tag:blogger.com,1999:blog-5883634615775822475.post2733128699926962296..comments2024-03-18T09:00:31.992-04:00Comments on Doctor Grumpy in the House: On call- Live the adventureGrumpy, M.D.http://www.blogger.com/profile/09858110332436246760noreply@blogger.comBlogger29125tag:blogger.com,1999:blog-5883634615775822475.post-18074352292930304612010-12-13T20:47:06.274-05:002010-12-13T20:47:06.274-05:00well....as some of these "alerts!" are m...well....as some of these "alerts!" are managed by EMR's...garbage in, garbage out. <br /><br />I have be using enough crappy programs that I can imagine that who ordered the stroke alert may not have been easily obtained...<br /><br />Or using old technology... nurse running (okay...MAYBE calling) the clerk to order transport on a STROKE ALERT! <br /><br />I can see myself doing this sort of thing. I was the discharge planner...other wise know as the doctors secretaries. (the clerks are the nurses secretaries) lolladyk73noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-80682631621899986852010-12-13T15:06:31.818-05:002010-12-13T15:06:31.818-05:00In my hospital I think the stroke alert bumps some...In my hospital I think the stroke alert bumps someone up to the top of the CT list (or at least near the top, say, ahead of the stone study in the VSS twentysomething, but behind the MVC with abdominal tenderness).<br /><br />Otherwise, yeah. Pretty much the same.gabbianahttps://www.blogger.com/profile/10355832713590932664noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-57484097143949931932010-12-13T14:17:15.718-05:002010-12-13T14:17:15.718-05:00AND ?
You know I like to hear how thinks worked...AND ?<br /><br />You know I like to hear how thinks worked out. Don't leave us hanging like that.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-395194748506002942010-12-13T06:17:56.667-05:002010-12-13T06:17:56.667-05:00So call the hospital back
at some annoying period ...So call the hospital back<br />at some annoying period of time (maybe 15-45 minutes, depends on how grumpy you are and how long it takes you to get back to sleep) later and page the doofus who called you about the stroke alert to thank him for letting you know.<br /><br />Next, get the stupid protocol changed at your earliest convenience to include "Do not call the neurologist who ordered the stroke alert!"Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-3104219444354726992010-12-13T05:35:18.753-05:002010-12-13T05:35:18.753-05:00@Dr. E: I cannot remember when I have laughed so h...@Dr. E: I cannot remember when I have laughed so hard for so long at a comment!! Thank you for your elloquence! You are a gem! :)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-26240040686933342212010-12-13T02:01:49.961-05:002010-12-13T02:01:49.961-05:00Your protocol about Stroke Alert is quit interesti...Your protocol about Stroke Alert is quit interesting that you have to call the neurologist when its start, in any condition.First aid kitshttp://www.myfirstaidcompany.comnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-38697238711451197662010-12-13T01:29:25.022-05:002010-12-13T01:29:25.022-05:00We have the stroke alert thingy too although I bel...We have the stroke alert thingy too although I believe we don't have the NP. In addition to the CT and other tests a stroke alert is an overhead page and generates the arrival of the stroke alert TEAM which includes lab, docs, various other disciplines including the chaplain. The advantage is certainly not the chaplain but the fact that the stroke alert patient gets priority for the CT scanner.<br /><br />There are (of course) metrics involved.terri chttps://www.blogger.com/profile/09398808840234914275noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-62714533896902247052010-12-13T00:07:29.792-05:002010-12-13T00:07:29.792-05:00Oh oh oh... ours is called Stroke CODE and the lit...Oh oh oh... ours is called Stroke CODE and the little pagers vibrate everywhere and half the pharmacy goes sprinting for the TPA. so.much.fun.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-68182027927279454442010-12-12T23:24:01.182-05:002010-12-12T23:24:01.182-05:00"Look, I'm just following the protocol.&q..."Look, I'm just following the protocol."<br /><br />Another perfect example of the mindlessness of bureaucracy..<br /><br />[head, meet desk]Morrishttp://morrisao.wordpress.comnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-34967996833912223982010-12-12T18:33:48.965-05:002010-12-12T18:33:48.965-05:00Look at the bright side.... you won't have to ...Look at the bright side.... you won't have to take call ever again this year. <br /><br />(The fact that there is only 2 weeks left in this year is irrelevant, I say)Plain Janenoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-68252424028083315212010-12-12T18:30:37.308-05:002010-12-12T18:30:37.308-05:00I agree with the last anonymous... if he hadn'...I agree with the last anonymous... if he hadn't informed you, he might've gotten in trouble if anything went wrong. Though, he didn't have to play brainless like that; he could have informed you he was documenting that he'd informed the neuro on call of the stroke alert, instead.Sunnynoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-170033613308972262010-12-12T17:40:32.573-05:002010-12-12T17:40:32.573-05:00Did the clerk yell Stroke Alert! at you when he ca...Did the clerk yell Stroke Alert! at you when he called?Ben Snoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-89717752072657191982010-12-12T17:23:30.873-05:002010-12-12T17:23:30.873-05:00Shortly after flights resumed post 9/11, I was pre...Shortly after flights resumed post 9/11, I was preparing to leave on an early flight out of North Plate, NE. I was the only person on the flight except for the pilot and co-pilot. I checked in at the counter, showed my ID and ticket, and received my boarding pass. Fifteen minutes later they started boarding. The same person that checked me 15 minutes previously now asked to see my ID and boarding pass. Again, I was the only passenger on the plane. Protocol. Aghhh.Sheep Shearing MT Ladynoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-54832901112183604412010-12-12T17:04:16.637-05:002010-12-12T17:04:16.637-05:00good that he followed protocol.
