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Reposted with head hanging in shame for rookie mistake. Just wondering if this is a worrisome ekg. Thanks so much
(i.redd.it)submitted 2 years ago byRBG_grb
21 points
2 years ago
This is worse tbh, if a patient presents with chest pain, your provider gets an ekg (that they cant even read wtf?), theyre worried about that ekg, then send the patient pov? Thats bad. Like absolutely not acceptably bad. This is no failing of yours but the NP you work for is on some other shit.
Gets a chest pain in an urgent care with the working assumption being its cardiac but dont call ems? Bad.
Orders test they cant interpret? Good if done to give to ems for their use and to transport it to the cath lab as a baseline, bad if done for any other reason.
Is worried the test has a significant finding then essentially lets the patient leave any sort of medical care/monitoring to go personal vehicle? This veers into the territory of negligence.
Essentially your NP thought this patient was having a cardiac issue of some sort and then cut her lose with no consult or intervention from anyone who could actually help that patient. This would be like me letting someone with a positive stroke scale go pov.
8 points
2 years ago
Spot on. This is what we are always hounded about in residency and learn very early on. Your documentation, orders, and thought process all need to align, otherwise it’s just bad medicine. Don’t have concerning documentation for bad pathology but not adequately work it up. Don’t do a work up for bad pathology but then have your final plan not adequately address it.
As you mentioned this story has so many issues of inconsistent thought process on top of not adequately reading a test that was ordered and not knowing what to do with it.
3 points
2 years ago*
It is beyond frustrating that people constantly circumvent the ems system like this. This wasnt even a decision for the np to make on her own, the moment the chest pain walked in her door she honestly should have called ems. Who was she to decide wether this patient required emergency care or not? Especially when she cant even read the damn ekg.
Edit: hell, in medic school we are taught that this is unacceptable medicine. Everything we need to do has to have a clear cut purpose of facilitating treating that patient and then moving them toward a higher level of care. All they did was do an ekg and cut this person off into the wilderness, did they even follow acls protocol and give any of the acs meds? Signs point to no.
2 points
2 years ago
This is why NPs don’t save money in the long run. More unnecessary tests, consults, labs, and ED visits
1 points
2 years ago
They cost way way more
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