Tuesday, January 12, 2010

Missed the "calling with results" lecture, did we?

Dr. Grumpy: "This is Dr. Grumpy, returning a page."

Nurse Newgrad: "Hi, I'm the nurse taking care of Mr. Seizure, in room 8, and his Dilantin level is abnormal."

Dr. Grumpy: "What is it?"

Nurse Newgrad: "Oh, I don't know. I just heard it was abnormal. Do you want me to look it up?"

24 comments:

Anonymous said...

...is it time AGAIN for my "I'm sorry some of my peers are total assclown morons" speech????

Pattie, RN

The Good Cook said...

No Nurse Newgrad - just pick a random number and I'll pick a random dosage... that way we'll be in sync.

little d, S.N. said...

Yes, Pattie, it is. And I wince for my peers. That's the sort of thing most of my clinical instructors would smack you upside the head for.

The RPh said...

No, no , all I needed to know was that it was abnormal...that's all we care about. We only run the tests for fun....by the way, who did you "hear it" from?

WOW, just WOW!!! That's why none of my family gets to go to the hospital alone if I can help it!!

I concocted Clark Kent's Lunchbox said...

Why that's elementary, my dear Watson.

Anonymous said...

Lil D, if it is any consolation I am an instuctor and WOULD smack a student upside the head for that.

Plenty 'nuff moron nurses out there, but as long as I have breath in my plump body there will not be any new ones coming out of my program....

Pattie, RN

Grumpy, M.D. said...

Glad we have nurses like you guys out there.

These are rare occurences. So I think you're doing a great job, Pattie.

little d, S.N. said...

Pattie, I dont suppose you're at a certain Mid-Atlantic catholic school? Because you sound a lot like one of ours :-D

Anonymous said...

And, how did she 'hear' it was abnormal? Maybe a little bird told her? And, the little bird has gone home to roost, now?

GB, RN said...

~facepalm~

Doris said...

Hey Anonymous...

She heard it from Abby.

Abby Who?

Abby Normal.

With a tip 'o the hat to Eyegore in "Young Frandkentstein."

>:p

terri c said...

I'm with the RPH. Am glad she wasn't talking to Dr. Newgrad, who might have ordered a loading dose of phenobarb.

Matt E said...

I'm so glad people in other professions have conversations like that.

"I'm getting an error message"

"Okay, what's the error message say?"

"Well, geez, how am I supposed to know..."

Dr. Phil said...

Dr. Grumpy: "What is it?"

Nurse Newgrad: "It's a drug assay that helps doctors to know if a medication is at therapeutic doses, but that's not important now..."

Maha said...

Geez you doctors really need to know the actual numbers? What a chore!! *note sarcasm*

GP's daughter said...

I can picture my dad getting a call of this sort and storming back to the dinner table muttering curses under his breath. (Yes, back then the nurse had the doc's home phone number. Seems funny now, doesn't it?)

Anonymous said...

I am actually Catholic, but not at a Catholic college, not anymore, at any rate!

;-)

Let's just say I am at a public institution in the southern part of the mid-Atlantic region, trying to slay the dragons of ignorance and laziness in my students as well as in myself!!

Pattie, RN

Anonymous said...

At my nursing school, we are taught SBAR:
S = situation
B = background
A = assessment
R = recommendation

It's supposed to help us have all the relevant information together before we call a physician about a patient. We also have an instructor who is a retired physician.

Anonymous said...

My mistake, I heard it was abnormal. howver it says here in the chart that the the level is not abnormal is says her the level is 15 in the middle between 10 and 20.

Does it matter that the albumin is 2.4 and the SCr is 2.5?


There must be some other reason we can not wake the patient up and his eyes keep rapidly moving. He must be having a real nice dream.

me said...

I was an ICU preceptor ~ I would definitely have slapped the newby upside the head... and never have let her make the call till she knew the numbers...

stacy said...

sbar. good idea. at the end of almost every page callback i ask- what do you suggest? confusion is the usual response. omniscience is no substitute for being there, so i will keep asking.

The Mother said...

I am so glad I'm a pathologist.

ERP said...

She might have thought you were Happy Hospitalist and was just trying to test your patience.

Anonymous said...

Wow. Even as an LPN, I know that calling the doctor without having the pertinent information is really stupid.

 
Locations of visitors to this page