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Getting consulting services to document their recommendations

I’ve recently found myself in a situation where I am taking care of a postoperative patient who keeps going into supraventricular tachycardia to the 180’s to 200’s. Cardiology has seen him and have recommended increasing his metoprolol until he stops doing that. This plan has not worked well, and he keeps going into rates of 180’s. The problem is that the Cardiology service hasn’t seen the patient in several days.

My plan is to ask Cardiology to document their recommendations in the patient’s chart. I believe they should have been doing this all along, but the only thing they did was write a consult note when they were initially consulted, and then disappeared.

What do you guys do when a consulting service is failing to see your patient, and/or failing to document their recommendations?


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