Tuesday, August 17, 2010
I don't even know where to begin with the Nanny-ism that has crept into medicine to the detriment of all. Triage nurses have quite enough to do, thank you, without asking Nanny-mandated questions like... "Do you feel safe at home?" and "Do you have guns in the house?".
First of all, what do we do with positive answers to these questions from triage IF we happen to notice them on the nurses note? I mean, people come to the ER for a variety of reasons, but they do not come to me to talk about gun safety. If they are coming to talk to me about feeling unsafe in the house then what do I do? Call the police?
If we happen to have social work in the ER then you know what happens? I call them, they come in, and they send the patient home with some information. Have we helped? How the hell should I know? I do Emergency Medicine, but, the reality is, I now do social work too, because the social worker goes home at 5 and guess what? I'm not trained for that, and "this is your responsibility" is a no-no these days. But I do have a solution.
I am now giving the White House telephone number to all these folks who either have guns in the house or don't feel safe at home. They have problems only the government can solve.
And OBTW, to the nice gal I met on the plane the other day, I will fight you to the death to keep from having to draw screening HIV labs in the ER on every patient to further your desire to build the complete Nanny-State. And screening pap smears in the ER? Now you are shitting me, right? Go to medical school yourself you RLB trustafarian, you have no idea how close I came to choking you out.
Posted by 911DOC at Tuesday, August 17, 2010