I'm busy trying to be in 3 places at once so that the patients will stay happy. It is the middle of the night, not one of the patients are asleep because they might actually sleep through the next dose of Dilaudid. People are falling out of the bed because we are too short-staffed for a sitter, families are refusing to stay with the patients and are threatening lawsuits if their loved ones are physically restrained, etc. Now the hospital cell phone
rings with Dr. X on the other end. This is the conversation: "Hi, this is Dr. X and I was calling to see what the surgical consultation report says that was written at 0910am because I can't read Dr. Y's handwriting." My thoughts: REALLY???? ARE YOU SERIOUS??? This is so annoying! Ummmm, have you tried calling HIM instead of ME? After all, you're the one who consulted him. Maybe in your conversation with HIM instead of me, you might want to mention the computerized system that allows for such consultations to be entered.
Another one is when the consulted physician writes a med order, we give it, then the primary comes along and d/c the order, only to have the consulting physician to come and REORDER it. And you ask me why Dr. B ordered this for your patient. Why not just discuss the pros and cons of a plan to medicate, physician to physician, and come to a conclusion BEFORE making it an order?
At my job, the change of shift chaos can last for hours because of 'stuff'. It could be a long time before I even get to open up a 'paper chart' to see who said what, that the off-going nurse forgot to mention or didn't even have time to check herself, given the right set of patients.
I really miss working at a facility where physicians had to call their own consults and come to a conclusion before fighting it out on the charts or misinterpreting what was written due to poor handwriting. I honestly don't have the time to run interference between the doctors.