the 100% directionless thread

katgrl2003 said:
He kept unbuckling his seat belt, and his mother wasn't doing anything about it.
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The sad thing is that his mum probably needs a license to catch fish or own a bike or handgun and definitely needs one to drive or run a business all in the interest of "greater good" ... and yet, there is no training or license required to become a parent?

*Brown shakes head :(

katgrl2003 said:
When did I become a mother to a 4 year old?!
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Just give him that same death stare you did Brown and he'll fall into line pretty damn quick :D
 
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Dear Small Town Sending Physician,

I know it must have been a difficult night, considering it was a Monday and all. I'm sure that patient showing up at 230 this morning interrupted a peaceful night of Facebook or Craigslist, and it's tough having to arrange a transfer inside the same hospital system with an automatic acceptance agreement too. But for the love of God, Allah, Buda, Shiva or what ever your deity of choice is it THAT important to get him transferred that you can't wait 45 minutes for a fresh crew!?! When was the last time you pulled a chart off the rack with that little time left in your shift? For crying out loud the guys been there for three hours already. I highly doubt there's going to be big shift in his Rock of Gibraltar condition in less than an hour. I also highly doubt we roll straight into whatever specialized service your sending him for, more likely he's going to cool his heels in the ED for a while. The rest of us like to get off work on time occasionally too mmmmmkay. That is all

Signed, your wonderfully happy medic candyman
usalsfyre
 
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Just spent $213 for a Kentucky Certification that im pretty sure I dont need
 
usalsfyre said:
Dear Small Town Sending Physician,

I know it must have been a difficult night, considering it was a Monday and all. I'm sure that patient showing up at 230 this morning interrupted a peaceful night of Facebook or Craigslist, and it's tough having to arrange a transfer inside the same hospital system with an automatic acceptance agreement too. But for the love of God, Allah, Buda, Shiva or what ever your deity of choice is it THAT important to get him transferred that you can't wait 45 minutes for a fresh crew!?! When was the last time you pulled a chart off the rack with that little time left in your shift? For crying out loud the guys been there for three hours already. I highly doubt there's going to be big shift in his Rock of Gibraltar condition in less than an hour. I also highly doubt we roll straight into whatever specialized service your sending him for, more likely he's going to cool his heels in the ED for a while. The rest of us like to get off work on time occasionally too mmmmmkay. That is all

Signed, your wonderfully happy medic candyman
usalsfyre
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Sign outs aren't fun for Doctors, he probably wanted to get rid of the patient before his shift change.
 
Not only that, does the physician even know when the local ambulance service changes shifts?
 
JPINFV said:
Not only that, does the physician even know when the local ambulance service changes shifts?
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He was made aware of it by our comm center. He still demanded the patient be taken RIGHT THEN!

This particular physician is one of the 25% or so that fit in the "complete tool" category.
 
firetender said:
You just X'd yourselves out of the chance to see a picture of the real Brown!
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It's not pictures of MrBrown that I want to see. LOL
 
usalsfyre said:
Dear Small Town Sending Physician,

I know it must have been a difficult night, considering it was a Monday and all. I'm sure that patient showing up at 230 this morning interrupted a peaceful night of Facebook or Craigslist, and it's tough having to arrange a transfer inside the same hospital system with an automatic acceptance agreement too. But for the love of God, Allah, Buda, Shiva or what ever your deity of choice is it THAT important to get him transferred that you can't wait 45 minutes for a fresh crew!?! When was the last time you pulled a chart off the rack with that little time left in your shift? For crying out loud the guys been there for three hours already. I highly doubt there's going to be big shift in his Rock of Gibraltar condition in less than an hour. I also highly doubt we roll straight into whatever specialized service your sending him for, more likely he's going to cool his heels in the ED for a while. The rest of us like to get off work on time occasionally too mmmmmkay. That is all

Signed, your wonderfully happy medic candyman
usalsfyre
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We had a frustrating situation last week. Basically we have a small hospital in my town that can't treat much more than a stubbed toe. They barely have X-ray, and it's usually staffed by a FNP-C. We take nothing there except drunks and codes (closest facility). An 11 year old comes in a 10pm with abdominal pains, the hospital held him ran X-rays all kinds of labs- the works, just to confirm that they can't treat him (which they already knew), and then decided to transfer him out at 3am to a facility 129 miles one way. I know it's part of our job, but it just gets frustrating.
 
mct601 you hit it exactly. Small town facility initial patient presentation tells them they can't treat it, it has nothing to do with "screening exam and stabilizing treatment", they CAN'T provide stabilizing treatment. Automatic acceptance agreement with big in-town hospital that is the flagship of their system. So why in the frick did he lay in the local ED for three hours, and then the paperwork wasn't done when we got there. Other than they didn't want to deal with shift change and signout, which is a piss poor reason.
 
usalsfyre said:
mct601 you hit it exactly. Small town facility initial patient presentation tells them they can't treat it, it has nothing to do with "screening exam and stabilizing treatment", they CAN'T provide stabilizing treatment. Automatic acceptance agreement with big in-town hospital that is the flagship of their system. So why in the frick did he lay in the local ED for three hours, and then the paperwork wasn't done when we got there. Other than they didn't want to deal with shift change and signout, which is a piss poor reason.
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I know the feeling. What compounded this (for me), was that the onset of the pains were severe and acute. The suspicion leaving the ER was a GI bleed. They have no ultrasound or CT to get a good ides of what's going on, yet they hold him from 10pm to 3am. I'm glad the kid didn't have anything rapidly going wrong inside of him. They should have had us there no later than 11pm-12am (in my opinion), and that's giving them a large window.
 
mct601 said:
Seems like Brown is still talking in third person :P
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Bigbaldguy is so confused by all the third person talk that bigbaldguy is going to have to go lay down for a bit.
 
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