Who links to me? X-ray Rocks: Dump Run

Thursday, February 28, 2008

Dump Run

I had my first dump 'n run a couple nights ago.

The front desk calls,
"Do you know about a pt. Xxxx, that's a direct admit to CT?"
"Um, No?" I want to say, 'Why would anyone be admitted to CT?", but whatever, the front desk wouldn't know that, anyway.

I warm the scanner up and wait. About 40 mins later 3 EMTs come racing into the dept. with an unconscious elderly woman on their gurney. They're shouting some stuff about low blood pressure, V-fib, O2, something, something - and they rush past me into the CT room.

What I see is a cyanotic old lady actively seizing.

I follow them into the room, "Um, she's having seizures.", I say.
They roll their eyes at me, like duh.
"Yeah, that's why she's here.", one of the EMT's says, while they're moving the pt. on to the CT table.
"Has the ER nurse looked at her?", I ask.
"No. Direct admit to CT.", the EMT says, while they're wrapping up their stuff and heading out the door.

OK - So here I am alone with a cyanotic, seizing old lady. The ER is on another floor. In fact the only other depts. on my floor are housekeeping and HR. They're all gone for the day anyway. There isn't any crash cart or even a blood pressure cuff in our dept. Not like I would know how to use one, right? Actually, for a Rad Tech, I'm very good at taking blood pressure by palpation. Thank you EMT training. Anyway, back to my story. Thankfully, the ER nurse came to my rescue and with her help I tried to scan the pt.'s head. CT and seizures don't really work well together. After the third try we gave up and the ER nurse took the pt. upstairs to be admitted to, get this, a real hospital room, where they gave her some nice Ativan. And I finally got the CT done.

Later on I went up to the pt's room to do a CXR and EKG and the pt's Dr. popped in.
I hate this Dr. Deeply, deeply dislike him. If I were dying, and he was the only Dr. that could save me, I would rather die.
I have the pt's chest uncovered to do the EKG and the Dr. waltzes in, flinging the door open and not shutting it. Granted, she's unconscious, so she doesn't know that her boobies are exposed to the world passing by outside, but gross!
I shut the door.
The Dr. snaps on a glove, "Well, as long as you have her gown open, I'll do a breast exam!" He proceeds to vigorously squish her sagging, floppy breast tissue. "Her family's very worried she might have breast cancer."
She's 88 y/o and unconscious. Hmm, breast cancer may not be her worst problem right now. Then the Dr. grabs my hand, "Here feel this! I think it's a lump. What do you think?"
Eww! I do mammograms, but I DO NOT grope unconscious old ladies!
So I say diplomaticlly, "I feel some tissue, but I don't know what it is."
He snorts, "Well, it feels like a lump to me."

1 comment:

X-Ray Geek said...

REPORT HIS ASS!!!! THAT'S ASSAULT BROTHA(in the words of Billy Madison)!!

On a by line, direct admit to ER????? What kind of idiotic doctor thinks that an actively seizing patient is most appropriately brought to CT???

Wow..I feel sorry for you and the patients in some of your doctors' care....