Re: The Diagnosis
From: art fougner, md (evsono@pipeline.com)
Mon Mar 4 06:24:10 2002
so why not have terminals at nurses' stations for the input of orders?
would eliminate the handwriting issue.
art
At Sun, 03 Mar 2002, Dean Huffman wrote:
>
>..
>
>I think that one could argue the situation both ways. The physician should
>write the order legibly so that it can be read. If his/her writing is not
>legible, then it should be printed. I have even seen physicians whose
>writing and printing was so bad that they would type notes, orders, etc.
>(The hospital had a typewriter for this purpose on every ward. Whether or
>not the typewriters were there specifically for that physician is unknown
>to me -- that was back in the days before word processors.)
>
>On the other hand, if the nurse cannot read the writing, he/she is
>obligated to call the physician to have the orders clarified.
>
>You can bet that the lawyer will argue both ways. This way he can pit nurse
>against physician and, if lucky, find liability on both sides.
>
>--
>Dean Huffman
>
>- - - -
>
>At 08:08 PM 3/3/2002 -0600, you wrote:
>>The nurse didn't necessarily "mis-read" - the PHYSICIAN wrote it
>>illegibly and the nurse did her best to decipher. I always taught the
>>residents and medical students that if they want the patient to get what
>>they order - then it is his / her responsibility to write it so the
>>order can be read! There is no excuse (in my book) for an order that can
>>not be read.
>>
>>Joanne
>>
>>as ART says - that is my opinion...
>>
>> >
>> > -----Original Message-----
>> >From: Braun, R. Daniel [mailto:rbraun@iupui.edu]
>> >Sent: 27 February 2002 11:47
>> >To: Multiple recipients of list OB-GYN-L
>> >Subject: Re: The Diagnosis
>> >
>> >I remember several years ago, we removed the C-L of a 6 week pregnancy and
>> >ordered Delalutin to replace the progesterone. The nurse misread the order
>> >and gave Dilantin. The pregnancy progressed to term with a normal delivery.
>> >
>> >Dan
>> >
>> >R. Daniel Braun, MD
>> >
>> >There are strange things done in the midnight sun
>> > By the men who moil for gold;
>> >The Arctic trails have their secret tales
>> > That would make your blood run cold;
>> >The Northern Lights have seen queer sights,
>> > But the queerest they ever did see
>> >Was that night on the marge of Lake Lebarge
>> > I cremated Sam McGee.
>> > Robert W Service
>> >
>> > -----Original Message-----
>> >From: Steve & Eryl Raymond [mailto:eryl@intekom.co.za]
>> >Sent: Tuesday, February 26, 2002 11:15 PM
>> >To: Multiple recipients of list OB-GYN-L
>> >Subject: Re: The Diagnosis
>> >
>> >Is there any evidence that the human pregnancy requires extra progesterone
>> >once the
>> >placental production of HCG has started? It is my understanding that an
>> >oophorectomy
>> >does not affect a pregnancy after implantation.
>> >stray
>> >
>> >"Marco A. Pelosi, III, MD" wrote:
>> >
>> >> At Mon, 25 Feb 2002, Steve & Eryl Raymond wrote:
>> >> >
>> >> >Why the progesterone supositories?
>> >> >stray
>> >> >
>> >> >The corpus luteum was completely removed ergo progesterone deficient
>> >> pregnancy.
>> >>
>> >> --
>> >> M.A. Pelosi, III, MD
>> >
>> >--
>> >
>> >Dr.S.H. Raymond
>> >Head of Department of O & G
>> >Empangeni Hospital
>> >South Africa 3880
>> >Phone: (+27) 35-7721111
>> >Fax: (+27) 35-7922596
>> >
>>
>>--
>>Joanne Bulley, MD
>>Keene, NH, USA
>>
>>~*~ let there be peace on earth and let it begin with me ~*~
>
--
art fougner, md
ich bin ein New Yorker
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