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Daily reminder to do the bare minimum
Started by GonnaBeADoc2222
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Good in theory, but a huge disruption in work flow. No reason a midlevel can't call an ortho and ask for an ankle fracture to be seen in clinic the next day. Again, remember we are trying to do the minimum here.
Midlevels gonna mid level. Fwiw mlps shouldn’t be in the physicians lounge. Neither should nurses.
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I agree.
I run into too many situations where the PLP calls the specialist, or even the admitting physician, only for them to ask to talk to me because they can't even articulate what's going on.
FWIW, I also had neurosurg call me last shift after I admitted a Parkinson's with "off-period" motor dysfunction because (and I quote): "The hospitalist just called me and ordered MRI from nose to toes and said we may have cord compression, but I wanted to talk with someone who knows what he's talking about. Should I go to sleep, Fox?"
"Yes, you should go back to sleep. You know how dumb this guy is."
"Yeah, I figured - just wanted reassurance. When you didn't call me first, I had my doubts."
Really? Really? I would have hung up on his A$$ and told him to do his job. I can say I have never been chewed out by anyone since residency.
Just remember when the guy on other end is angry, he's having the problem, not you.
I had a spine surgeon yell at me for doing a contrast enhanced MRI. Dude, it's a radiology protocol order. If you have a problem with it, talk to radiology. Guy is a dick to everyone all the time. Luckily his group is no longer taking spine call.
His complaint was "All the other doctors do it for us! The nurses had the audacity to call me and ask for holding order!"
If he had asked politely for a few holding orders when I initially called I would have had no issue with that.
There in lies the problem. I did holding orders all the time. Document he accepting, put basic stuff, add in at the end "Call attending" when on floor. Easy, takes 1 minute.
But be an A$$ and I am not doing it for you.
Be nice/pleasant and I will go to the floor and put in a central line for you. Don't like it but docs who are easy to work with I will bend over backwards for them. Be an A$$ and they are dead to me.
I've nevery understood their laziness. If I'm an admitting doc, taking LEGAL RESPONSIBILITY for a patient, would I want to put my own holding orders in, or would I rely on another doc, who I don't know to do it for me? It's just a bizarre situation, and makes no sense in the age of EMR. I'm sure he has holding order sets and could place whatever he wants in about 2 minutes.
grandpa has technology issues and can't work the EMR very well
Ugh. THIS.
Not sure, he seemed to be in his 50's when he briefly walked by. Though I know plenty of 40-50 year olds who are technologically deficient.
This drives me nuts.
Like, if you're gonna be in healthcare in the 21st century, you've had enough exposure to computers in all their forms that there's no excuse.
I agree completely. At most I'll put an NPO and maintenance fluid order. They can have one dose of pain meds before they leave the ED.
