Fun with surgeons
Almost finished now with my two week stint at the community hospital, then off to the ICU. It actually has been pretty good thus far - the nurses draw their own labs, which is nice, and when you order an MRI you can actually get the scan done in your lifetime.
The thing that has been most aggravating, actually, has been my interaction with the surgery department. Seems they enjoy turfing their patients to us and then complaining about the ins and outs of the care we give their patients. They even change the orders we put in. I had a patient with a small bowel obstruction (a problem that can be cured only by cutting it out) because they wouldn't take care of her. They "consulted" for a few days, changed my orders and bitched about the meds, fluids, tubes (you name it), and then finally realized "hey, this lady has a surgical issue" and took her to the OR.
That would be kinda interesting if I could refuse patients when I didn't feel like admitting them. Having a heart attack, Mr. Jones? I want to make it home to go watch a football game. Go see your orthapedic surgeon. I'll "consult" if anything comes up.