CT32WHEN TO CALL THE SURGEON

Not infrequently, a patient status has changed and the surgeon is not informed. This not only leads to frustration but potentially bad outcomes. Devising a protocol for when to call the surgeon is fraught with difficulties. Frequently they are so complicated that individuals were unable to remember...

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Bibliographic Details
Published in:ANZ journal of surgery 2007-05, Vol.77 (s1), p.A14-A14
Main Author: Shaw, D. P.
Format: Article
Language:English
Subjects:
Guidelines
Health care delivery
Quality of care
Surgeons
Online Access:Get full text
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Summary:Not infrequently, a patient status has changed and the surgeon is not informed. This not only leads to frustration but potentially bad outcomes. Devising a protocol for when to call the surgeon is fraught with difficulties. Frequently they are so complicated that individuals were unable to remember them thus the protocols are not applied. High turnover of junior staff means that large protocol books are not read. The below three rules are designed to fulfil the role of protocols. They are compulsory flags for when the surgeon is to be called. They are not guides to management nor comments on adequacy of management. Their intent is to flag a change in status of the patient. The compulsory nature of the flags reduces the decision making and stress for the resident staff as to whether or not they should be calling the boss. The surgeon is to be called when 1. The patient is to receive blood or blood products. 2. The inotropes dose is doubled from admission. 3. A vasoconstrictor is started. [PUBLICATION ABSTRACT]
ISSN:1445-1433
1445-2197
DOI:10.1111/j.1445-2197.2007.04115_30.x