CONTACTS
SUBJECTS
VA Notify Injury Hematoma Left Leg Symptoms Worsening Pain Need Crut
1403 -
1403 - ..
1404 - Summary/Objective
1405 -
140501 - Follow up ref SDS 38 0000. ref SDS 36 0000.
140502 -
140503 -
140504 -
140505 -
140506 -
140507 -
140509 - ..
1406 -
1407 -
1408 - Background
1409 -
140901 - On 160504, met Lauren Rettberg, NP PA, in Primary Care. Reported loss
140902 - of balance that caused fall on 160501, ref SDS 28 JN3J, shown in case
140903 - study on 140101 0600. ref SDS 4 O85F Lauren performed a neurological
140904 - test, passed this including Romberg's balance test. ref SDS 28 WZ50
140906 - ..
140907 - On 160513 Lauren called and discussed referral to Wound Care for
140908 - treatment of new injury to left leg Achilles' tendon. ref SDS 31 FG5O
140909 - Lauren also planned to consult with Neurology about balance problem,
140910 - ref SDS 31 YK6J; she may make referral to Physical Therapy to evaluate
140911 - and assist with recovery balance problem. ref SDS 31 YK68 Lauren will
140912 - schedule visit for performing care to recover from calcified crystals
140913 - breaking loose from vestibular chamber and falling into semicircular
140914 - canals that cause loss of balance. ref SDS 31 YK72
140916 - ..
140917 - On 160523 visited Rose (Marie) in Medical Practice, scheduled call
140918 - from Lauren for Primary Care support on 160525 1130. ref SDS 33 PG6N
140919 - Rose on the Appointment care 5/23, so called back and got correction
140920 - from Bridget. ref SDS 33 8M9M
140922 - ..
140923 - On 160525 1130 Lauren called - she scheduled meeting on 160603 1030,
140924 - to maneuver head for resolving balance problem by dislodging calcified
140925 - crystals from semicircle balance canals near the hears. ref SDS 37 SY6N
140926 - Maneta called later and changed this to 1100. ref SDS 37 GT5G Lauren
140927 - also contacted Neurology and advised they want to meet with patient
140928 - immediately. She asked if a meeting has been scheduled. Since this
140929 - has not happened, she will call them again. She said that if
140930 - Neurology has not scheduled a meeting by this Friday, on 160527, to
140931 - call and request a meeting.
140933 - ..
140934 - On 160603 1030 visited Lauren in Medical Practice for Primary Care.
140935 - 160603 1100, ref SDS 38 WM5F She performed Epley to resolve BPPV
140936 - balance problems. ref SDS 38 8F9I Thanked Lauren for providing
140937 - primary care the past few months, beginning on 160504 1030.
140938 - ref SDS 28 JN3J She took over from Doctor Rao, who provided care and
140939 - made referrals on 150923 1530, ref SDS 15 499K, to recover from
140940 - falling during Half Dome hike a week earlier on 150916 0535.
140941 - ref SDS 9 O87H After leaving Medical Practice, met with Rose at the
140942 - front desk. She coordinated with Lauren to call for follow up on
140943 - meeting just completed. ref SDS 38 0223 In a short time, Lauren
140944 - called and facilitated short-term prescription for Mylanta to support
140945 - GI care until meeting with Doctor Lee the following week. ref SDS 38
140946 - V484
140947 -
140948 -
140949 -
140951 - ..
1410 -
1411 -
1412 - Progress
1413 -
141301 - Epley Maneuver Resolve Balance Problem Meeting Primary Care VA
141302 - Meeting Primary Care VA Epley Maneuver Resolve Balance Problem
141303 -
141304 - Follow up ref SDS 38 WM5F, ref SDS 36 JN3J.
141305 -
141306 - During the meeting with NP Rettberg on 160603, Lauren said she may
141307 - leave her position in Primary Care, because her resedency ends. 160603
141308 - 1100, ref SDS 38 L188
141310 - ..
141311 - Today, received from VA...
141312 -
141313 - Patient Satisfaction Questionaire
141315 - ..
