“Just admit the patient to medicine.”
Been there, done that. It’s the only service in the hospital that can’t refuse admissions. Scalpel with another example.
Related posts:
- Unnecessary hospital admissions cost money and can harm patients
- Customer service in medicine
- My take: Paying for call, Muslims in medicine
- Dumping ground
- How hospitalists can provide high quality patient care at the lowest possible cost
- Is hospital medicine going to devolve?
- My take: Slow medicine, destroying the medical home, animosity, patient communication
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One of the hospitals I worked at Neurosurgery and Ortho were consult only services through the E.R. That and payment for call were the only ways we could get specialist coverage in the E.R. Even an isolated tibia fracture in a young patient would get admitted to either trauma or medicine. It was worth it to get ortho coverage though no matter how much trauma or medicine complained about it.
And in a bizarre twist on the Internal Medicine dumping ground syndrome, I describe a surgical patient who was boarded on a medicine floor – only to terrorize the medical patients and staff nearby! So even if a patient is not actually ADMITTED to the IM service, you can still be at risk.
http://www.revolutionhealth.com/blogs/valjonesmd/the-case-of-a-predato-3629
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