List Archives

Mon Oct 15 17:09:23 BST 2007

Oh yeah - I forgot the places where there are no residents.

I guess the doc who gets the consult might actually have to do the same thing that I was thinking the residents should do.  And as a guy who still takes in-house call (at this point 7-10 nights a month), I think I have every right to think that all of my colleagues fortunate enough to actually go home on their nights on call would see the patients just as I do.  If they don't want to come in to do that, well, they always have that in-house call option...........

I don't know what the heck I ate this morning, but it appears that I am full of piss and vineger today.  DUCK!!!

>>> "Ronald Gross" <Rgross at harthosp.org> 10/15/2007 12:01 PM >>>
WAIT!!!  I have a novel concept!  Never been done before!  

Are y'all ready????

Why don't we teach the residents to come to the ED, take a history, do a physical examination, and admit the patient based on all of that??  I think that really beats "Call me when the CT is done", and my guess is that the patient would be moved out of the ED and on to the floor about 4 to 5 hours sooner.

WOW.  I think I am on to something novel.  We might want to do a study or something........

Y'know, sometimes I really crack myself up!

My best to all,
Ron

>>> <Krin135 at aol.com> 10/15/2007 11:52 AM >>>

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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