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What is your approach for arranging outpatient antibiotics on discharge for a hospitalized patient with ESKD who receives in-center hemodialysis at a unit you do not round at?

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What is your approach for arranging outpatient antibiotics on discharge for a hospitalized patient with ESKD who receives in-center hemodialysis at a unit you do not round at?

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2 Answers
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Nephrology · University Of California San Francisco Medical Center At Parnassus
Answered on

Ideally, the best option would be to call both the dialysis unit and the outpatient nephrologist. Understandingly, this may be time-consuming. If I were to choose between the two, I would call the outpatient nephrologist since they may have a reason to change the plan to some degree; however, one ri...

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Mednet Member
Mednet Member
Nephrology · Columbus Nephrology Inc
Answered on · Updated on

In the US, antibiotic orders administered in a dialysis facility must come from a clinician who is credentialed at that unit, typically the outpatient nephrologist or the medical director, if the outpatient nephrologist is unavailable. One cannot place orders directly to a unit where he/she has no p...

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