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Wednesday, August 26, 2015

Top 3

top three things that don't need to be said during a patch (in no particular order)


  • the phrase "cardiac history"
  • whether the patient is "resting comfortably"
  • the patient's allergies

2 comments:

  1. I agree on the last one, however, the first two can help the ED know what resources will be required. "Cardiac history" says "have a bed with monitoring available". And "Resting comfortably" is a key phrase for, "does not need any evaluation immediately upon arrival." (we don't routinely give any more than 20-30 second radio reports anyways, so these aren't eating up much time)

    Not saying they can't be substituted or changed.

    As an aside, some of our smaller neighboring hospitals won't accept a radio report without the history, meds, and allergies.....which is bizarre but we rarely take patients there so why complain when they do ask :)

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    Replies
    1. My issue with "cardiac history" is that it is an utterly meaningless phrase. Does the patient have tetrology of fallout? Meth induced cardiomyopathy? An MI? 6 MIs? LVAD as destination therapy?

      I would hope that it would be clear from the pertinent information in your patch whether a tele bed would be appropriate or not, because I don't think just because someone has had a previous heart attack.

      Maybe my main issue is that a lot of the time these things are stated on the radio to the detriment of pertinent information, like 12 lead interpretations or pertinent negatives. "Pt having chest pain, with previous cardiac history, resting comfortably" really doesn't say anything.

      Maybe I should retitle this as "3 things that shouldn't be said unless you've already said the important stuff" :P

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