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Medical Forum / General / General / January 2006hospital terminology
What would a doctor mean when making the folowing statement? "The patient was admitted to my service". Thanks, Terrie >What would a doctor mean when making the folowing statement? > >"The patient was admitted to my service". The patient = sick or injured person admitted = put into the hospital my service = under my care, as the attending (responsible) physician PF > >What would a doctor mean when making the folowing statement? > > [quoted text clipped - 5 lines] > > PF Thanks for your reply PF, my confusion was around the term "my service". If physicians in various specialties are caring for a patient, are they all considered attending physicians such as pulmonary attending, cardiology attending? Thanks again. Terrie >> >What would a doctor mean when making the folowing statement? >> > [quoted text clipped - 12 lines] >all considered >attending physicians such as pulmonary attending, cardiology attending? Not exactly. Usually one is considered the attending physician who is primarily responsible for the care of the patient, and the others are considered consultants. The consultants make recommendations but don't necessarily write orders or arrange the admission or discharge. But the consulting physicians are the attending physicians for the consulting services, so you may hear them referred to as an attending as well. PF > >> >What would a doctor mean when making the folowing statement? > >> > [quoted text clipped - 22 lines] > > PF I wish it were that straight forward and in many cases it is. I on occasion get the run-around as to who is responsible for any given patient with any given problem and the admitting doctor or doctor on call doesn't want to take a critical result report. One inside trick I use is to threaten the doctor by telling him the result and that I will document his refusal to take the report and ask him how to spell his name and mention the time of day. It works every time. As far as I am concerned the name of the doctor on the patients armband is it. They also refer me to the specialist who ordered testing and are taking care of the patient for that particular problem. The specialists write diagnostic orders in order for them to complete the consul tation or for transfer of care to the specialist depending on outcome. Technically the correct phrase if anyone has any questions on why anything is done is to find the "ordering physician." To ask why something is not done or ordered then it gets more complicated because of the many doctors who are able to but are not doing so. > One inside trick I use is to threaten the > doctor by telling him the result and that I will document his refusal to > take the report and ask him how to spell his name and mention the time of > day. It works every time. I'm trying to envision a working environment wherein a lab tech ever felt he/she had the need to "threaten" a doctor, or ever felt that such a "threat" would be appropriate, or that the doctors and/or ancillary personnel lack sufficient professionalism that stupid games are necessary. Nope....can 't see it. I prefer my little corner of the medical profession where such things would never happen. Are you one of those ancillary guys, Robert, who go around thinking "this would be a great hospital if only we didn't have to deal with those damn doctors..."? HMc > I'm trying to envision a working environment wherein a lab tech ever felt > he/she had the need to "threaten" a doctor, or ever felt that such a > "threat" would be appropriate, or that the doctors and/or ancillary > personnel lack sufficient professionalism that stupid games are necessary. I know of lab techs who have had to do this.  SignatureTranspose mxsmanic and gmail to reach me by e-mail. > > I'm trying to envision a working environment wherein a lab tech ever felt > > he/she had the need to "threaten" a doctor, or ever felt that such a > > "threat" would be appropriate, or that the doctors and/or ancillary > > personnel lack sufficient professionalism that stupid games are necessary. > > I know of lab techs who have had to do this. It's rare for lab people to call doctors as usually it's the nurses who contact the doctor.We have had nurses so worn out with abuse from some doctors that sometimes they ask the lab to do so. The only answer is to follow protocol and document. There has been fatalities involving critical values that were called to the nurse and not passed on to the doctor. This makes it a risk management issue for the hospital and it's employees and so hospital policies where changed to contact the doctor directly with some critical results. That means that doctors are called at 3:00 AM and you can imagine the responses from doctors. What will happen if there is another fatality and I failed to contact anyone because a doctor didn't want to take the call for his patient? They will see my documentation and I feel it's fair to inform the doctor of that fact. "Howard McCollister" <nospam@nospam.net> wrote in message > Are you one of those ancillary guys, Robert, who go around thinking "this > would be a great hospital if only we didn't have to deal with those damn > doctors..."? > > HMc Doctors are responsible for their patients and not me. Believe me HMC, and maybe you are sheltered from some of that stuff but if there is any abuse going on it's usually from the doctors. We all know who they are and they are a minority of the doctors but they do cause the majority of the problems. We have to document or get fired holding on to a critical value in which the result was not conveyed to anyone. Not only is it professionally responsible to do so but it is mandated. So I see it as discharging my mandated responsibility and the doctor might see it as a threat because I will document the discussion one way or another with the time of the call and the name of the person I talked to. > "Howard McCollister" <nospam@nospam.net> wrote in message > Are you one of > those ancillary guys, Robert, who go around thinking "this [quoted text clipped - 16 lines] > another > with the time of the call and the name of the person I talked to. I'm not unsympathetic to the difficult situation a few unprofessional doctors can put you in, and if what you describe happened in one of our hospitals, I personally would side with you for covering your a.s. It's never really come up around here, but I have no doubt that it happens. HMc > > "Howard McCollister" <nospam@nospam.net> wrote in message > Are you one of > > those ancillary guys, Robert, who go around thinking "this [quoted text clipped - 23 lines] > > HMc These are usually clinic patients seen during the day and under the teaching staff and the House Officer must take the critical calls on-call but it's like pulling teeth with some of the residents. Same thing with ER blood cultures as doctors hide when we call them with positives. The other problems are again with out-patients and the doctors not returning our calls after 4-5 hours if at all. It's no secret that doctors take calls from other doctors quicker and take their time with everybody else. Our standard policy is to contact the Pathologist on call after one hour of a no call back and see if he will respond to him. It's really more of a quality of care issue than simply covering our a.s. Sometimes it's the patient that gives us a hard time. We had an out-patient with chronic renal failure that came in for labs and we came up with a 7.1 K. We were lucky to get a hold of the doctor while he was still there and the doctor tried to talk the guy into going into the ER but the guy didn't want to go. He eventually was talked into it. We have had them come in with bleeding gums and blood in urine with a platelet of 5 K off the street. Sometimes we have to play hardball when it's called for. |
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