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some pushback to the paperwork," she says. "But now it's just another piece of paper in the chart. We don't hear complaints about it anymore."
Not everyone agrees. "Filling out the paperwork took as long to complete as to chart the
entire case," says
another Neptune user.
Plus, she was apprehensive about the
potential liability of
continuing to use the
recalled product, even
under medical necessity guidelines. She
wanted an alternative,
and it had to be a selfcontained, direct-todrain system.
Another issue:
Would a switch mean
budgetary changes?
After researching the
product field on the
Internet, networking
with professional
peers and identifying a
suitable replacement
system, Ms. Ramsey
found herself
embroiled in negotia
