charle007 Posted August 20, 2013 Share Posted August 20, 2013 Does anyone in the ER do Back to work clearances in the ER. Also Does anyone usually write BDZ refill for patient with "their docs out of town" Link to comment Share on other sites More sharing options...
charle007 Posted August 20, 2013 Author Share Posted August 20, 2013 Also How do you guys usually treat Ob patients with Pain, i.e Dental pain. Link to comment Share on other sites More sharing options...
Acebecker Posted August 20, 2013 Share Posted August 20, 2013 I don't work in ER, but do UC attached to a family practice; we are the only minor care for the local ER and are attached to their hospital. 1. Yes. I do back to work notes for gastroenteritis, URIs, strep, etc. if they have met certain symptom free durations and are reliable. I would not do these in the ER unless it was so stated in a policy; this is the work of the PCP or the UC in the PCPs office. 2. Nope. I don't Rx controlled substances for anybody but patients that I have seen and evluated and decided they need them. Our FP has a system whereby the covering docs can do this if they so desire. I would not do this in the ER, either. If they're on a benzo for anxiety, try vistaril or something like it. 3. Opiates are cat C in pregnancy. Hydrocodone is not a bad choice. APAP#3 is probably better. Hope that my lowly UC opinion helps. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 20, 2013 Moderator Share Posted August 20, 2013 yup,"I'm ready to go back to work" is one of my favorite complaints. rarely write narc refills without a great story. last week wrote some fentanyl patches for an 86 yr old who was switching nursing homes and pcp's. Link to comment Share on other sites More sharing options...
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