"It's all in the computer"; my nightmare begins with those 5 words, usually said by someone on no less than 10 meds, with at least 40% being old with unknown indication and the remaining 60% with an incorrect dose
But as a patient you can't really do anything about it. I could go into my electronic chart and mark the drugs I'm no longer taking as request for removal but they would never be removed and cycle back to the main list. And every time I went to the doctor they would read the list and I would say "I'm not taking that" and they would say "we will remove it from the active list" and they never would. This would go on for years so half of the stuff I would forget was even there because I took it for like a week 5 years ago. I finally managed to get one to do it in front of me but otherwise you are stuck.
My experience with that phrase is someone who's making something up to score. The amount of times I've heard a patient say that they've got pain killers in the computer followed by "No you don't, but you have this psych medication" is phenomenal. Alternatively, it's someone with an old parent that thinks that the nurses have every single patient's medical history, drug list, exact diagnoses, etc. just programmed in their heads. They like to get pissy if the nurse has to look at the computer before answering, somehow
The computer systems are always hard to understand and changing anything that’s already in the computer takes expertise in the specific system that they use. Once my psychiatrist had to ask my mom how to change the dose of my medication in the computer system, mom works pharmacy and had used the system before. The solution turned out to be delete the medication from the list, then add it again at the new dose, because the new dose was a bigger pill instead of a larger number of the previous ones. Learning new systems is difficult.
After looking up on google. There are 4.46 million "Asian" Indians in the USA and over 5 million native americans. So we haven't got there just yet. But soon the Asian Indians will overtake the Native Americans.
More even. You’re sat here in a free warm bed getting three meals a day and someone to wipe your arse. Please find yourself a carehome already so we can treat sick people.
They started this discharge "lounge" recently... like ... you are waiting for your family for more than 30-40 mins ? well you are kicked out of your room to sit with a bunch of other semi sick people, With basic masks and an emt.... it's a great way to spread covid I'm sure.... The guy running it came up today to bug me since I was educating my patient too much ... don't mind their a1c was high and this was their second stroke and they were finally ready to ask actual good questions and listen... and was injecting insulin for the first time ever with me but I'll rush through her discharge so she can be admitted again... She hugged me and thanked me for actually spending time to teach her .... She'll be back 100% but hopefully still not in terrible shape ....
That's me and I'm 35 lol I'm on 12 medications and I aaaalways carry with me a list of all of them, correct dosages, and what they're for. Disability organization for the win 🎉😂 lol
@@LaurenAlexandra13Yep, I just turned 40 and in my phone’s Notes app I have a list of all 11 meds I take (generic name and brand name), the dosage, and indication. I also have a list under that of any OTCs I’m currently taking and any supplements. And I put a date on top for the last date it was updated. Last month I was admitted to the hospital and stayed for a week and having that list was SO useful. I was really out of it when I went to the ER and had trouble remembering what meds I was on, but all I had to do was bring up that list and hand my phone to the nurse. And then when I got admitted to a different hospital, I only had to hand my phone to the nurse there so she could confirm my meds were right in her system. I also have a separate list with my diagnoses and my past surgeries.
That's me! And just did the same for my husband. Lol. My MIL was admitted to a hospital, she did not have dementia , and she literally didn't know the names of her meds or the doses or why she was taking them. 🤦♀️
Granted, mine is written, but I keep track of whether or not I'm taking my meds (hooray ADHD!), how often for the PRN, any symptoms i've been experiencing, and in what capacity.
I was recently discharged after 6 weeks and the day before was told that transport was booked for 12:30pm. The I pointed out that I had a (clinic) follow up with surgeon at 1pm and was told the surgeon would come in the morning…. The next day the transport was moved to 2:30pm, the appointment was still at 1pm (discharge was dependent on the X-rays and lifting some restrictions) and thank goodness the transport was running late. 😂
Social worker: sets up transportation, make sure family notified, gets discharge packet, makes sure patient can resume their outpatient dialysis, boom! Patient comes back positive with Covid and can’t go skilled nursing 🙃
And the family that comes to get the patient at shift change or the ems transport that promises to show up at 8am and never shows up till the next day. 🙃
Same! I actually have mine in a little chart that has the name, dose, frequency, and indication of each med. I also include the as needed meds on there. I carry one list in my purse, and then if it's a planned doctor's appointment I print them one in larger font and alphabetical order so it's easier on them haha
God bless adult doctors. Pediatric med lists are a lot simpler (unless you’re on transplant). Docs need WAY more support to improve medical care-so much gets missed because there just isn’t enough time!
