Re: Vitamin D protocol dilemma

[Guest guest]

I mail the script to the patient.

Crandall, RD

Sparrow Weight Management Center

From: sharonbachman <sharonbachman@...>Subject: Vitamin D protocol dilemma Date: Tuesday, February 8, 2011, 1:42 PM

Hello everyone,I'm just attempting to do some problem solving. Right now our nurse is looking at the Vitamin D levels and following the doctor's protocol when prescribing high doses of Vitamin D. It's taking a lot of the nurses time since she has to call the pt and pharmacy and they want to give me the job. Herein lies our problem. The doctor would have to write a prescription in order for me to be able to call the pharmacy to order the Vitamin D. The doctor isn't in the office every day. How is your facility currently handeling your Vitamin D protocol? Are there higher doses of Vitamin D that are non-prescription? Thank you,Sharon Bachman

[Guest guest]

We r allowed to gve prescriptionds Sent on my BlackBerry® from VodafoneFrom: Crandall <crandallcarrie@...>Sender: Date: Tue, 8 Feb 2011 10:47:37 -0800 (PST)< >Reply Subject: Re: Vitamin D protocol dilemma I mail the script to the patient. Crandall, RDSparrow Weight Management CenterFrom: sharonbachman <sharonbachman@...>Subject: Vitamin D protocol dilemma Date: Tuesday, February 8, 2011, 1:42 PM Hello everyone,I'm just attempting to do some problem solving. Right now our nurse is looking at the Vitamin D levels and following the doctor's protocol when prescribing high doses of Vitamin D. It's taking a lot of the nurses time since she has to call the pt and pharmacy and they want to give me the job. Herein lies our problem. The doctor would have to write a prescription in order for me to be able to call the pharmacy to order the Vitamin D. The doctor isn't in the office every day. How is your facility currently handeling your Vitamin D protocol? Are there higher doses of Vitamin D that are non-prescription? Thank you,Sharon Bachman

[Guest guest]

We have a standard protocol that has been approved by the appropriate hospital committees, and of course the surgeons, so our bariatric nurse (or RD) can call in the Rx per the protocol. Simler, MS, RD, Manager for Weight Loss Surgery and Osteoporosis ProgramsValleyCare Health System925-416-6712 >>> "sharonbachman" <sharonbachman@...> 2/8/2011 10:42 AM >>> Hello everyone,I'm just attempting to do some problem solving. Right now our nurse is looking at the Vitamin D levels and following the doctor's protocol when prescribing high doses of Vitamin D. It's taking a lot of the nurses time since she has to call the pt and pharmacy and they want to give me the job. Herein lies our problem. The doctor would have to write a prescription in order for me to be able to call the pharmacy to order the Vitamin D. The doctor isn't in the office every day. How is your facility currently handeling your Vitamin D protocol? Are there higher doses of Vitamin D that are non-prescription? Thank you,Sharon Bachman

This message and any included attachments are from ValleyCare Health System

and are intended only for the addressee(s). The information contained herein

may include trade secrets or privileged or otherwise confidential information.

Unauthorized review, forwarding, printing, copying, distributing, or using such

information is strictly prohibited and may be unlawful. If you received this

message in error, or have reason to believe you are not authorized to receive

it, please promptly delete this message and notify the sender by e-mail.

[Guest guest]

Do you mind fowarding me your protocol doc? Thank you! Paine, RD,LD

Simler <vsimler@...> wrote:

>We have a standard protocol that has been approved by the appropriate hospital

committees, and of course the surgeons, so our bariatric nurse (or RD) can call

in the Rx per the protocol.

>

>

> Simler, MS, RD, Manager

>for Weight Loss Surgery and

>Osteoporosis Programs

>ValleyCare Health System

>925-416-6712

>

>

>

>>>> " sharonbachman " <sharonbachman@...> 2/8/2011 10:42 AM >>>

>

>Hello everyone,

>

>I'm just attempting to do some problem solving. Right now our nurse is looking

at the Vitamin D levels and following the doctor's protocol when prescribing

high doses of Vitamin D. It's taking a lot of the nurses time since she has to

call the pt and pharmacy and they want to give me the job. Herein lies our

problem. The doctor would have to write a prescription in order for me to be

able to call the pharmacy to order the Vitamin D. The doctor isn't in the office

every day. How is your facility currently handeling your Vitamin D protocol? Are

there higher doses of Vitamin D that are non-prescription?

>

>Thank you,

>

>Sharon Bachman

>

>

>

>

>

>This message and any included attachments are from ValleyCare Health System

>and are intended only for the addressee(s). The information contained herein

>may include trade secrets or privileged or otherwise confidential information.

>Unauthorized review, forwarding, printing, copying, distributing, or using such

>information is strictly prohibited and may be unlawful. If you received this

>message in error, or have reason to believe you are not authorized to receive

>it, please promptly delete this message and notify the sender by e-mail.

[Guest guest]

>

> Hello everyone,

>

> I'm just attempting to do some problem solving. Right now our nurse is

looking at the Vitamin D levels and following the doctor's protocol when

prescribing high doses of Vitamin D. It's taking a lot of the nurses time since

she has to call the pt and pharmacy and they want to give me the job. Herein

lies our problem. The doctor would have to write a prescription in order for me

to be able to call the pharmacy to order the Vitamin D. The doctor isn't in the

office every day. How is your facility currently handeling your Vitamin D

protocol? Are there higher doses of Vitamin D that are non-prescription?

