I witnessed 2 episodes of surgical specialists refusing to admit or see pts regardless of the captain of the ship memo.
I propose that the general surgeon be required to come in within 1 hr to see trauma pts that require admission and have been refused by specialists. An orthopedist will not refuse an extremity injury if he knows that he will have to deal with the surgeon later. We need to get out of the fray and make fewer phone calls.
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Requires a change in bylaws to require them to come in within a certain time frame.
ReplyDeleteSome of us have more problems than others with getting specialists to do the right thing.
Life is about helping those less gifted and making our ED run without making lame decisions, like getting medicine docs involved with the care of trauma pts. If the specialist refuses we need a rule that sends it to the general surgeon, Otherwise it is dumped on the EDMD and such dumping is what decreases our productivity and our ability to recruit and retain good docs.
ReplyDeleteIt is not an EDMD social problem it is a loophole in the capt of the ship memo.
Yep, and that document took months to create even while we had a CMO. This will take immense time and resources, fixable but will require a lot of creativity to obtain this goal. We are not a trauma center, and our consultants are not trauma surgeons. Sometimes I think we all lose sight of that fact. Consider transferring your trauma patients for higher level of care to a trauma center when appropriate.
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