I have no idea why anyone would choose to work in adult medicine. Give me my kiddies all the way. The only problem with Pediatrics is the kids have parents😂🤣😂
“SUPPORT” ???? You sound like admin, tha “support” that’s needed is STAFF !!!!! More docs, nurses and aides.....one human can only do so much no matter how much “support” you give them, it takes bodies to get it all done !
What - really? I have ALWAYS found paediatric doses difficult. It’s like whenever I see a child I start panicking because I usually have absolutely no idea about the peds doses. I honestly have to look them up by mg/kg. Or have to go check what’s available in the pharmacy. I thought dealing with adults is easier since at least the therapeutic window is wide.
Having my husband is ICU for months has given me a whole new level of respect and patience for health care workers ❤ my moms a retired health care worker so I always knew it was a hard and often thankless job. But to see first hand how hard and diligently good health care professionals work for their patients.........my goodness....... ❤❤❤
Well try working night shifts in the ER in a country like mine where patients would come to you at 3 AM! for something as stupid as seasonal cough/allergies . That they have been having since 10 days. Idk what enlightenment they get at 3 am randomly that they decide to show up.
This makes so much sense on why it takes so long. Who is supposed to go over the med list? Like, these were all ordered or administered in the hospital
You forgot the consultant who decided to increase the lisinopril dose after the medicine list was updated on the depart which caused the hospitalist to fail their stretch goal for discharge timeliness.
....and I get to my pcp to authorize scripts, but they can't without an authorization....but the pharmacy needs permission from the e.r. who needs permission from my pcp who....nevermind I died.
As an RN, I can also confirm this is true. We have to drop everything to get a discharge out so they can clean & refill a room. Can’t have anyone waiting on a ride. Don’t want to miss the next wad of cash.
I showed this to my nurse dad who never laughes at anything I show him and he said “that’s reality where’d you get that” so yeah thanks for this video ❤️
Pharmacy Tech here! Legit had this happen yesterday. Patient calls us up. Wants a refill on his meds. “Sure. No problem. Which medication did you need?” “All of them!” “Hmm looks like you haven’t taken this coreg in over 6 months. Do you still take it?” “Yes. Just refill it all” “Hmm. You just got a couple 90 day supplies on your cholesterol medication. Do you know what the meds that need refills are for? I can look them up in your file that way” “It’s a white pill. Just do all of them” -me looking and seeing antifungal meds for 5 months ago. Antibiotics from 2 weeks ago.- “Ok Mr. Smith. How about when you go home take a look at the bottles of the medication that you’re running lown on and call me back with those names/rx numbers and I’ll get them taken care of for you.”
I wish we had. Clinical pharmacologist who goes over the dr's orders. Sadly we have a great shortage, so they are not involved in the disharge at all. The nurse is the gatekeeper.
@@BenWard29 SERIOUSLY IT WOULD! But of course if the patient is thinking about heading to the ER because they REALLY feel bad it probably shouldn't be discharge day either. Been there.
Your videos make me MUCH more patient any time I’m in the hospital or doctors office. It’s great to know more about how hard you all work for all of us. You’re awesome!
This is why we feel bad for the physicians and nurses trying to sort through all these meds (not to mention the patient "forgetting" that she does Not have a current prescription for some of them)...
Dr. Schimdt, I subscribed you from Day 1. As a RN, I applaud you with two thumbs up. You are so real. These things happen in the hospital every single day. And I couldn't agree more. You're able to play multiple roles with everything so precisely good. What an amazing Doc. Yes, boys and girls, this is true. I concur, 100%.
Oh, my God. I’ve handled calls like this as an interpreter. Working with old people and when they’re from other countries with a vastly different Spanish accents from mine and that don’t even know how to answer questions directly are the type of interpretation calls that make me pull my hair out. Bonus if the English speaker themselves have a thick accent and that get all pissy when I cannot understand what they’re saying in English.
@@anti_fascist We do have it worse! We are the ones that have to face the patients and their impatience and then have to clarify the changes in the med list!
Alright, isn't this also totally the experience of the day shift RN on a Friday late AM? Not to mention SNF dc's. So funny. This guy hits the nail on the head. Always best when the docs and RNs can understand and help each other out and maybe laugh about it a bit. "Just reminding you that all discharges should be completed by NOON!" 🤣🤣🤣 Sure thing, chief.
