consults

I work evenings at a hospital, often times when we call the hospitalist about a concern they won't come to see the pt. but will order a consult with a specialist md. this could be after hours and specialist has gone home.

What to do in this situation? Hospitalist who ordered knows its after hours.

How to other hospitals handle this matter?

pt. has a problem but hospitalist doesn't want to deal with it so they consult another md to see pt. but can't see pt. until next day.

So frustrating!
Quote from sweet sunshineI work evenings at a hospital, often times when we call the hospitalist about a concern they won't come to see the pt. but will order a consult with a specialist md. this could be after hours and specialist has gone home.What to do in this situation? Hospitalist who ordered knows its after hours.How to other hospitals handle this matter?pt. has a problem but hospitalist doesn't want to deal with it so they consult another md to see pt. but can't see pt. until next day.So frustrating!

We have a policy where we have to call the consults as soon as we get them. 2am and patients lab work came back as MRSA, and you want an ID consult. Time to wake the ID doctor up to see if he agrees with the Vanco the pt is already on. Usually our consults will call back so you can at least explain the situation and that will determine whether or not they will come in to see the pt.

if you believe the patient is not being provided safe care then initiate chain of command.

At my facility the doc ordering the consult has to call the consulting doc.

Quote from LouisVRNWe have a policy where we have to call the consults as soon as we get them. 2am and patients lab work came back as MRSA, and you want an ID consult. Time to wake the ID doctor up to see if he agrees with the Vanco the pt is already on. Usually our consults will call back so you can at least explain the situation and that will determine whether or not they will come in to see the pt.