Tough situation....

[FosterChild]

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Alright, looking for some other residents to advise....

Just finished my nursery rotation and heard from another resident (just finished her NICU roatation) that she's presenting a patient I transferred to the NICU at M&M. Now, obviously a pt that the Nursery transfers to the NICU isn't in superstar shape to begin with, but the NICU team seems to think that the pts underlying problem was iatrogenic. I don't honestly know if the problem was iatrogenic; it was a complicated case and everything that was done was done emergently.

So, my question is, how involved do I get in this? If I don't, I think that I may wind up as the scapegoat for this pts problems.

Thoughts???

 

[RuralMedicine]

Alright, looking for some other residents to advise....

Just finished my nursery rotation and heard from another resident (just finished her NICU roatation) that she's presenting a patient I transferred to the NICU at M&M. Now, obviously a pt that the Nursery transfers to the NICU isn't in superstar shape to begin with, but the NICU team seems to think that the pts underlying problem was iatrogenic. I don't honestly know if the problem was iatrogenic; it was a complicated case and everything that was done was done emergently.

So, my question is, how involved do I get in this? If I don't, I think that I may wind up as the scapegoat for this pts problems.

Thoughts???

-For your own professional growth have you reviewed the case/chart with your supervising attending. Sometimes allowing some space in time is helpful to allow you to look at things more clearly.
-Recognize that unfortunately physicians can do everything right and patients will have bad outcomes (and sometimes we get lucky too).
-Ideally at your institution M&M is not a blame fest (although it can become that) but rather an opportunity to learn from the outcomes of a particular case.
-If you'd like to share more via PM feel free