ML20235E155
| ML20235E155 | |
| Person / Time | |
|---|---|
| Site: | 07002032 |
| Issue date: | 07/03/1975 |
| From: | Gent D WELBORN MEMORIAL BAPTIST HOSP., EVANSVILLE, IN |
| To: | Mason J NRC |
| Shared Package | |
| ML20235E046 | List: |
| References | |
| 1463, NUDOCS 8902210235 | |
| Download: ML20235E155 (3) | |
Text
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s Weborn 40i s.c. sats 31,ee1. c cosviiie imeicoo 477i3. cei2) 42e.8000 baptdhopd July 3, 1975 A/'
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Mr. James R.
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Nuclear Regulatory Commission l
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Dear Mr. Mason:
In your recent letter, you requested that the Welborn Memorial Baptist Hospital expand on items 7 and 9 in our nuclear pacemaker application - Docket No. 70-2032.
The purpose of this letter is to comply with your request and augment the statements originally submitted.
Item 7 All pacemaker patients at Welborn Hospital have a file maintained in a cabinet exclusively reserved for pacemaker patients.
This cabinet is maintained in our cardiovascular department under lock and key, but is easily accessible for physicians and authorized hospital staff.
Each patient file contains the pertinent data for each individual patient.
The files contain test results, graphs, patient histories, exam results plus the information identifying the specific pacemaker.
In the same location a card file is maintained on each patient.
The information on these cards is not as detailed as the pacemaker patient file, but contains important information that can be scrutinized easily and quickly:
(1)
Name and address of patient (2)
Attending physician (3)
Referring physician (4)
Type of pacemaker (5)
Pacemaker serial number (6)
Type of lead utilized (7)
Date of implementation or replacement (8)
Date of last exam.
To maintain continuity of follow-up on each patient, the hospital and participating physicians have composed two checking systems.
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The. hospital plans to initiate a bi-weekly review of the entire pacemaker card file.
If for some reason the hospital does not realize that a nuclear pacemaker patient missed his l
appointment, they will identify his absenteeism in the bi-weekly review.
Once the hospital has built up a large pacemaker patient population, we will be able to program monthly and yearly appoint-I ments into the computer, and we will have a monthly or bi-weekly print out of all due appointments and past due appointments.
Don Montgomery, Chief Radiological Technologist, and Deborah
- Reinitz, R.N.,
are responsible for maintaining the patient file, patient cards and informing the physicians of delinquent appoint-ments.
II.
The second check system exists at the physicians' offices participating in the program.
If a patient misses an appointment, the physician's office is alerted to search for the patient until they can make another appointment or until they find out what happened to the patient and the pacemaker.
Item 9 As originally stated in the proposal, the ARCO Medical Products Company will be informed of all emergencies - either by a pacemaker physician team member or by the hospital telephone opmrator.
What needs to be explained, however, is the call system to be used in order to maintain 100% day and night coverage of any pacemaker mishap.
The patients and their respective families will be instructed to contact the attending physician's office, or in case of a problem occurring at night or on a holiday to contact the hospital switchboard which is open 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> a day.
The operator will have two call lists.
The first call list will be composed of physicians dbp who do the actual implanting of pacemakers:
Sanford Schen, M.D.
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office number 426-1292, home telephone number 867-3921; Mel Welborn
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M.D. - office number 426-1292, home telephone number 479-1562; k
and John Lawler, M.D.
- office number 426-1292, home telephone number 476-7774.
The second call list will be composed of physicians who are oriented more toward nuclear safety:
Eugene Hendershot, M.D.
- office number 426-8321, home telephone number 477-4128; Alfred Lessure, M.D.
- office number 426-8321, home telephone number 477-3618; and Marshall Miller, M.D. - office number 426-1292, home telephone number 867-5454.
Each physician on call is either accessible by telephone or by radio page.
There will always be on call one physician who can perform implants and one physician l
trained in radiological safety.
The instructions to telephone operators, when receiving a pacemaker emergency call will be identical to that recommended in the protocol.
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.e-A I hope this ' additional information is pertinent to your request.
Si erely yours I
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Donald I.
Gen Executive Director DIG /jg 1
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