I have to read these responses and ask--have you not worked in
California, the land of the CYA Medicine. (only problem is CYA can miss
Our ER docs order Lower venous studies for syncope on a daily basis.
Why-cause they want it.(this seems to be the cast issue for DVT)
We also get upper venous orders with those lower venous. Pulmonary docs
order both routinely. Atleast if they have a Picc we can have some
Sometimes if I know the patient is going to be admitted, or have a hunch
someone will figure it out--I do a carotid while they are in the lab and
that way if I get paged back at 2am, I can sleep alittle longer. It also
can save a portable exam the next day.
The reason we do medical testing is not for us to decide--only to do.
But when we are given the wrong order (venous for CVA or Pop
aneurysm/arterial occlusion) and we call the doc and suggest he order
the other cause we find something---The doc and rn are the heroes and we
must climb back into our caves in silence. BUT WE SLEEP AT NIGHT!
I'm not bitter but there are students out there that read this and think
they can actually discuss with an ER doc a study he wants and why.
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