Thursday, February 9, 2017

BHEC QRC

Pronounced B-heck QRC. Affectionately. Stands for Baptist Health Extended Care Quality Review Committee. I've been on it for over a year. And I missed the last two, for kid stuff, so I needed to be there last night. We mostly talk about the long term patients, their CAUTI's and CLABSI's first: the infection nurse leads the meeting.

If you are feeling left behind with the acronyms you are not alone. When I first got on board I needed to get up to speed. Catheter associated urinary tract infections. Central line associated blood stream infections. The entire meeting is a check on the system; comparing it to national norms. They are earnestly trying, against all natural odds, to serve the patients as best as they can. They put more effort into it than I could imagine, and despite all the crazy standards they are held too, more often than not they succeed.

After infection control left last night - she leads then heads to her church group - we moved on to pharmacy. There were a lot of new procedures to approve. We got to one called "Unresolved Discrepancies."

ID doc: That sounds scandalous.

Pharm: It's just that when a controlled med goes missing, we can always track it. Figure out why. But not this time. We couldn't find the source of the problem. So we had to create a new policy to report missing meds that aren't accounted for.

Me: Sounds like an inside job.

Laughter.

Pharm: Yeah, you are probably right. I can think of a few people that might target the narcotic bin, especially late at night. Next policy.

Television monitor at the front of the room: Sedation Monitoring.

Admin: If I was a joking man I might make one about keeping you all awake during this review.

Pharm: Beats her fingers against the table in the universal culmination of a joke sound. Bah bum bum. No, this is about making sure the patients who are getting procedures get the right support.

ID doc: Not sure I understand. Explain.

GI doc: Like if you want to do a scope - GI, pulmonary, you need the right support. You can't just do it in any room. You can't have a nurse anesthetist monitor five rooms on the floor. There are only certain areas, with the right support staff, that are allowed to do those procedures.

Me: It's the Joan Rivers Rule.

ID doc gives delayed incredulous belly laugh. "Exactly!" I love inducing that.

Me: Motion to approve.

FP doc: I second.

Admin: Everyone in favor?

Collective: Aye.




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