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Mon Oct 15 17:21:39 BST 2007

In a message dated 15-Oct-07 11:03:42 Central Daylight Time,  
Rgross at harthosp.org writes:

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

chuckle...that's the way I was trained, Ron...the ED was the place to start  
the work up and determine the need for admission or urgent follow up to the  
clinic...the residents were expected to carry the ball from there...including  
accepting transfer patients from outlying facilities.

Nowadays, except for certain services (Cardiac at Missouri Baptist Hospital  
in St. Louis; Trauma Services at University of Missouri Med Center, Columbia;  
Peds to Children's Hospital (Columbia, KC and St. Louis) and Cardinal Glennon 
in  St. Louis), there are a series of hoops to jump through...starting with  
the patient's attending physician, the consulting specialist, the  
hosptialist, the intensivist...assorted residents...transfer  coordinators....nursing bed 
control...it often takes longer for me to get the  permissions to get a 
patient transfered than it does to get them worked up for  admission..

ck
Charles S. Krin, DO FAAFP

it can take longer 

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