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.

The patient has to take responsibility for their own actions, unfortunately some of them shouldn't be allowed to :X I have always been told to document PRIOR to administering the medications that you told them they could not drive. I no longer baby sit patients, they verbalize and sign their understanding of not to drive. It is my duty to notify, if I notify I have not breached my duty therefore I would not be negligent.....could it still go to court....sure....so could the paper cut they get from folding the form they just signed saying not to drive as they drive home. Just my two cents.