tag:blogger.com,1999:blog-26666124.post439231765514624835..comments2024-03-18T03:28:36.581-04:00Comments on Shrink Rap: E.R. CallUnknownnoreply@blogger.comBlogger7125tag:blogger.com,1999:blog-26666124.post-10904616932672352172007-04-17T10:20:00.000-04:002007-04-17T10:20:00.000-04:00I remember one shift where I was in the ER for my ...I remember one shift where I was in the ER for my critical care rotation (there for 5 weeks - last rotation in school), we had a really busy night with at least 4 psych emergencies. My psychiatrist was the resident on call. That was kinda weird, to tell the truth, but I sort of liked watching from behind the scenes. We didn't have to work together at all as none of the psych patients were mine, and I don't think he knew I was also in the ER. I told him later that I had been there working. <BR/><BR/>Don't know if that would have been weird for him, too. I'm just you're average Jane of a person really - nothing to worry about what I might say or do - I've never been inappropriate in a public place, and I probably would have said hi and moved on....not sure if any of those patients had been mine if I would have given them up, because that would mean having to explain to the RN that I can't have that patient because my psychiatrist is working with them...and that would be more personal than I'd want to go!<BR/><BR/>So at our hospital at any rate, the resident on-call does the ER evals...not just in psychiatry, but in all areas. The fellow is next in line - and lastly would the attending be called in. We also utilize hospitalists - there are 2 that work in neonatology. But we're a big academic med ctr where we have the ability to do that! :)<BR/><BR/>Take care,<BR/>Carrie :)NeoNurseChichttps://www.blogger.com/profile/16120931307124798416noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-67873767103052284052007-04-16T00:36:00.000-04:002007-04-16T00:36:00.000-04:00I haven't done night call in an ER since I was a r...I haven't done night call in an ER since I was a resident, and then I stayed in the hospital, they didn't call me in. <BR/><BR/>Okay, but years ago, I did cover the ER during the day, but as backup rubber stamp to a social worker. So here's my favorite story: social worker calls me, patient was brought in by police for walking naked on highway. It's okay, though, patient has an outpatient evaluation already scheduled at a clinic for tomorrow, social worker signing him out, wants my rubber stamp. I'm left to point out that said naked patient walking in the middle of the highway might not live to make it to appointment tomorrow, and wouldn't it be better if he spent a little time inpatient where he could be dressed and out of traffic? No rubber stamp. <BR/><BR/>My second favorite is not my story but Camel's: Managed care company asked if gun patient was pointing at his head was loaded. Apparently they don't allow inpatient admission if you point an unloaded gun at your head and say you're gonna kill yourself.<BR/><BR/>Oh, to sleep through the night without any calls from Dr. Bear...Dinahhttps://www.blogger.com/profile/09227988351623862689noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-68782581708660857552007-04-15T20:27:00.000-04:002007-04-15T20:27:00.000-04:00Oops, of course you are right. I forgot to mentio...Oops, of course you are right. I forgot to mention that he said he had to go out of town for business and it was an emergency.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-78378840877674770952007-04-15T20:11:00.000-04:002007-04-15T20:11:00.000-04:00anon, it could be a family matter, or a personal t...anon, it could be a family matter, or a personal thing... therapists have lives too.Rachhttps://www.blogger.com/profile/11897760883997811787noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-21493194102209318112007-04-15T19:49:00.000-04:002007-04-15T19:49:00.000-04:00I've been interested in your topics about emergenc...I've been interested in your topics about emergencies, and it is particularly timely since my therapist cancelled my appointment this week because he had to go out of town for an "emergency". He's a social worker, what the heck kind of emergency could he have? I'm going to ask him when he gets back, it should be interesting.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-72789838532623529542007-04-15T19:33:00.000-04:002007-04-15T19:33:00.000-04:00Yes, on-call in this instance would mean that if a...Yes, on-call in this instance would mean that if a consult is requested by the ER doc, you'd have to go in and do the evaluation.Royhttps://www.blogger.com/profile/08735111026336537653noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-12429410686754564702007-04-15T18:18:00.000-04:002007-04-15T18:18:00.000-04:00Roy, please clarify for me - what is "on-call"? In...Roy, please clarify for me - what is "on-call"? In my business, on-call means that I'm available by pager and phone, but don't need to be on site. I do need to be in a situation that I can come into work if needbe. Is that what you're referring to?Rachhttps://www.blogger.com/profile/11897760883997811787noreply@blogger.com