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 hospital. Apparently it happens more often than I thought.
The last 4 new MDs to the area only provide cell numbers. No home phone or beeper. We have to leave voice messages when the cell is not answered.
The old MDs still answer their home phones after office hours, day and night. We also page them, and for the most part you can expect a return call within 15 minutes. They don't know if I'm calling for an MI, or for Zofran for nausea. There is no hierarchy of needs. There's no screen. I call, they answer.
I don't want to appear resistant to change. However, it feels wrong to leave personal pt info on voice mail. Then the new MDs basically screen the calls, because sometimes they call back and sometimes they don't. Is this the way bigger facilities' nurses contact MDs? How many times do you call the cell and leave a message?
Larger hospitals in the area have hospitalists around the clock, and the middle of the night phone calls to PCPs are a thing of the past. We'll probably get the hospitalist program too, but as in all things, a little later than everybody else.
What do the rest of you do when you need orders from an MD?
Do you think it's inappropriate to leave personal pt info on a cell phone
Is it harmless, a sign of the times, and I just need to get with the program?