1. S/P Right Colon Resection
2. Diet: Consult Dietary for recommendation
3. IV: consult Nephrology.
4. VS: Per Routine
5. Monitor Intake and Output. If urine output is
low, consult Nephrology
6. PCA pump per Pain Management
7. Antibiotics per Infectious Disease
8. Consult GI for recommendation for proton pump
inhibitor
9. Foley catheter to gravity, D/C in am if OK with
Urology
10. AM lab per Medicine
11. Consult Physical Therapy for ambulation per
their recommendation
12. Consult Cardiology for Beta Blocker
administration
13. Hematology to see for DVT prophylaxis
14. If patient develops temp above 99.0 0r WBC above
10,000 consult Infectious Disease
15. Consult Cardiology if patient complains of chest
pain
16. Critical Care Consult while patient is in ICU
The Age of No Reasoning
Literally laughing out loud! What a "hands off hand off"...
ReplyDeletePeople in the medical field will appreciate this most.
ReplyDeleteUh, ok, what's your point? TCG, RN
ReplyDeleteThe point is that if done properly it is possible to do major surgery on a patient and never have to see again or make any decisions regarding their post operative care. It's a bit tongue in cheek and a bit of satire.
ReplyDeleteSo sorry .. my sarcasm didn't come through on the post. Through many, many years in nursing, I have discovered that some newer doctors have failed to learn that (1) the patient's medical history, if properly done, will give you most of the info you need; (2) a properly performed physical examination will, in most cases, give you as much info as hemodynamic monitoring; (3) common complications happen commonly; (4) in most cases, you do not need a specialist to tell you that the patient has a temp because he is developing atelectasis from inactivity. If you are not sure what is going on, ask a nurse. We may not be able to list all of the cytokines involved in septic shock, but we can recognize it from across the room. It seems that many primary care physicians are turfing patients to specialists, too, instead of managing uncomplicated issues themselves, and the patients expect (want) it. (I promise to try to either keep my sarcasm in check or to make it more clear.) TCG, RN
ReplyDeleteHow sad that human beings can be reduced to mechanics
ReplyDelete