ED Physicians with overkill

[ThisEDRNRocks]

Okay....this is the first time I have been in an ED that I have seen this. We have an ED physician that orders EVERYTHING on EVERYONE. For example every abdominal pain gets every lab, every xray and ALWAYS ends up in a CT scan no matter the age. Had a 5 year old that the plan film showed him so full of poop that he could have been renamed "turd", and they STILL did a CT that read "Constipation".

It is very frustrating because every patient is in the ED for 3 to 4 hours unless they are cut and dry....lac, ear ache, sore throat. Fever, Abd pain, Chest pain (no matter the age) all get the big workup. Even if the labs are normal, they end up in CT one way or another... Chest pain...normal labs...Chest CT.... Abd pain....normal labs..... Abd CT..... Fever.....normal labs......They find a reason for a CT.

They do not understand that they are busy all night long because the ED is full and I have no place to put new patients..."bring them back so I can see them".... My question is WHERE do you want me to put them. It is not fair to the nurses nor the patients.

Just curious if anyone else has a physician that is like this....

Thanks for letting me vent.

[Iam46yearsold]

some interesting statements made here

[TraumaNurseRN]

Okay....this is the first time I have been in an ED that I have seen this. We have an ED physician that orders EVERYTHING on EVERYONE. For example every abdominal pain gets every lab, every xray and ALWAYS ends up in a CT scan no matter the age. Had a 5 year old that the plan film showed him so full of poop that he could have been renamed "turd", and they STILL did a CT that read "Constipation".

It is very frustrating because every patient is in the ED for 3 to 4 hours unless they are cut and dry....lac, ear ache, sore throat. Fever, Abd pain, Chest pain (no matter the age) all get the big workup. Even if the labs are normal, they end up in CT one way or another... Chest pain...normal labs...Chest CT.... Abd pain....normal labs..... Abd CT..... Fever.....normal labs......They find a reason for a CT.

They do not understand that they are busy all night long because the ED is full and I have no place to put new patients..."bring them back so I can see them".... My question is WHERE do you want me to put them. It is not fair to the nurses nor the patients.

Just curious if anyone else has a physician that is like this....

Thanks for letting me vent.

Yes, we had a doc just like this one. Except, he has found some potentially life threatening issues through all of his orders....Nationally, and I have told my patients this before when they've whined about their long visit, 4 hours is the average wait for disposition and that is when you are discharged from the ED, let alone admitted. If that "turd" would have been a bursting appendix....no one would be ********.

[Iam46yearsold]

They do not practice medicine anymore, they practice technology

[mmutk, BSN, RN, EMT-I]

I used to work in an ED where the MDs would order a ABD series on a fart. But you know if I was sick that's where I would want to be.