts, it is very important that we notify patients that the doctor had an emergency surgery to perform.
 
The other point is that the front desk coordinator should occasionally call the OR, speak directly to the Director of Nursing, and obtain estimates – subject to change – as to the anticipated time of completion of the surgery – and to communicate this information to assist the clinical supervisors, the desk staff, CEO and others to manage patient expectations and to plan.

If the 377.14 code is being utilized used incorrectly as it relates to certain VEP and/or pERG tests Dr. Vaishnav should be emailed, copying the CEO, Medical Records Lead, Clinic Leads,  and the assistant who did not use the correct diagnosis.
 
In a polite way, in your email, point out to the assistant that X is the correct diagnosis code and if there is any question about it, while Dr. Vaishnav is still in the room, please confirm this with him.

Applies to:  All Employees
 
In the event of a patient becoming injured while on TEI property, the most important thing is to make sure the patient is safe and further damage occurs.  While most of the falls are minor and need no further follow up, they can also be tragic and have poor or tragic results.  I want to make sure that everyone understands the correct process to follow if such an event should occur.  Please keep in mind this is not limited to falls, but to any time a patient becomes injured on our property.   It is important that all staff know what to do if this should happen.
 
STAY CALM.
Immediately see that the patient is stable.  
Quickly assess the situation to see if a doctor or other health care provider is needed. For the Melbourne location, remember that on Tuesdays, Wednesdays and Thursdays there is a likelihood that there are medical staff in the ASC who may be able to assist. 
If so, contact the doctor or other health care provider that is closest to the situation, advise them of the name, condition and location of the  patient. 
Depending on the condition of the patient, ask another employee to stay with the patient until you are able to seek additional help. 
If needed , contact 911 IMMEDIATELY, advising the 911 operator of the address, type of incident, current condition of patient, name of patient, and location of patient (i.e., 2nd floor, hallway X). 
DO NOT attempt to move a patient that is non-responsive or unable to move on their own as you could further injure the patient. 
It may be possible that bandages or compresses are needed.  Know where to locate them in each of your offices.
 
When the patient is stabilized, contact Human Resources for an incident report and let her know what has happened.  The incident report needs to be completed as accurately and quickly as possible after the incident so that key details are not  forgotten.  Please include any witnesses to the incident and secure their statement of what they witnessed or how they participated. 
 
Return the completed Incident Report to Human Resources.
 
If you have any questions, please do not hesitate contact Human Resources.

Applies to: Surgical Counselors, Front Office Leads, Billing Lead, Clinical Lead, HR, ASC Director of Nursing
 
The Surgical Counseling Checklist form is for use with all cataract and related procedures and eyelid surgeries.
 
Consider it an essential tool to minimize the possibility of errors and to enhance efficiency throughout the surgical process, prior to surgery. This will be used across the board on related cases. 

From: Jerry Orloff
Sent: Wednesday, July 22, 2015 8:11 AM
 
In the case of a cataract surgery please speak with me, or in my absence, contact Louise.  Please do not authorize payment arrangements in the absence of approval from one of us.

Applies to:  Jason K. Darlington, M.D. Techs & Assistants, Clinic Supervisors
 
SLT patients are to be expedited to eliminate wait time. After the SLT, they are to have the scheduled visual field while they are waiting for the IOP check.  There will be a 30 minute gap between the laser and testing.  
    
This applies only to Dr. Darlington’s patients as of this date.

Effective immediately the process for securing money collected should be as follows:

• Melbourne office – Front desk person should balance and close their batch; all monies collected for the day in each drawer should be sealed in an envelope, with the staff member whose drawer it is having first counted the money, then signing and dating the envelope over the back seal of the envelope prior to taping over the signature to fully seal the envelope.With this done and the cash enclosed verified, the envelope should be placed in the lock box located in Michele Sacco’s office.
  
  
• Palm Bay and Rockledge offices – Front desk person should balance and close their batch;all monies collected for the day in each drawer should be sealed in an envelope, with the staff member whose drawer it is having first counted the money, then signing and dating the envelope over the back seal of the envelope prior to taping over the signature to fully seal the envelope.The envelope should not be sealed until the monies contained therein have also been counted by the staff member taking the charts to Melbourne.Once this has been done both the staff member whose drawer contents have been placed in the envelope, as well as the transporter should sign and date the envelope over the back seal of the envelope prior to taping over the signature to fully seal the envelope.Once the envelope has been transported to Melbourne the transporter is to place the envelope in the lock box located in Michele Sacco’s office.

Applies to:  Front Office Leads, Anterior Segment Assistants, Doctors, Clinic Leads
 
When filing out the Amniograft post cards please DO NOT USE the patient’s name.  You MUST use patient’s account # only.  Any use of their name is a HIPAA  violation since this information is on a post card which anyone handling the mail would have access to.