tag:blogger.com,1999:blog-24021163.post5734552592416157347..comments2024-02-18T01:56:38.508-06:00Comments on M.D.O.D.: q D911DOChttp://www.blogger.com/profile/06466669111561150174noreply@blogger.comBlogger21125tag:blogger.com,1999:blog-24021163.post-78727519741051964312007-11-16T16:42:00.000-06:002007-11-16T16:42:00.000-06:00When I was a 3rd yr medical student I remember a r...When I was a 3rd yr medical student I remember a resident writing an order that a patient could have a "BedTime Snack"...the unit secretary paged him questioning his order for a "BigTime Snake"Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-4395846386212938352007-11-14T17:45:00.000-06:002007-11-14T17:45:00.000-06:00*burp*caesar you say? go get your own blog.*burp*<BR/><BR/>caesar you say? go get your own blog.911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-32615828048780258922007-11-14T17:38:00.000-06:002007-11-14T17:38:00.000-06:00JCAHAO is AFU and FOS and BSC and needs 2B SPAKJCAHAO is AFU and FOS and BSC and needs 2B SPAK911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-53893127983665845772007-11-14T16:36:00.000-06:002007-11-14T16:36:00.000-06:00realisticrn: Thanks! Yes, D/C is one of those abbr...realisticrn: Thanks! <BR/><BR/>Yes, D/C is one of those abbreviations on the list...when I write D/C home, it just might confuse the staff as to whether I wanated to discharge the patient, discontinue the patient, or send him for a D AND C. So, thankfully JCAHCO has stepped in to make patients more safe.<BR/><BR/>Isn't it ironic that the institution with the most acronynyms and abbreviations in the WORLD...the US GOV is trying to stop confusion in our arena (where none existed before).<BR/><BR/>I'll be happy to write out "discharge" and "daily" and all of the other shit, but in return, they can no longer call themselves JCAHAO. They have to write out Joint Commission for the Accreditation of Health Care Organizations. I find the JCAHAO title confusing and therefore I think it's unsafe.erdoc85https://www.blogger.com/profile/06373340227068589953noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-53736060593777886472007-11-14T15:00:00.000-06:002007-11-14T15:00:00.000-06:00It's "Caesar" numbnutsIt's "Caesar" numbnutsAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-44762592921090591222007-11-14T09:45:00.000-06:002007-11-14T09:45:00.000-06:00ERDOC85,If I had been one of your nurses, I would ...ERDOC85,<BR/>If I had been one of your nurses, I would have taken care of the problem and you wouldn't even have known about it...well, you would have overheard us (nurses) making fun of the pharmacist/system.<BR/>Isn't "D/C" one of the abbrev they tried to, uh, D/C?RealisticRNhttps://www.blogger.com/profile/04578587938149321482noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-83187796105952588752007-11-13T13:16:00.000-06:002007-11-13T13:16:00.000-06:00"romani ite domum? nominative?... now do it a thou..."romani ite domum? nominative?... now do it a thousand times before morning or i'll cut your balls off!"<BR/><BR/>"yes sir, thank you sir, hail ceasar sir!"<BR/><BR/>as for the rest of it i started as a tight end but now i am a wide-receiver. not because i like it understand, i don't, but my boss has always been a wide receiver.911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-73331353553157685302007-11-12T23:58:00.000-06:002007-11-12T23:58:00.000-06:00That pharmacist should have been shot! Oh my GOD!...That pharmacist should have been shot! Oh my GOD! I was a pharmacy intern back in the days when we had to read doctors HANDWRITING!!!!! <BR/><BR/>I am doing an internship at the VA right now. There is a training next week with a lecture that is about "How patient safety programs decrease patient safety"<BR/><BR/>I am looking forward to that....Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-9347004400372645382007-11-12T21:40:00.000-06:002007-11-12T21:40:00.000-06:00the problem with all governmental oversight, or bu...the problem with all governmental oversight, or bureaucratic oversight, or centralized oversight is that the process becomes more important than the problems they were designed to solve. then you have a bunch of people who get paid for the oversight and they come to believe that what they do is really important. sometimes it is, but really i'm hard pressed to think of when. <BR/><BR/>these folks probably have little real sense of accomplishment in what they do but there is strength in numbers. they are then emboldened and empowered. and good gracious, what is the last bureaucracy, paid committee position, or administrative oversight position that got cancelled because they got their job done?<BR/><BR/>they merely expand and they can not be killed.911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-85084510605234193902007-11-12T20:34:00.000-06:002007-11-12T20:34:00.000-06:00It's pedantic asininity like this that makes me pr...It's pedantic asininity like this that makes me proud to be...a civilian!<BR/>Y'all should NOT have to tolerate this crap. I'm prayin' real hard Socialized medicine does NOT become a reality;because if the .gov can screw things up this badly just by supervising paperwork and accreditation...I shudder to think what running the entire system will mean.HollyBhttps://www.blogger.com/profile/17644166795449256850noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-35395925524606373632007-11-12T20:10:00.000-06:002007-11-12T20:10:00.000-06:00911: I see your point, but I don't think this par...911: I see your point, but I don't think this particular guy would have confused qD with QED.