Comments on: Patient discharge http://www.kevinmd.com/blog/2008/09/patient-discharge.html medical blog Sun, 22 Nov 2009 19:59:44 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2008/09/patient-discharge.html/comment-page-1#comment-87403 Anonymous Wed, 24 Sep 2008 01:19:00 +0000 http://clients.emmense.com/kevinmd/2008/09/patient-discharge.html#comment-87403 Let me get this right. The urologist is complaining about a patient who sat o/n because HE did not contact the other players? Not to state the obvious but I also agree with above. pick up the bloody phone or are subspecialist's time to valuable waste time on the phone? Let me get this right. The urologist is complaining about a patient who sat o/n because HE did not contact the other players? Not to state the obvious but I also agree with above. pick up the bloody phone or are subspecialist’s time to valuable waste time on the phone?

]]> By: Stalwart Hospitalist http://www.kevinmd.com/blog/2008/09/patient-discharge.html/comment-page-1#comment-87400 Stalwart Hospitalist Tue, 23 Sep 2008 21:36:00 +0000 http://clients.emmense.com/kevinmd/2008/09/patient-discharge.html#comment-87400 Agree with Happy. I usually know who I'm going to need "clearance" from each morning for potential discharges, and try to get them on the phone early.<br/><br/>Plus, I'm confident enough in my internal medicine training to know when a patient can be discharged safely, and I'm confident enough in my hospitalist experience to minimize the chances of things being dropped in the post-discharge period.<br/><br/>This does mean that sometimes the consulting service does not get a last face-to-face with the patient, but I have found this to be generally acceptable (academic environment). However, if I need the specialty service in question to convey specific information to the patient (and I realize that they can do it better than I), then I may have to capitulate to the specialist's schedule. Agree with Happy. I usually know who I’m going to need “clearance” from each morning for potential discharges, and try to get them on the phone early.

Plus, I’m confident enough in my internal medicine training to know when a patient can be discharged safely, and I’m confident enough in my hospitalist experience to minimize the chances of things being dropped in the post-discharge period.

This does mean that sometimes the consulting service does not get a last face-to-face with the patient, but I have found this to be generally acceptable (academic environment). However, if I need the specialty service in question to convey specific information to the patient (and I realize that they can do it better than I), then I may have to capitulate to the specialist’s schedule.

]]> By: The Happy Hospitalist http://www.kevinmd.com/blog/2008/09/patient-discharge.html/comment-page-1#comment-87398 The Happy Hospitalist Tue, 23 Sep 2008 19:02:00 +0000 http://clients.emmense.com/kevinmd/2008/09/patient-discharge.html#comment-87398 I pick up the phone and I call them. That's why hospitals love hospitalists. We communicate. I pick up the phone and I call them. That’s why hospitals love hospitalists. We communicate.

]]>