Phone, cell, beeper and texting. - page 4

by imintrouble | 6,346 Views | 39 Comments

Nurses are texting MDs. Cell phones instead of home phones. Beepers are obsolete. What's the world coming to? Change comes slowly to my area of the country. Texting for orders instead of talking, is slowly making its way to my... Read More


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    We text the MD and ask him to call us regarding patient need.
    We don't put patient identifiers in text messages.
    We obtain our MD orders voice to voice.
    We don't leave specific patient information in voice mail messages.

    New technology is great, but we have to be careful that we are not putting patient privacy at risk. Cell phones are NOT secure in any way so be cautious.
    imintrouble likes this.
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    Quote from tewdles
    We text the MD and ask him to call us regarding patient need.We don't put patient identifiers in text messages.We obtain our MD orders voice to voice.We don't leave specific patientinformation in voice mail messages.New technology is great, but we have to be careful that we are not putting patient privacy at risk. Cell phones are NOT secure in any wayso be cautious.
    Ok, this is going to sound dense, but if you're texting the doctor to get him to call you and then take the order voice to voice...... isn't that almost the exact same thing as good old fashioned paging in order to obtain a telephone order?
    Dazglue, wooh, anotherone, and 1 other like this.
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    we dont have any cell or home phone numbers of any drs. all communication is done by their work beeper. you must text page . you can text what you want, i guess .although official policy states you must include your name, pts name ,reason for page, and call back number. this allows them to screen calls and prioritize. i have been with drs in a pts room and pager goes off 10 times in 5 minutes. this is a teaching hospital where one night float may cover tons of pts. i like it because you can text something like, "455 Smith, back from Abd us , requesting diet. please advise. mary jones, rn phone number" most drs will put in an order without calling you. and for stuff like this you arent confined to waiting by the phone for 15 mins. all pages are recorded and will be pulled up by IT when needed
    imintrouble, joanna73, and RNperdiem like this.
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    Quote from BrandonLPN
    Ok, this is going to sound dense, but if you're texting the doctor to get him to call you and then take the order voice to voice...... isn't that almost the exact same thing as good old fashioned paging in order to obtain a telephone order?
    Yes it is...but our MD doesn't carry a pager
    imintrouble likes this.
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    We have text paging during the day--text with concern and physician calls back with orders. At night, we have an on-call hospitalist and resident who we just page.
    imintrouble likes this.
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    Some of our docs prefer text pages. I like them. I can tell them what's up, give them some info, they can look it up and either put in an order without me having to talk to them, or can call me to discuss further or say they aren't worried. I like it because I don't have to sit on the phone twiddling my thumbs while they look up the patient, think about it, etc.
    If I think we need to have a conversation, I just text them to CALL ME. And we have a conversation.
    More options. It's great!

    I do think there's a difference between that and GETTING THE ORDER via text. That I'm not a fan of.
    imintrouble, joanna73, and anotherone like this.
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    Quote from amygarside
    Texting can be a form of communication between nurses and MDs, it is an accepted way of giving and receiving orders. Although it can have its limitations but people still use them.
    They may still use them .....but that doesn't make it right. Be extremely cautious for if something happens to cause a deleterious outcome on a patient on a texted order....you will be vulnerable for the present laws do not advocate this as an acceptable practice.

    Just because your facility might have it as a policy and it is common practice .....will not protect you when your are being questioned about a bad outcome and why it happened.
    imintrouble likes this.
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    And again, be very very careful about texting patient identifiers when you are giving MDs info in the text. IT IS NOT SECURE if you are just using a plain ol cell phone.
    imintrouble likes this.
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    One of our cardiologists demands that you take a picture of patient EKGs and send them to him via text before he comes to the hospital when he is on call. Most of the nurses I work with are fine with it, but I am iffy. Not the same thing exactly, but I work in ED land, where I have a physician to bug in the flesh 24/7.
    imintrouble and tewdles like this.
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    Quote from mappers
    Most of the MDs around here use an answering service after hours. You leave a message and they page the MD.
    Anything else seems kind of alien to me. All 3 of the facilities I have worked in have operated in the same fashion. Call the answering service and tell them whether you need, "orders, results, or condition" and stat or routine call.

    One physician, actually an intensivist/pulmonologist has given out his cell number so it is really fast to get him on the phone and get orders. If not careful it can be abused but he is not the kind of doctor that screams and shouts at people. If I were ever to be sick, he is the doctor I would want on my case!
    tewdles and imintrouble like this.


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