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Mon, 21 Apr 2008 14:48:14 -0500 |
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Hoping for some input and advice here.
There are some legal concerns about the contents of our phone log. We use a commonly available phone log form and write date, name, DOB, time called and time returned call, phone number, message, and resolutions/suggestions. How detailed do you all get when documenting phone conversations? My boss is concerned that our log is too specific and could be called into court as evidence if there are ever any issues. She would like to see a more vague charting in the log or no log at all. Are we not required to document advice given as a phone consult? If so, how long are we required to keep those records? Do any of you document triage calls electronically and, if so, how do you generate a chart on an outside referral? We don't record triage calls anywhere else in the hospital for legal concerns. Are we required to do so as IBCLCs? I'm all for getting rid of paperwork, but don't feel right about this one.
Please respond to the list.
Linda Anderegg, BSN, RNC, IBCLC, RLC
Lactation Consultant
Silver Cross Hospital
1200 Maple Road
Joliet, IL 60432
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(815)740-1234 ext. 7321
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