Annoying + Extra Work

21 Jan

One of the most annoying things that happens at shift change is the nurse who looks at the patients lab values and declare that the patient should be in ICU without even looking at the patient themselves, without even assessing the patient for themselves. Sometimes the numbers really look bad and yet the patient is appropriate. Sometimes the numbers look good on paper and yet something is really wrong with the patient. It can be frightening to receive a patient with awful electrolyte imbalances, especially when we anticipate aggressive replacement and retesting etc…but that is our job. I just do not understand if the patients were to be “well” they would not be in our hospital bed!

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5 Responses to “Annoying + Extra Work”

  1. Sean January 21, 2009 at 17:06 #

    Just as bad is a physician that continues to keep a patient in ICU when he has absolutely no need to be there.

    Of course…this is always followed by numerous painful (useless) tests.

    • seejanenurse January 21, 2009 at 21:54 #

      Oh the practice of “defensive” medicine. It is where the physician orders every test possible known to man in order to “not miss” that one rare but serious diagnosis. Betty comes in with pneumonia but we better send her to the cath lab prior to discharge to make sure her coronaries are clean! Or the attending physician who consults every specialist possible as to be responsible for nearly nothing=more and more testing. Oh! I am not really so cynical! Really!!!

  2. Sean January 21, 2009 at 17:06 #

    Oh! And I forgot to say…thanks for stopping by my site and commenting 🙂

    • seejanenurse January 21, 2009 at 22:02 #

      🙂

  3. Strong One January 24, 2009 at 02:36 #

    Treat the patient, non the disease (or illness)….
    Hmmm I’ve heard that somewhere?

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