Friday, March 18, 2011

Does that mean what I think it means?

Where I work, nurses are still doing paper charting but our physicians have this charting system that, from what I can gather, has a series of generated normal responses they can select- charting by exception, basically- not a bad system. So one of the notes for disposition and discharge I always see says something like "discussed care with patient, patient was in good condition, discharge was given by RN, patient was ambulatory ", except I see this pretty frequently in fast track in notes for infants and I find it hilarious every time. I just have a picture in my head of an infant walking out of the ER with it's discharge papers like, great, otitis media, yeah. I'll go fill this Amoxicillin right now, thanks guys.
I'm curious, though, is ambulatory now some blanket term for not dying, doesn't need to be admitted or transferred, or are all our midlevels actually rocking so hard back there that they are not only treating the babies with nasal congestion, but are also teaching them to take their first steps out to the parking lot? I must know their secrets.


  1. When you find out the secret...I'll buy you a beer so you can tell me too. I bet guinness would hold up well in the mail.

    My favorite is that when our docs sign up for a patient and go into the room, they can click on when their exam starts, and it reads "Exam started at 10:56. Have read and agreed with RN notes." Even when the RN in question has not yet stepped foot in the room.

  2. Those are some pretty impressive midlevels you've got there :)

  3. @shrtstormtrooper-pouring out some guinness for you right now, hommie. I would definitely, just once, chart the most ridiculous exam ever if my MDs did that. Multiple bleeding orifices? Check! Agonal breathing? You know it!
    @raquel-Indeed. I hope the word doesn't get out in the hood or we'll have even more patients.