Elena B.
2/5
A Glorified PYXIS
Dr. Patel, I had hoped for a conversation rather than the one page dismissal letter your staff has sent to our home.
IMHO, reaching back to patient when concerns about substandard psychiatric care, patient right violations would be responsible thing to do
Per 381.026āFlorida Patientās Bill of Rights and Responsibilities āA patient has the right to a prompt and reasonable response to a question or request. A health care facility shall respond in a reasonable manner to the request of a patientās health care provider for medical services to the patient. The health care facility shall also respond in a reasonable manner to the patientās request for other services customarily rendered by the health care facility to the extent such services do not require the approval of the patientās health care provider or are not inconsistent with the patientās treatment.ā
As it should be known to all mental health care providers, continuity of medication for psychiatric patients is paramount. In this case, the PMHNP working under your direct supervision demonstrated lack of critical judgement because your PMHNP:
(1) Failed to inform the patient that the prescribed medication was ron back order due to a national level shortage
(2) Failed to respond in a timely manner on four separate occasions when informed that patient was not able to obtain the prescribed medication
(3) Ignored patientās request for medication refill dose and pharmacy change despite two in-person visits to your facility , triggered by lack of response to phone calls from both the pharmacy and the patient informing her that the prescribed psychiatrist medication was not available as per script (needed change of dosage from one 20 mg tablet BID to two 10 mg tablets BID
(4) Ignored pharmacy notification of script being canceled due to back order
(5) Did not send any other electronic script to a local pharmacy when script was cancelled
(6) Demonstrated poor bedside manner and lack of concern for the patientās health
(7) Compelled patient to monthly appointments despite the fact that they were not necessary as the medication dose was not being adjusted
(8) Ordered multiple UAs despite no proof of medication abuse
Furthermore, your front desk staff offered unsolicited and unqualified medical advice, was not wearing an identification badge, and failed to ask for contact information when I inquire how can I file a complaint against the direct health care provider.
When I informed your front staff that I intend to file a complaint with AHCA, he asked: āAre you threatening to complain to AHCA?ā To which I answered that I am not threatening to filing a complaint, I am promising to file a complaint.
As the PCM, it is your responsibility to ensure that your staff is competent, compassionate, responsive, responsible, knowledgeable and respectful.
I am well aware of the standards for psychiatric medical care as my mother life long profession was PMHNP and also based on my own experiences working as a medic in multiple medical (including psychiatric) settings during my military career.
It is rather sad that your staff functions as a PYXIS, and are not even attempting to demonstrate commitment to the well being of their patient who is āof their medsā.
I have gathered and submitted all documentation for the AHCA complaint. I wish you saw the value in teaching back to your client rather than settling for the one sided story of your staff.
I sincerely hope that you reassess your teamās strength and weaknesses and reflect on the notion of asset vs. reliability.
While the psychiatrist care offered at this location is not the worst I have witnessed (hence the two stars review) but it is definitely substandard. The poor quality I witnessed it is readily apparent and I hope that you will consider exchanging the laissez-fairer management approach for a more involved one that uses best recommended practices a standard of care.
Also, please use paper scripts during meditation shortages:. Thank you.