I Hate Dialysis Message Board
Welcome, Guest. Please login or register.
March 28, 2024, 02:55:26 PM

Login with username, password and session length
Search:     Advanced search
532606 Posts in 33561 Topics by 12678 Members
Latest Member: astrobridge
* Home Help Search Login Register
+  I Hate Dialysis Message Board
|-+  Dialysis Discussion
| |-+  Dialysis: General Discussion
| | |-+  Do you sign (sight unseen) a dialysis treatment plan?
0 Members and 1 Guest are viewing this topic. « previous next »
Pages: [1] Go Down Print
Author Topic: Do you sign (sight unseen) a dialysis treatment plan?  (Read 4408 times)
iolaire
Elite Member
*****
Offline Offline

Gender: Male
Posts: 2022


« on: May 09, 2017, 05:38:17 AM »

So every so often the nurse comes and has me sign my dialysis treatment plan after some meeting where they go over my information.  It always bugs me because clearly they have come up with documentation, which they want me to sign to say I'm aware of it, but it’s the one thing that they do not offer to actually let me see.  So each time I'm in the awkward state of do I ask to read it first before I sign it or what?  I think once I looked at it, but overall its one negative experience I have.

Are you required to sign off on a treatment plan?  Do you read it first?
Logged

Transplant July 2017 from out of state deceased donor, waited three weeks the creatine to fall into expected range, dialysis December 2013 - July 2017.

Well on dialysis I traveled a lot and posted about international trips in the Dialysis: Traveling Tips and Stories section.
OldKritter
Jr. Member
**
Offline Offline

Gender: Female
Posts: 63


« Reply #1 on: May 09, 2017, 08:15:57 AM »

Davita is my provider.  They always send me a formal invitation to attend the meeting the doctor, nurses, dietitian, and social worker have to go over my progress and treatment.
After the meeting they request I sign the report, if I don't wish to attend I get a copy of the meeting to sign and return.

It's your right to be informed.  Read it before you sign it.  If you don't understand - question them.  They really do want you to know what's going on and  want to have you involved with the treatment. 
Logged
iolaire
Elite Member
*****
Offline Offline

Gender: Male
Posts: 2022


« Reply #2 on: May 09, 2017, 08:31:17 AM »

Davita is my provider.  They always send me a formal invitation to attend the meeting the doctor, nurses, dietitian, and social worker have to go over my progress and treatment.
Interesting, I'm at DaVita as well and have never been invited.  Don't know if it matters but I'm very stable, compliant etc. so they probably don't have to talk very much about me.

Also I should say I'm fairly happy with my center, this is the one area that seems a bit off.
Logged

Transplant July 2017 from out of state deceased donor, waited three weeks the creatine to fall into expected range, dialysis December 2013 - July 2017.

Well on dialysis I traveled a lot and posted about international trips in the Dialysis: Traveling Tips and Stories section.
LorinnPKD
Full Member
***
Offline Offline

Posts: 285

« Reply #3 on: May 09, 2017, 08:56:13 AM »

Yeah... I'm at DaVita and I requested a meeting and it was denied.

I was also asked to sign -- "I need to you sign this" -- by one of the nurses without anyone going over it with me. 

I was so unhappy that I complained and now I have a new nurse managing the process.
Logged
Michael Murphy
Elite Member
*****
Offline Offline

Gender: Male
Posts: 2109


« Reply #4 on: May 09, 2017, 11:24:31 AM »

Yep but they bring me a copy.
Logged
Xplantdad
Full Member
***
Offline Offline

Gender: Male
Posts: 304


Health is not valued till sickness comes. T.Fuller

« Reply #5 on: May 09, 2017, 01:11:15 PM »

Fresenius tried that with us. A no go....they had to provide documentation for us to review.  :Kit n Stik;
Logged

My name is Bruce and I am the caregiver for my daughter Holly who is 31 years old and received her kidney transplant on December 22, 2016 :)
Holly's Facebook Kidney  page: https://www.facebook.com/Hollys.transplantpage/

Holly had a heart transplant at the age of 5 1/2 months in 1990. Heart is still doing GREAT!  :thumbup;
Holly was on hemodialysis for 2.5 years-We did NXStage home hemo from January 2016 to December 22, 2016
Holly's best Christmas ever occurred on December 22, 2016 when a compassionate family in their time of grief gave Holly the ultimate gift...a kidney!
cattlekid
Elite Member
*****
Offline Offline

Gender: Female
Posts: 1269

« Reply #6 on: May 09, 2017, 05:21:05 PM »

I was a home hemo patient with DaVita.  I was working full time and my center was on my way home.  I scheduled my monthly meetings with my nurse in the mid-afternoons and I would then go to the hospital and meet with my nephrologist (he did not round at my clinic).  I had a hard time getting my dietitian and my social worker to meet with me, even though I scheduled my monthly meetings at least three months out.  They claimed that they were always available to me via phone and they didn't have to meet with me face to face.  So I would dutifully sign my care plan every month without actually having a discussion with them.  They would discuss without me and the nurse would relay the information.

Well, one month I had it.  I flatly refused to sign until everyone involved (nurse, dietitian and social worker) met with me.  They were freaking out because "the state was coming in" and they needed all their paperwork ducks in a row.  So I got my meeting, even though it took the force of a potential ding at a state audit to do so. 

Wouldn't you know I received my transplant a month later.  I'm sure they were glad to get rid of me, the "problem" patient.

Yeah... I'm at DaVita and I requested a meeting and it was denied.

