One of our doctors thought that it would be a great idea to start writing his patients' discharge time on their white board next to their name at the beginning of their visit.
I kinda agree. I sometimes type up a pt's discharge papers before I even go in the room because I know the visit is a total waste. I'm correct 99% of the time after I go in and see them. The RN's love when I do that.
At our ER, we have these obnoxious stamps that say "D2D TIME _____" , where the ward clerk is supposed to write in eight hours after they've been triaged (our province is on this misguided trip where they believe that EVERYBODY needs to be transferred home by 8 hours - this doesn't mean get out of the ER by 8 hours, but only that they're not under the care of an ER doctor (ie, in a holding pattern to be admitted by medicine.
Let's all have a speculative discussion of what happens when an agitated psych patient brought in by his social worker for increased delusions and disorganized thinking is told he/she is going home at 1930, and (1) the patient is not going home at all and (2) 1930 rolls around and there isn't even a plan.
Her not getting to leave at 1930, the time written on the board by the doctor, caused a meltdown so intense that there was a need for 4-point restraints. Audit that shit, CMS!
My fav is when our docs tell inpatients that they will be discharged at a specific time. The patents really think that this is a strict time frame. Never mind that the floor still has oodles to do d/t the unnecessary 28 hour extra stay time.
I kinda agree. I sometimes type up a pt's discharge papers before I even go in the room because I know the visit is a total waste. I'm correct 99% of the time after I go in and see them. The RN's love when I do that.
ReplyDeleteNo, I'm talking discharge times 2.5 hours in advance when tests like "200 labs" and "MRI/MRA/MRV of the Head and Neck" are ordered.
ReplyDeleteIs he also using a crystal ball to help with diagnosis?
ReplyDeleteSorry to make an off-topic post, but - I *love* your disclaimer...
ReplyDeleteI'm not even the medical field and I know that's a bad idea. That's like telling a client when their computer will be fixed when the check it in.
ReplyDeleteAt our ER, we have these obnoxious stamps that say "D2D TIME _____" , where the ward clerk is supposed to write in eight hours after they've been triaged (our province is on this misguided trip where they believe that EVERYBODY needs to be transferred home by 8 hours - this doesn't mean get out of the ER by 8 hours, but only that they're not under the care of an ER doctor (ie, in a holding pattern to be admitted by medicine.
ReplyDeleteSounds like it could make for some great "over under" betting though.
ReplyDeletedoes that make him an optimist or a pessimist?
ReplyDeleteLet's add a stat UDS to that. For the doctor.
ReplyDeleteLet's all have a speculative discussion of what happens when an agitated psych patient brought in by his social worker for increased delusions and disorganized thinking is told he/she is going home at 1930, and (1) the patient is not going home at all and (2) 1930 rolls around and there isn't even a plan.
ReplyDeleteDiscuss.
You mofos are trying to kidnap me and take my organs! I'm calling channel 5 right now about it!
ReplyDeleteHer not getting to leave at 1930, the time written on the board by the doctor, caused a meltdown so intense that there was a need for 4-point restraints. Audit that shit, CMS!
ReplyDeleteMy fav is when our docs tell inpatients that they will be discharged at a specific time. The patents really think that this is a strict time frame. Never mind that the floor still has oodles to do d/t the unnecessary 28 hour extra stay time.
ReplyDelete