Friday at 18:30 we had a CT Abdomen/Pelvis w/contrast show up at the outpatient center. We close at 1900 and they had not been prepped orally or we would have gone ahead and done it our radiologist is there until 0200.
I called the hospital and told them this patient would be right up to begin his prep. The CT tech asked me to go ahead and start an IV to help him out and save him the trouble. Um...like "no I won't". Start an IV on a patient and then let leave them and drive up over to the hospital? "I don't think so fella". I didn't know this person they could have been a druggie and left and shot up with a nice 20g in place. He thought I was being unreasonable and lazy. I think he was being unreasonable. Would you have started that IV?
His doc was so sure it was a ruptured appy that he called the on call surgeon to come in, the surgeon had the OR crew called in, everything was ready and the CT was "completely" normal...not even a diverticulum in sight.
