Consults?? - page 2
by fiveoclocksomewhere 1,985 Views | 16 Comments
Just a quick question regarding consults, I'm just starting out as a new RN and I get so confused when a doctor calls me and simply states that he was "consulted"...what exactly am I supposed to say? Just give them a basic report... Read More
- 1Nov 22, '12 by dudette10One of the most difficult things when starting a new job is learning the docs' names and specialties. Which ones are consults, which ones are attendings, and which consults are sometimes attendings? If you work in a facility that has residents, it becomes even more complicated when you are new.
I have found that nursing strangely has very few "job aids." My husband is in IT. Job aids are their lifelines to systems when someone new is taking over. I did many jobs aids in my previous corporate life because it made training easier! In my experience, job aids in nursing come in the form of a many times photocopied sheet that a random nurse has tucked into her binder that also has 10 people's handwriting on it as information has changed.
Simple things like the search terms for the supply Pyxis drive me nuts that I have to ask someone how to access new tubing. Shouldn't those common terms be posted next to the SPyxis? But noooooo.....
You really have to make your own job aids as you go along. Try to find out where the consult information is stored in the system so that you can check during your research on a patient. Ask the consult specialty if you don't know and write it down, so you never have to ask again. It's up to you to research what he might like to know, as that is part of gaining knowledge and critical thinking as a new nurse.
Good luck. It is frustrating, but you'll make it through.
- 0Nov 22, '12 by DSkelton711I haven't worked in a hospital for awhile, but most of the time it was just basic info they wanted: age, dx/reason for consult, room number, etc. If you are not aware that a consult has been ordered, tell the caller you need to pull the chart for the info and that way you can check the order to make sure a consult was ordered and what for.
- 0Nov 23, '12 by fiveoclocksomewhereThank you all SO much for all of the helpful info!! All of your replies really helped me get a better grasp on what consults are. I am still way too sensitive when docs yell at me but I think I will get more confident as I progress and I now know that there is no way I can speak to the consulting doc without being near the chart or computer! They just always seem to catch me off guard.
- 1Nov 25, '12 by SaoirseRNQuote from Been there,done thatNot necessarily. At my facility, all that is required is a consult order. As long as the consulting physician has privileges at my hospital, they can and will write orders.Consulting doctors have been requested to evaluate the patient. Unless the order reads to consult AND participate..they cannot write orders .
Certainly you would give them you nursing input if asked. It is NOT your responsibility to perform their assessment.