Sunday, October 21, 2007
PICTURED IS ONE OF THE OLD TESTS THAT WAS ONLY 96% SENSITIVE ETC...
In their infinite collectivist wisdom, a committee composed of paper-nurses and paper-doctors decided to do away with the old standby poo-checking card used for decades without accidental death or decaptitation, and get a fancy-schmancy super poo-checking-can't miss tubette that will not be fooled by, say, goat's blood in someone's ass or something.
Seriously, we do, occasionally, check stool for blood with the whole finger-in-the-bottom thing and it used to be a quick and dirty (pun intended) little exercise that no one liked but would tell us immediately if someone had blood in their stool and then we could fashion our treatment based on the knowledge that somewhere in the patient's GI tract was a bleeding "something".
Much to my surprise the other day I got the old 'letter in the box' on official hospital stationery. During one of my busy shifts I had needed a stool check for blood and had taken the super fancy can't miss tubette into the room and got some poo and mixed it up in the fluid and the test was positive and I wrote it in the chart as such. It didn't change my management of the patient while they were in the ER.
The letter was signed by one of our super power-through-paper folks and it kindly informed me that I was not 'credentialed' to run the poo-check test. Gotta go take a 6 hour course now on finger-angle, lube application, tubette maintenance, and proper form filling-outedness. Call me if anyone gets sick.
Posted by 911DOC at Sunday, October 21, 2007