-Quick rundown. patient used to be on 120mg of cardizem ER.
-patient was running brady and possible syncope on admittance
-doctor dc cardizem.
-pt is running afib/aflutter in the 130s-150s over the past few days, asymptomatic.
-I wasnt worried about it and the tele monitor is calling em and harassing me over something that has been unchanged.
-The hospitalist has known about this for the past few days.
-I get a call from their charge nurse asking em if the hospitalist knows about this. The day hospitalist knew about this and I felt that this can wait. She paged the night hospitalist to come over to my floor, the hospitalist wasnt worried, neither were any nurse on my floor.
So did I do the right thing? For something that has been unchanged over the past few days, is it necessary to call the hospitalist if the patient is asymptomatic? Day hospitalist even charted it in his progress notes.
side note: This telemonitor has overstepped her boundaries in the past and trying to get me to give an oncology patient fluids because her admitting diagnosis was for dehydration(The lady was on her last leg and she was changed to a palliative care the next day because of the metastasis of her cancer). She has also told her charge nurse to call me and even at a point told me that her charge nurse recommended me push adenosine on someone that had orthostatic tachycardia.
