List Archives

Mon Oct 15 17:03:36 BST 2007

Another novel concept - acting "in the patient's best interest".

Rob, I think that you and I just might be on to something wonderful!  

LOL

Ron

>>> "Robert F. Smith" <rfsmithmd at comcast.net> 10/15/2007 12:01 PM >>>
IMHO it is essential that ED physicians have admitting privileges. Otherwise
their job is impossible and the ED is a total dumping ground and they ED
docs become slaves to all the other in house services.

Of course people will object strenuously to this but if people can't act
like adults in the patient's best interest this becomes a viable solution.

Rob

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] 
On Behalf Of Krin135 at aol.com 
Sent: Monday, October 15, 2007 11:52 AM
To: trauma-list at trauma.org 
Cc: KMATTOX at aol.com 
Subject: Re: Ideal length of stay in the ED

In a message dated 14-Oct-07 10:35:16 Central Daylight Time,
KMATTOX at aol.com 
writes:

In a  message dated 10/14/2007 9:57:26 A.M. Central Daylight Time,   
andrewj.bowman at gmail.com writes:

What  then do we do about the  attendings (fill in specialty here) who  are
reluctant to admit a  patient without the complete  workup????

Create a hospital  policy that allows, encourages, mandates that the EC  
staff 
have the  authority, and supported by the Medical Executive Committee to  
admit  a patient to any hospital in-service where the service is slow to  
evaluate  
the patient or require that an entire work up occur there  prior to going to

an 
in house bed.   

k

I'd love it...now just need to convince the med exec committee (and the  
hospitalists) that the hospitalists and attendings don't need every jot and

tittle done in the ED prior to admission....

and convince some of the residents at major teaching hospitals that they
can 
finish the work up faster after they have the patient in their hands than  
the smaller hospitals can do prior to transfer...

ck
Charles S. Krin, DO FAAFP

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Ideal length of stay in the ED