Consider the following:
- Dr. C lectured me that it's not the role of RTs interpret EKGs
- Dr. X lectured me that it is the role of RTs to interpret EKGs, and lectured me when I didn't call him with the interpretation (we don't have an in house doctor at night here)
Consider the following:
- Dr. A orders Xopenex on all his patients (He said, "Xopenex is the almighty med")
- Dr. B orders Albuterol on all his patients (she agrees Xopenex should be called Hoaxenex)
- Dr. C. orders Duoneb on all his patients
- Dr. D. orders Xopenex with Atrovent on all his patients
- Dr. E orders any combo of the above, and sometimes just Atrovent alone
- Dr. F lets me order what I want and at any frequency, "Just let me know what you do."
- Dr. G lets me order what I want and at any frequency, "Just let me know what you do."
Consider the following:
- Dr. A is an ER doctor who wants me to hunt him down and show him all EKGs
- Dr. C is an ER doctor who wants me to hunt her down and show her all EKGs, and lectures me when I don't.
- Dr. B is an ER doctor who does not want me to hunt her down with every EKG, that I'm fully qualified to know what one's to take to her right away
- Dr. F and Dr. G are both ER doctors and they trust me to use my common sense
I can tell you when Dr. F and G are working my morale is highest, and when I have an opinion I am quick share it with them. If I think someone needs a treatment I will give it, and when I give an assessment with share the results.
The other ER doctors act as though my opinion, my expertise, and my education are no different than that of a hospital volunteer, and treat me as such. When these doctors are working my morale is lowest.
It would seem to me a protocol would not only benefit these doctors but the morale of us RTs too. However, both doctor F and G have made it quite clear they would overrule a protocol even if there was one. But that's fine by me as they have that right.
Still, is my hospital the only one with this much inconsistency?
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