After ruminating on this last night. It is one of the most frustrating parts of my job. Not exactly this nor the Case manager asking if the patient should be obs and not inpt or remote tele vs tele.. but more the larger issue. Non physicians making me do things I dont want to.
The nursing home who wont accept the patient until x, the psych facility who wont take the patient until the BAL is under 200. The group home who wants something stupid done. Being told what to do my non medical types drives me nuts. I have learned not to fight it anymore cause it frustrates me so much.
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Unless you are the lead dog the view never changes.
University of Arizona Emergency Medicine
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