<BR/><BR/>因此被证明 would have been another matter...but I seldom use that abbreviation.erdoc85https://www.blogger.com/profile/06373340227068589953noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-77861853504801202932007-11-12T18:16:00.000-06:002007-11-12T18:16:00.000-06:00Heh, when I worked on the floor, we had to call an...Heh, when I worked on the floor, we had to call and clarify these orders, too, which was embarrassing to us as well because it inherently makes us sound like royal idiots. We were allowed to take verbal orders over the phone for "daily" instead of "Qday", however. <BR/><BR/>That being said, the last known doctor to have written "QD" hasn't been seen since. There was a house-wide meeting where we were told to tell "any interlopers" that "he up and moved to Tanzania", but I saw the poor chap the day before and he just said he was "going out to an Italian restaurant to talk with JCAHO". It's fishy as Hell, lemme tell ya.Nurse Khttps://www.blogger.com/profile/06408755992926959084noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-33482594380511351462007-11-12T16:15:00.000-06:002007-11-12T16:15:00.000-06:00Is there nothing better than to be the recipient o...Is there nothing better than to be the recipient of hugs and commiseration from your fellow docs. What a support system. Now if I could just get my tongue out of my cheek...Lynn Pricehttps://www.blogger.com/profile/02958402288888144904noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-48404790474627913832007-11-12T14:17:00.000-06:002007-11-12T14:17:00.000-06:00I use any and all abbreviations I can get away wit...I use any and all abbreviations I can get away with.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-24021163.post-37561525565810917852007-11-12T14:02:00.000-06:002007-11-12T14:02:00.000-06:00there's another problem with what you have written...there's another problem with what you have written here erdoc85 and i do think it has the potential to cause harm. <BR/><BR/>as you know the proper way to finish a geometric proof is to write Q.E.D. (quod eratus demonstratum, or 'thus it is shown') below the proof. <BR/><BR/>i would not be at all surprised if the pharmacist, obviously highly trained in many of the hard sciences, thought that you were trying to prove a geometry problem and that you had not, in fact, satisfied the proof. <BR/><BR/>keep that in mind when you 'poo poo' these rules and regulations. someday you might recoil in embarrassment after someone mistakes you for saying that a all the angles of a triangle do not equal 180 or something.911DOChttps://www.blogger.com/profile/06466669111561150174noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-56102805977263705912007-11-12T13:56:00.000-06:002007-11-12T13:56:00.000-06:00Wonderful example of bureaucratic insanity. And no...Wonderful example of bureaucratic insanity. And now you'll have PTSD when you see the letter "D." :) Thanks for the laugh...Dr. Valhttps://www.blogger.com/profile/10481032355977889911noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-81093776027166222662007-11-12T12:59:00.000-06:002007-11-12T12:59:00.000-06:00I feel much better after the formal flogging here ...I feel much better after the formal flogging here on the blog. Thank you all for sharing in my shame. I awoke this am with the burden of disgrace that I have brought upon my family.<BR/><BR/>And to the Fart...I DID get those blood cultures, because that's "quality care" as defined by our hospital. (Yeah he had been sick for a week and was already on Keflex by some outside goombah who believes Keflex cures all ills...including MRSA).<BR/><BR/>As for the 4 hour window, I hope I made it since we have an "incentive". If we get antibiotics into 90% of the pneumonia patients within 4 hours of their presentation to the ED, we get $3,000 for our group of 15 docs to split each month! <BR/><BR/>Needless to say, lots of folks with CHF, asthma, or perihilar "schmutz" get their antibiotics! More "quality care" for you.erdoc85https://www.blogger.com/profile/06373340227068589953noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-65532549318788152322007-11-12T11:14:00.000-06:002007-11-12T11:14:00.000-06:00Can't be bothered to write out "day?"*aghast*And y...Can't be bothered to write out "day?"<BR/><BR/>*aghast*<BR/><BR/><I>And you call yourself a doctor!</I>Ambulance Driverhttps://www.blogger.com/profile/10175419709184526342noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-11161955143862870992007-11-12T11:13:00.000-06:002007-11-12T11:13:00.000-06:00Just to follow up and make sure you know how dumb...Just to follow up and make sure you know how dumb you were, you will probably be getting a formal letter from some committee because you didn't get blood cultures before administering the antibiotic, even tho they are positive in what 3% CAP cases! Oh and did you get the antibiotic in the pt inside the 4 hour window, even tho the pt had probably been sick for 4 or 5 days??Oldfarthttps://www.blogger.com/profile/14333534023484494721noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-39455273213402237932007-11-12T10:36:00.000-06:002007-11-12T10:36:00.000-06:00How riduculously absurd!!!How riduculously absurd!!!NocturnalRNhttps://www.blogger.com/profile/14897522065495303540noreply@blogger.comtag:blogger.com,1999:blog-24021163.post-91174003345883210822007-11-12T08:44:00.000-06:002007-11-12T08:44:00.000-06:00I too am aghast that you would write a D instead o...I too am aghast that you would write a D instead of Day. My only hope is that you have learned from this and will never, EVER, let it happen again.<BR/><BR/>CATshrodingers cathttps://www.blogger.com/profile/04020541322469047041noreply@blogger.com