>

> Thank you,

>

> Sharon Bachman

>

We use the Bariatric Advantage drops. It is a d3 liquid and each dropper has

10,000 IU. So, I call the patients and recommend they do one dropper full 5

days a week so they get 50,000 IU total. We have seen Vitamin D labs improve

with patients that are compliant with use.

Bozarth MA,RD/LD

[Guest guest]

You can also get vitamin D in 5000 IU over the counter at places such as Walmart/Target or maybe CVS. From: [mailto: ]On Behalf Of tiffanySent: Wednesday, February 09, 2011 8:30 AM Subject: Re: Vitamin D protocol dilemma >> Hello everyone,> > I'm just attempting to do some problem solving. Right now our nurse is looking at the Vitamin D levels and following the doctor's protocol when prescribing high doses of Vitamin D. It's taking a lot of the nurses time since she has to call the pt and pharmacyand they want to give me the job. Herein lies our problem. The doctor would have to write a prescription in order for me to be able to call the pharmacy to order the Vitamin D. The doctor isn't in the office every day. How is your facility currently handelingyour Vitamin D protocol? Are there higher doses of Vitamin D that are non-prescription?> > Thank you,> > Sharon Bachman>We use the Bariatric Advantage drops. It is a d3 liquid and each dropper has 10,000 IU. So, I call the patients and recommend they do one dropper full 5 days a week so they get 50,000 IU total. We have seen Vitamin D labs improve with patients that are compliantwith use. Bozarth MA,RD/LD-----------------------------------------------------------------------Please note that My Email Address Has Changed!Please begin using the address in the " From " line above, immediately.Soon, email sent to my old address will no longer be delivered to me.Confidentiality Notice: This e-mail message, including any attachments,is for the sole use of the intended recipient(s) and may containprivileged and confidential information. Any unauthorized review, use,disclosure or distribution is prohibited. If you are not the intendedrecipient, please contact the sender by reply e-mail and destroyall copies of the original message.

[Guest guest]

We, the dietitians or nurses, usually e-scribe the vitamin D prescription (or you could call it in) if the physician is out of the office.

We have a written protocol we follow (prescribe 50,000 IU vitamin D once weekly for 6 weeks, then recheck) if low.

Krystal

Krystal Cameron, RD, LDN

Registered Dietitian

New

Life

Center for Bariatric Surgery

200 Ft. West Blvd

Building One,

Suite 200

Knoxville,

TN 37922

(865) 694-9676

P

Value our planet…

Please print this email only if necessary.

[Guest guest]

We sell Baratric Advantage Dry VIt D (5000 IU/pill) right out of the office so if they show up for a f/u with a low Vit D we are able to send it home with them, assuming they agree to buy it right then and there. If not, they are sent home with a script.

From: sharonbachman <sharonbachman@...> Sent: Tue, February 8, 2011 1:42:32 PMSubject: Vitamin D protocol dilemma

Hello everyone,I'm just attempting to do some problem solving. Right now our nurse is looking at the Vitamin D levels and following the doctor's protocol when prescribing high doses of Vitamin D. It's taking a lot of the nurses time since she has to call the pt and pharmacy and they want to give me the job. Herein lies our problem. The doctor would have to write a prescription in order for me to be able to call the pharmacy to order the Vitamin D. The doctor isn't in the office every day. How is your facility currently handeling your Vitamin D protocol? Are there higher doses of Vitamin D that are non-prescription? Thank you,Sharon Bachman

It's here! Your new message!Get

new email alerts with the free Toolbar.

[Guest guest]

There are several sources of high dose vitamin D available OTC on the web:

Baraitric Advantage sells 5000 IU and 10,000 IU doses, and Biotech offers D3-50

which is a 50,000 IU product. In addition, all of the above mentioned vitamin D

products are cholecalciferol (D3), which was recently cited as being 87% more

effective at raising 25-OH D levels than ergocalciferol (D2). Currently,

ergocalciferol is the only available prescription form of vitamin D on the

market in the 50,000 IU dose.

Gemmel, RD

Minimally Invasive Surgical Associates

Lansing, MI

>

> >We have a standard protocol that has been approved by the appropriate

hospital committees, and of course the surgeons, so our bariatric nurse (or RD)

can call in the Rx per the protocol.

> >

> >

> > Simler, MS, RD, Manager

> >for Weight Loss Surgery and

> >Osteoporosis Programs

> >ValleyCare Health System

> >925-416-6712

> >

> >

> >

> >>>> " sharonbachman " <sharonbachman@...> 2/8/2011 10:42 AM >>>

> >

> >Hello everyone,

> >

> >I'm just attempting to do some problem solving. Right now our nurse is

looking at the Vitamin D levels and following the doctor's protocol when

prescribing high doses of Vitamin D. It's taking a lot of the nurses time since

she has to call the pt and pharmacy and they want to give me the job. Herein

lies our problem. The doctor would have to write a prescription in order for me

to be able to call the pharmacy to order the Vitamin D. The doctor isn't in the

office every day. How is your facility currently handeling your Vitamin D

protocol? Are there higher doses of Vitamin D that are non-prescription?

> >

> >Thank you,

> >

> >Sharon Bachman

> >

> >

> >

> >

> >

> >This message and any included attachments are from ValleyCare Health System

> >and are intended only for the addressee(s). The information contained herein

> >may include trade secrets or privileged or otherwise confidential

information.

> >Unauthorized review, forwarding, printing, copying, distributing, or using

such

> >information is strictly prohibited and may be unlawful. If you received this

> >message in error, or have reason to believe you are not authorized to receive

> >it, please promptly delete this message and notify the sender by e-mail.

>