JJJ
Active Member
Please let me know what you think. My goal is to get them to issue the prn order. My secondary goal would be to create a paper trail that they had enough information available to them that a reasonable MD would have issued the order so that if they refuse and she does jump, I will own them.
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Dear Sir,
This letter shall serve as a formal complaint against Dr. X's decision to not provide my daughter, Kanga, with a prn medication or adjust her medication schedule for her transport to New Residential Treatment Center (RTC) scheduled for April X, 2011. Dr. X has not seen Kanga since January X, 2011 and now, over two months later, makes a clinical decision without seeing the patient nor speaking with her legal guardians.
Staff from New Residential Treatment Center (RTC) will be transporting Kanga, a 6-7 hour drive, in their facility's van. Kanga has repeatedly stated that her voices are most active when she is bored. What is more boring than a 6 hour drive through the farmland of the Midwest?
I feel that it is vitally important that Kanga receive additional pharmaceutical support for this drive.
Kanga has a history of attempting to jump from moving vehicles and a history of grabbing the steering wheel to attempt to crash the vehicle. Kanga has exhibited extremely unsafe behaviors in the last week including attempting to stab a school employee, attempting to climb out of a window at the school, and running from her unit. Kanga is on high precautions for AWOL and high precautions for harm to others.
We have the demonstrated risk that Kanga may jump from a vehicle moving at 65mph or attempt to grab the steering wheel. Regardless of whether one feels that the risk is significant or more minimal, the risk of adjusting her dosing schedule is negligible, especially considering that Dr. X originally ordered that Thorazine dose to be given at breakfast but moved it to 3pm when she was too sleepy for school; her Abilify dose was originally split into three doses(one at breakfast, one at 5:00pm and one at bedtime) so clearly--per her psychiatrists-- it is safe to give her that medication in the morning.
Due to nursing not calling me until almost 9:00pm and Dr. X having already left on vacation, I must insist that Dr. Y be paged and asked to give the staff permission to give Kanga her Thorazine and Abilify at 9:30am on her transport date for her safety and the safety of the New Residential Treatment Center (RTC) staff.
I look forward to a call by Noon, confirming that Kanga will be allowed to take her Thorazine and Abilify at 9:30am on transport date. I can be reached at 555-555-5555.
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I am absolutely livid. I am so sick of this Residential Treatment Center (RTC). I cannot wait until Kanga is out of there. HUGE complaint is being filed (with the help of our case manager). What a waste of 8 months of her life
*****************************
Dear Sir,
This letter shall serve as a formal complaint against Dr. X's decision to not provide my daughter, Kanga, with a prn medication or adjust her medication schedule for her transport to New Residential Treatment Center (RTC) scheduled for April X, 2011. Dr. X has not seen Kanga since January X, 2011 and now, over two months later, makes a clinical decision without seeing the patient nor speaking with her legal guardians.
Staff from New Residential Treatment Center (RTC) will be transporting Kanga, a 6-7 hour drive, in their facility's van. Kanga has repeatedly stated that her voices are most active when she is bored. What is more boring than a 6 hour drive through the farmland of the Midwest?
I feel that it is vitally important that Kanga receive additional pharmaceutical support for this drive.
Kanga has a history of attempting to jump from moving vehicles and a history of grabbing the steering wheel to attempt to crash the vehicle. Kanga has exhibited extremely unsafe behaviors in the last week including attempting to stab a school employee, attempting to climb out of a window at the school, and running from her unit. Kanga is on high precautions for AWOL and high precautions for harm to others.
We have the demonstrated risk that Kanga may jump from a vehicle moving at 65mph or attempt to grab the steering wheel. Regardless of whether one feels that the risk is significant or more minimal, the risk of adjusting her dosing schedule is negligible, especially considering that Dr. X originally ordered that Thorazine dose to be given at breakfast but moved it to 3pm when she was too sleepy for school; her Abilify dose was originally split into three doses(one at breakfast, one at 5:00pm and one at bedtime) so clearly--per her psychiatrists-- it is safe to give her that medication in the morning.
Due to nursing not calling me until almost 9:00pm and Dr. X having already left on vacation, I must insist that Dr. Y be paged and asked to give the staff permission to give Kanga her Thorazine and Abilify at 9:30am on her transport date for her safety and the safety of the New Residential Treatment Center (RTC) staff.
I look forward to a call by Noon, confirming that Kanga will be allowed to take her Thorazine and Abilify at 9:30am on transport date. I can be reached at 555-555-5555.
*************
I am absolutely livid. I am so sick of this Residential Treatment Center (RTC). I cannot wait until Kanga is out of there. HUGE complaint is being filed (with the help of our case manager). What a waste of 8 months of her life
Patricia - thanks for the legalese! I found an e-mail for the vice president of the Residential Treatment Center (RTC) (this is a huge Residential Treatment Center (RTC)) and he should understand what that means, even if lower level staff miss it.