the moment he didn...good that he followed protocol.<br />the moment he didn't all you smartar$es would be all over him like a rash.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-35051647558260229912010-12-12T14:55:53.001-05:002010-12-12T14:55:53.001-05:00hahahah!!! THAT'S RIGHT UP THERE WITH E-SCRIBI...hahahah!!! THAT'S RIGHT UP THERE WITH E-SCRIBING ME THEN CALLING TO MAKE SURE I GOT IT. REPEATEDLY REDUNDANT.lovinmyjobhttps://www.blogger.com/profile/02251424092621233215noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-29925630235834303322010-12-12T14:07:47.473-05:002010-12-12T14:07:47.473-05:00Gotta love it.Gotta love it.101Mdhttps://www.blogger.com/profile/10220101621487426150noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-80738921740728141502010-12-12T14:05:37.831-05:002010-12-12T14:05:37.831-05:00We have a stroke alert protocol in our ED but it d...We have a stroke alert protocol in our ED but it doesn't include an exclamation point like yours does, and now I feel like ours is lacking. I'm a little jealous, frankly. Ours gets you a CT scan with and without contrast, as well as a bunch of extra paperwork and charting and someone gets the tPA out and sets it on the charge nurse's desk. And everyone feels extra alert. Or, in your case, alert!Sparky Barksdalenoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-71246546357182929542010-12-12T13:22:41.863-05:002010-12-12T13:22:41.863-05:00On the one hand, this is a case of someone not usi...On the one hand, this is a case of someone not using their own judgment and blindly following protocols. On the other hand, do you *really* want this person to use their own judgment??? I'll take blindly following protocols ANY day. . .Leahhttps://www.blogger.com/profile/00948810706389838619noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-62959999000288809302010-12-12T13:19:02.641-05:002010-12-12T13:19:02.641-05:00It sounds like someone other than the neurologist ...It sounds like someone other than the neurologist on call is the one that usually calls for the "stroke alert" if the neuro gets paged when it happens. Maybe someone like intern, hospitalist, resident, etc sets it up.<br /><br />While I agree that redundancy is a pain, it can save your hind end in some situations. Better looked at twice than over looked at all.<br /><br />We have sheets with protocols for common presentations in the veterinary ER: toxicities, GDV, pancreatitis, hit by car/trauma that include several items "marked" or suggested that the Dr on shift just circles which ones apply in that case.KateAhttp://spannersound.comnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-50916451547684607802010-12-12T12:52:23.604-05:002010-12-12T12:52:23.604-05:00This is not what Atul Gawande had in mind.This is not what Atul Gawande had in mind.thegooddrlaurahttps://www.blogger.com/profile/08435755211517374081noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-29576454318080338712010-12-12T12:21:22.447-05:002010-12-12T12:21:22.447-05:00Haha, ERP's probably right. But seriously, wha...Haha, ERP's probably right. But seriously, what a mindlessness of this clerk. It reminds me of your entry about the lady who gave you two separate calls because your kids fought in school.arzt4empfaengerhttp://arzt4empfaenger.wordpress.comnoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-45073396556142775212010-12-12T11:03:51.030-05:002010-12-12T11:03:51.030-05:00We must not deviate from protocol. lolWe must not deviate from protocol. lolAnonymoushttps://www.blogger.com/profile/17288854341623647927noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-25952001724048265102010-12-12T10:24:22.858-05:002010-12-12T10:24:22.858-05:00... Another gem from the Department of Redundancy ...... Another gem from the Department of Redundancy DepartmentDr Enoreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-53900146140048572222010-12-12T10:20:31.108-05:002010-12-12T10:20:31.108-05:00I LOVE me those protocols !!I LOVE me those protocols !!Frantic Pharmacisthttps://www.blogger.com/profile/15804872250102867314noreply@blogger.comtag:blogger.com,1999:blog-5883634615775822475.post-49031900664606329952010-12-12T09:47:52.981-05:002010-12-12T09:47:52.981-05:00Ummm, I think you just ordered yourself to come i...Ummm, I think you just ordered yourself to come in STAT to evaluate the patient.ERPhttps://www.blogger.com/profile/15973334581468131595noreply@blogger.com