I was also asked to sign -- "I need to you sign this" -- by one of the nurses without anyone going over it with me. 

I was so unhappy that I complained and now I have a new nurse managing the process.
Logged
Riki
Elite Member
*****
Offline Offline

Gender: Female
Posts: 3408


WWW
« Reply #7 on: May 09, 2017, 06:50:59 PM »

I have never signed anything other than a consent for treatment.  The team has monthly rounds where they talk about every patient.  For me, specifically, if there are any changes to be made to my treatment, I am told and I have to approve of it before anything is actually done.  I don't think that is done for everyone, but I've flipped on them too many times when something was changed without telling me or without explanation that I think the doctors are a little afraid of me
Logged

Dialysis - Feb 1991-Oct 1992
transplant - Oct 1, 1992- Apr 2001
dialysis - April 2001-May 2001
transplant - May 22, 2001- May 2004
dialysis - May 2004-present
PD - May 2004-Dec 2008
HD - Dec 2008-present
Charlie B53
Elite Member
*****
Offline Offline

Gender: Male
Posts: 3440


« Reply #8 on: May 09, 2017, 07:19:53 PM »


My Fresenius clinic has asked me if I wanted to come to their meeting.  Thanks, but no Thanks.  It wasn't one of my treatment days.  I didn't feel like making the trip in.

They ALWAYS have a copy of their meeting drawn up for my review and signature.  I barely scan it and sign.

I have yet to miss a treatment or have one cut short.  I am very strict with my fluids.  Mondays I often come in only Point six over my dry weight.  It ain't so easy, but I try, hard.
Logged
Tío Riñon
Full Member
***
Offline Offline

Posts: 193

« Reply #9 on: May 12, 2017, 10:21:10 AM »

As a DaVita patient, they contact me twice a year (if my memory serves me correctly) to sign the Plan of Care (POC).  You are supposed to be invited to a meeting where they (nephrologist, soc. wkr., dietitian, and nurse) discuss your treatment, what is going well, and any concerns.  However, since I'm a PD patient that only visits twice a month and they all work out of different facilities during the week, they simply type up their comments into the document on the computer system.  It is eventually passed around and everyone signs it.  I used to skim it and then sign despite having questions or concerns about their comments.

This year I took a different tact--especially since I'm active on the transplant list and the transplant committee reviews everything in your file.  I asked to take the POC and reviewed it at my leisure at home.  There were a few areas with which I took issue.  I noticed that there is a section on the document for patient comments.  I composed an addendum with my thoughts or anecdotes, copies of lab results from other clinics or hospitals, and references to relevant articles which I attached to the POC.  I signed it and made sure it was clear that I had included personal information.  It was quite interesting (and reassuring) to have my team at the next clinic discuss the points that I had made and provide explanations or offer changes.

It is your right to have a say over your treatment!  Give it a try and see what happens.
« Last Edit: May 12, 2017, 09:46:36 PM by Tío Riñon » Logged
smartcookie
Full Member
***
Offline Offline

Gender: Female
Posts: 484


LMSW

« Reply #10 on: May 12, 2017, 11:24:55 AM »

CMS dictates that a dialysis provider must to assessments at regular intervals.  From the assessments, a plan of care is formulated during a team meeting with the doctor, nurse, social worker and dietician.  You are supposed to get an invitation to the meeting; we have to have signatures documented in the chart to show that we are informing the patient of the meeting and how they would like the assessments and plan of care discussed with them.  Most choose not to go, but we have a handful of patients and family members who want to come and participate.  We discuss all of the patient's labs, any dietary issues, any psychosocial issues and any other issues the patient brings up.  I kind of enjoy these meetings and have learned a ton from them.  It is a good time to get individual attention from your doctor and ask any questions without having to make an appointment.   
Logged

I am a renal social worker.  I am happy to help answer questions, but please talk to your clinic social worker for specifics on your particular situation.
kitkatz
Member for Life
******
Offline Offline

Gender: Female
Posts: 17042


« Reply #11 on: May 14, 2017, 08:42:24 PM »

The nurses howl in laughter at me because I read the entire thing end to end and if I do not like I say something and add to it as needed.  I was brought a treatment plan with the signature page open and told sign it.  I said "Not without reading it first."  They were very much taken aback the first time.  Now they bring it to me marked where my signature should go and let  me read it at my leisure.

Never ever ever sign anything to do with your care without reading it first!!!
Logged



lifenotonthelist.com

Ivanova: "Old Egyptian blessing: May God stand between you and harm in all the empty places you must walk." Babylon 5

Remember your present situation is not your final destination.

Take it one day, one hour, one minute, one second at a time.

"If we don't find a way out of this soon, I'm gonna lose it. Lose it... It means go crazy, nuts, insane, bonzo, no longer in possession of ones faculties, three fries short of a Happy Meal, wacko!" Jack O'Neill - SG-1
Charlie B53
Elite Member
*****
Offline Offline

Gender: Male
Posts: 3440


« Reply #12 on: May 15, 2017, 05:07:42 AM »


As a Disabled Veteran with a very warped sense of humor, every time I am asked to sign ANYTHING, well, other than the reciept at the restaurant, I ask if it is an Enlistment Contract, then I quickly scan most of it.
Logged
Pages: [1] Go Up Print 
« previous next »
 

Powered by MySQL Powered by PHP SMF 2.0.17 | SMF © 2019, Simple Machines | Terms and Policies Valid XHTML 1.0! Valid CSS!