Ever see "FULL LET" for code status?

[shygoofyone]

We had a new Doc start yesterday in the ER and for a patient with a uniform DNR order, he wrote "Code Status: Full LET" None of us, including nurses with over 30 years experience, have ever seen this term. We asked him what it meant, and he said "that's what you write..." then sat down to try to find the damned meaning on Google! I'm terrified that he's going to be working alone on 24 hour shifts....talk about handholding! Aside from that...has ANYONE ever seen this?

[0402]

LT on our form means "Limited Therapy," so I'm assuming in this case it's "Limited Emergency Therapy," but as I said previously, we have designations as to what the "LT" is. A doc cannot just write DNR/ LT and move on, assuming we know what that's supposed to mean.

[Altra, BSN, RN]

I think this is more about ... a professional comes from another facility where there is different terminology, naturally he/she utilizes that terminology ... and the other professionals working with him/her, rather than understanding that there is variation in terminology among different facilities/regions/specialties and explaining what terminology is needed ... instead decides to denigrate him/her with how "terrified" they are to be working with this new addition to the staff.

I bet this MD is rethinking his/her job choice.

[milksteak]

Wow, I never realized that "Johnnies" is only used here! (I'm from Boston)... And there are no milkshakes here...just frappes :)

[Esme12, ASN, BSN, RN]

Wow, I never realized that "Johnnies" is only used here! (I'm from Boston)... And there are no milkshakes here...just frappes :)

And that's exactly how that nurse felt.....how could I possibly come with all this experience and not know what a Johnnie was......they laugh now but they didn't then.....

[nurse2033, MSN, RN]

Never heard of it, he needs to explain what he means.

[miss81, BSN, RN]

Funny... I never really thought about the use of different terms. I moved to the US briefly and some of my co-workers laughed (not in a mean way) at some of the terms I used! For example,

Johnny Coat=hospital gown

Emerg=ER/ED

Gluc=accu check

At home, A "Grad" always means an RN (never LPN or NA), it means a "graduated cylinder" where I moved.

Back home, "The UNIT" always means ICU

[Creamsoda, ASN, RN]

Funny... I never really thought about the use of different terms. I moved to the US briefly and some of my co-workers laughed (not in a mean way) at some of the terms I used! For example,

Johnny Coat=hospital gown

Emerg=ER/ED

Gluc=accu check

At home, A "Grad" always means an RN (never LPN or NA), it means a "graduated cylinder" where I moved.

Back home, "The UNIT" always means ICU

From Canada? Thats what I called in in Canada too, now in the US 3 Years no one calls it Emerg here

[caroladybelle, BSN, RN]

Wow, I never realized that "Johnnies" is only used here! (I'm from Boston)... And there are no milkshakes here...just frappes :)

Not to mention "bubblers".

As a Southern traveler in Boston, I was the go to girl for where to get grits and "green" peanuts - no one at Haymarket had a clue.

[caroladybelle, BSN, RN]

I think this is more about ... a professional comes from another facility where there is different terminology, naturally he/she utilizes that terminology ... and the other professionals working with him/her, rather than understanding that there is variation in terminology among different facilities/regions/specialties and explaining what terminology is needed ... instead decides to denigrate him/her with how "terrified" they are to be working with this new addition to the staff.

I bet this MD is rethinking his/her job choice.

Uuuhhhh, from reading the opening post, it sounds like several HC professionals within the ER DID ASK the newly arrived professional to clarify what he wrote, and replied, in a manner that first did not clarify what the abbreviation meant and second, to a certain extent demeaned them for not psychically knowing this abbreviation.

As a former traveler and a professional, it has been clearly indicated that it is MY job as the newbie to learn the accepted terminology for the professional job, and to give adequate clarification when someone questions an nonroutine abbreviation.

It would not be acceptable, as this MD did, to just say this is the way it is to be written, without any other explanation.

Me thinks that the staff needs to find a new professional physician that has better communication skills.

[Altra, BSN, RN]

Uuuhhhh, from reading the opening post, it sounds like several HC professionals within the ER DID ASK the newly arrived professional to clarify what he wrote, and replied, in a manner that first did not clarify what the abbreviation meant and second, to a certain extent demeaned them for not psychically knowing this abbreviation.

I got a different impression from the OP ... particularly the description of being "terrified" and "handholding".

We can agree to disagree.

[anotherone, BSN, RN]

no idea, all the orders here are on EMR. so there are three choices: full code, no code, limited code( lists yes or no to what)

[SeeTheMoon]

As a student, I'm learning a lot on this thread. I'll be right back...wanna go get my johnny on and get more comfortable.