So back story. . . I had a 32 yr old female patient that was a direct admit around 2300 for hematuria. We call the doctor and get orders for a CT abd/pelvis w + w/o contrast, insert three-way and irrigate PRN, and CBC.
So CT calls and says they need a pregnancy test and a CMP to check renal function. I am about to call the doctor when the nurse I'm working with says, "Oh don't call that doctor for things like that at midnight. Just put it in, he would order it anyways."
Of course I don't, but she puts it in anyways (which I don't care to be honest because it has her name all over it, and the patient needed it anyways). The patient gets the CT done and the doctor comes in at 0530. The doctor said, "Thank you for just ordering those and not calling me. I hate to be woken up for stupid things."
So ignoring everything else wrong with this scenario (and there's a lot), how do you all manage to figure out these idiosyncrasies?
For instance, I have a doctor that if you do call him after 2200 for Cepacol he yells, and another one that will yell if you don't call him.
I can't figure it out. But since prescribing is outside my scope, I just call always, get yelled at (or don't), get my orders and go about my business.
