Emma Dunning has been pondering the role of information about the patient but not from the patient
You are the big brother in health. WINZ for care givers certs, fostering certs, Disability allowances , Jobseeker medicals for work, Insurance companies. If no one recorded marijuana use , A&D attendances , STD attendance , counselling consults alcohol convictions , but you know of them do you report on the information in your head ? If an insurance company turns a client down and you ticked the box about sharing with the patient they will ofter send the patient back to the doctor to explain why they were declined ?
At what stage are you going to invoke the enduring power of attorney for property and personal welfare .? Does she have one? Do you know who it is and have you got copies of the EPOA scanned into her notes ( In a readable and printable quality ?) What if she wants to change the EPOA and not make the son the property manager or welfare guardian. Not infrequently the lawyers will want a letter from the GP to say she is competent or not competent , but does not specifically state with regards to what decision . What if 5 years earlier Mum had said the son had spent time in jail for defrauding an elderly person for whom he was a caregiver ? Where did you put that information . Recently the local paper was having a poor news day and a reporter wrote an article about an ACC court case that happened over three years ago. If you were the claimant's GP would you add that to the patient notes if you hadn't known that ? There are now 53 Urgent Care Clinics in the country doing 2.5 million consults annually. Do you update the errors and data from their reports about never been a smoker ,safe alcohol intake ( Not what the judge said in the newspaper drink drive convictions reports ), patient reports was unsafe in the home but not now, cell phone numbers , next of kin , terminations, marijuana use , ACC claims even if spurious ? All of this stuff is hearsay and may actually be heresy .
Do you look up the lab results to see what medications were dispensed in the community and when, STD results? Do you have ALL the old ACC claims and numbers and diagnoses recorded ? One patient reported they had been in hospital for months following a severe accident . None of the last 5 practices had recorded any ACC numbers, dates or list of injuries missing out on thousands of dollars of potential claims . The Exported data from GP2GP lists the initials of the service provider from Medtech but the data showing up in the MT32 import just lumps all providers Dr,nurse, counselor , PA, PN , NP, ancillary staff data as provided by EXT .
New Zealand Doctor