Scenario 1 of 4: Transfer Protocol

You are the primary care physician for 67-year-old Ms. Gonzales. When she presents to you with shortness of breath and swelling in her legs, you refer her to a cardiologist and tell her to follow up soon. You also order an echocardiogram. You plan to follow her progress as she is transferred from your care to the specialist.

You chose Option C. This is not the best choice.

Consequence:
She gets an appointment two days later. When she arrives for the appointment at the cardiologist's office, her records are not there. The patient is unable to recall what her PCP told her about her medications. The frustrated cardiologist duplicates the history and diagnostic assessment, including an echocardiogram.

Two weeks later, before the repeated tests are reviewed, Ms. Gonzales is admitted to the ICU with pulmonary edema.