Re:First-year doctors will be allowed to work 24-hour shifts...
by JshWright on Friday March 10, 2017 @02:17PM
(#13841209)
As a paramedic, I understand your frustration with answering the same questions repeatedly. There is absolutely information being recorded and tracked, and it's very likely the provider walking into the room has already read the notes written by those who were there earlier.
However, much like debugging a technical problem, a systemic approach is necessary for patient assessment. Everyone has their process which they have developed over the years... The pattern and flow to their questions, the order in which they assess various body systems, etc. Jumping around in that process to cover the handful of questions they couldn't find the answers to in earlier reports is a recipe for skipping something.
I'm not saying there isn't room for improvement here. My wife recently spent two months in the hospital, and there were several times where we had to 'educate' a provider about what the plan was (i.e. we would discuss something with the attending, but they didn't chart it well, so the senior resident wasn't up to speed on the changes, etc...)., however, when it comes to those assessment questions being asked repeatedly, there is a method to that particular madness.
However, much like debugging a technical problem, a systemic approach is necessary for patient assessment. Everyone has their process which they have developed over the years... The pattern and flow to their questions, the order in which they assess various body systems, etc. Jumping around in that process to cover the handful of questions they couldn't find the answers to in earlier reports is a recipe for skipping something.
I'm not saying there isn't room for improvement here. My wife recently spent two months in the hospital, and there were several times where we had to 'educate' a provider about what the plan was (i.e. we would discuss something with the attending, but they didn't chart it well, so the senior resident wasn't up to speed on the changes, etc...)., however, when it comes to those assessment questions being asked repeatedly, there is a method to that particular madness.