141316 - This was for NP Lauren Rettberg.
141317 -
141318 - 1. Is NP Resident Rettbert the provider you usually see if you
141319 - need a check-up, want advice about a health problem or get
141320 - sicke or hurt?
141321 -
141322 - x Yes
141323 - No
141325 - ..
141326 - 2. In the last 12 months, how many times did you visit this
141327 - provider to get care for yourself?
141328 -
141329 - None - Skip to 15
141330 - 1 time
141331 - 2
141332 - 3
141333 - x 4
141334 - 5 to 9
141335 - 10 or more times
141337 - ..
141338 - 3. How often did this provider explain things in a way that was
141339 - easy to understand?
141340 -
141341 - Never
141342 - Sometimes
141343 - Usually
141344 - x Always
141346 - ..
141347 - 4. How often did this provider listen carefully to you?
141348 -
141349 - Never
141350 - Sometimes
141351 - Usually
141352 - x Always
141354 - ..
141355 - 5. How often did this provider give give you easy to understand
141356 - information about any health questions or concerns you had?
141357 -
141358 - Never
141359 - Sometimes
141360 - Usually
141361 - x Always
141363 - ..
141364 - 6. How often did this provider seem to know the important
141365 - information aobut your medical history?
141366 -
141367 - Never
141368 - Sometimes
141369 - x Usually
141370 - Always
141372 - ..
141373 - 7. How often did this provider show respect for what you had to
141374 - say?
141375 -
141376 - Never
141377 - Sometimes
141378 - Usually
141379 - x Always
141381 - ..
141382 - 8. How often did this provider spend enought time with you?
141383 -
141384 - Never
141385 - Sometimes
141386 - Usually
141387 - x Always
141389 - ..
141390 - 9. In the last 12 months, did this provider order a blood test,
141391 - x-ray, or other test for you?
141392 -
141393 - x Yes
141394 - No Skip to 11
141396 - ..
141397 - 10. When this provider ordered a blood test, x-ray, or other test
141398 - for you , how often did someone from this provider's office
141399 - follow up to give you those results?
141400 -
141401 - Never
141402 - Sometimes
141403 - Usually
141404 - x Always
141406 - ..
141407 - 11. Using any number from 0 to 10, where 0 is the worst provider
141408 - possible and 10 is the best provider possible, what number
141409 - would you use to rate NP Resident Rettberg?
141410 -
141411 - 0 Worst provider possible
141412 - 1
141413 - 2
141414 - 4
141415 - 5
141416 - 6
141417 - 7
141418 - 8
141419 - x 9
141420 - 10
141422 - ..
141423 - 12. Would you recommend this provider to your family and friends?
141424 -
141425 - Definitely NO
141426 - Somewhat NO
141427 - Somewhat YES
141428 - x Definitely YES
141430 - ..
141431 - 13. In the last 12 months, did anyone from this provider's office
141432 - talk with you about specific goals for your health?
141433 -
141434 - x Yes
141435 - No Skip to 15
141437 - ..
141438 - 14. Did anyone in this provider's office ask you if there are
141439 - things that make it hard for you to take care of your health?
141440 -
141441 - x Yes
141442 - No
141444 - ..
141445 - 15. Please provide any additional comments about your experiences
141446 - receiving care from your provider.
141448 - ..
141449 - NP Rettberg presents carefull, thorough explanations of medical
141450 - issues, and clarifies complex terms with easy to understand
141451 - examples, so there is confidence that actual communication
141452 - occurs. She calls to notify timely action was taken on
141453 - critical requirements, or if something comes up that delays
141454 - action, so there is time for the patient to influence outcomes.
141455 - Like many at VAMCSF, NP Rettberg makes the concept of
141456 - doctor/patient partnership a powerful collaboration.
141458 - ..
141459 - Example of Lauren's dedication to customer support occurred on 160603,
141460 - when she made timely response to request for interim order for Mylanta
141461 - (Mintox), reported on 160603 1100. ref SDS 38 LX6S
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