Inpatient Hospital Consults

[OffPiste]

Just fielded a generous offer for hospital employed job with the potential to transition to private with no penaltly. The focus has been on interventional pain to this point, not really addressing hospital consults.
Current gig involves a decent amount of inpatient consults, essentially all opiate dumps from lazy surgeons and pcp's.
New gig is about 45 mins from home, so trying to avoid having to come in during weekends for opiate dumps.
How is everyone handling these inpt consult issues??

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[Aether2000]

We don't.

 

[PinchandBurn]

Just fielded a generous offer for hospital employed job with the potential to transition to private with no penaltly. The focus has been on interventional pain to this point, not really addressing hospital consults.
Current gig involves a decent amount of inpatient consults, essentially all opiate dumps from lazy surgeons and pcp's.
New gig is about 45 mins from home, so trying to avoid having to come in during weekends for opiate dumps.
How is everyone handling these inpt consult issues??

depends. Few ways:

1) educate surgeons/pcps as to what is apporpriate consult and isnt. For example, post op pain mgt is just IV opioids by surgeon. After they are 'stabilized' then the pt can come see you in the outpt setting

2) tell suregons/pcps to temporarily put patients on opiods, then you will see these patients the following business day or sooner in teh outpatient clinic. Same goes for post dural puncture headaches doen by IR.

3) if they give you PAs/NPs then perhaps you can have them go do your 'scutwork' and then hv them present to you quickly when you get into the hospital so you can expedite 'rounding'.

4) IF PAs/NPs are necessary, the hospital should subsidize this.

5)really almost nothing is a 'pain emergency'. Pts can always be seen in an outpt setting a few days later. Relay this to your PCPs.

 

[ostap747]

I refuse all inpatient consults and in general avoid the hospital like plague.

 

[PMR 4 MSK]

What is an inpatient consult? I don't recognize the term...