Quote from CardiacDork
Question, why in your experience does your interaction with those that are frightening unintelligent also increase? Is it the larger volumes of patients you're treating from different backgrounds?
Patients and families - yeah, and there are immediately more of them. WAY more. But at least that's understandible to the point. It is nothing new for me. But then there come insurances, QA/utilization, higher administration of every place you contact and healthcare providers of every kind, including your former colleagues. Too many of them are, well, not at the level they supposed to be. Or they "justdoingtheirjobs". Or they just do not think at all. And that's when reality knocks from below where you thought the bottom was.
- we do not have separate computer station for providers. Our interior designer opposes it.
- no, consult not approved by insurance. If you want to order that med, that's fine, it is approved (the newest miracle pill costing $$$$$ of your hard-earned tax-payer dollars and about which you have very little ideas - as so everyone else except that consulting guy. Got to catch him in corridor somewhere)
- you missed ordering b-blocker again! No, it doesn't matter that patient is on 3 drips and Q1H bolus - he has CAD, therefore b-blocker must be ordered and order then deleted
- patients' WHAT??? Blood pressure? Oh, I do not know it, let me go and find a CENA to take it, hold on... (it's midshift, mind you)
- can patient have something for secretions? He's coughing after respiratory therapy!
- patient refuses his meds for 1 week and he's actually not eating anything for a few days... maybe a week, I do not know exactly... and he's actually not verbal any more... can he just have something for drooling and constipation?
- the staff message distributed (date) contained a significant misprint. All privileged providers MUST respond on this letter within 24 hours by a short email including MANDATORY screenshot of email box "messages" folder with the above message deleted
I can go on, and on, and on.
And yeah, I still like it more than bedside.