💯💯💯 That last bit reminds me of the time when we had a Grand Rounds presentation for R U OK day. All about Doctors wellbeing etc. After the presentation finished, some hospital administrator got up, wasn't even joking, and said in despair "just need you all to know that the hospital is full and we really need you all to prioritise discharges!" RIP the doctor wellbeing, along with any pretence that the higher ups actually cared about it in the first place.........
Meanwhile in the UK whilst waiting for social services or therapy, patients will acquire nosocomial or hospital acquired bugs, and then miss their 'slot' to be discharged/transferred. The cycle then continues (some make it some don't)!
I once had a patient once who told me his one pill made him sick so he quit taking it. I said “which pill?” He said, “that white round pill. It has that commercial on TV.” It took me about 3 hours to figure out which pill, literally all of his generics were white and round. I wonder sometimes how the elderly people do it when they don’t have help…..
I still cant believe how accurate you are at summarising my daily issues as a doctor in another country (also in internal medicine and currently doing GI, hi!l
@@meganamos8543 To be fair, they're not nearly as likely fight you getting into a wheelchair, demand things even as you wheel them off, or fight you because they don't want to go somewhere else
@@remen_emperor the little old ladies are the hardest patients. They’re freakishly strong and will absolutely take you out if you let yourself guard down.
Thankfully, doctors in the NHS do not have to deal with some parts of a patients discharge. The wonderful nurses and discharge team personnel are the ones who have to sort a good part of it out. 😂😂
It’s just recommended you don’t take them at the same time because it can effect how well the drug is absorbed. It’s not like a toxic effect, don’t worry!
I've worked in a pharmacy for years, and there's so many people who just don't listen to the pharmacist, and also don't care very much. Then there's people like you who do care, and they've just never been informed!! I suggest reading those papers that you get with your prescriptions that are typically stapled to the outside of the bag. You don't have to read the whole thing, but there's lots of really helpful information on those take home papers. I was once telling my friend to be careful because she was taking an antibiotic and also taking birth control pills at the same time, and some antibiotics can affect the efficiency of birth control, and so I told her to use a secondary birth control method. Well, she didn't listen. Can you guess what happened? Yep. She got a side effect that lasts 18 years at least!! Haha.
I feel this way except I'm a nurse and it's so many phone calls about discharge planning...and then the care manager tells you they're leaving in 15 minutes...lol
And then the patient will be angrily saying "what's taking my Discharge so long?!", Completely forgetting the fact that you have tirelessly managing his illness this whole time. A thankless job indeed
And this is why it’s super helpful to have two pharmacists in my family, esp when my grandpa was in his last year of life with a shit ton of medications.
I used to work in community pharmacies as my first job out of school. And we used to get a lot of flustered calls from hospitals about medications and patient histories. The pharmacists would sometimes be really busy... so they'd try their luck at cross-questioning me (brand new to dispensing) on the phone about medications and doses even after telling them I'm not a pharmacist. It was always stressful. They'd go, "I just quickly need to know what heart medication the patient is on right now" and I'd be staring at a patient history of 20+ recent medications, some of which I didn't recognise, going, "ah, so... Can I just read you the history and you tell me which ones you need to know about?" And you could practically hear the frustrated sigh on the other end of the phone.
I feel this. Especially, when all of this is going on with a discharge, I have other patients I need to see, and I'm getting a new admission on top of it.
It’s like this for me + a million pages/texts a day. At a certain point I get irritated and prioritize the most important or concerning tasks. For the patients: keep in mind while we are doing all this, we are still managing other patients, responding to critical lab values, codes, etc
Trust me, they're definitely not. On any given morning the physician could be discharging 3-7(ish, maybe more) patients at once while handling 2-5(ish, maybe more) new admissions coming up from the ED, also while checking on current patients that aren't getting discharged that day, also while meeting up with consultants to go over treatment plans.
Wow, it’s kinda sad and scary to learn they are so bombarded with different things at the same time. I have so much respect for medical professionals…given this info, I’m surprised more mistakes don’t happen each day actually!
As a former Medical Transportation driver, sorry we had to leave but we have been there for over 30 minutes and it was Care Management that told us to be there at 1200 lol
Hahahah I’m an RN and this was too relatable after the last inpatient patient I discharged. Epic had to make sure those discharge orders were reconciled before AVS could be printed. Cards PA spent 25 min and 3 phone calls figuring that out lol
The best thing I ever heard a hospital doctor say when assisting with discharge was "Go talk to your primary about your other meds. If I didn't prescribe it, I'm not authorizing a refill."
I can relate, when I worked in a pharmacy so many elderly patients would ask for a refill of “the little red one”. The pharmacist always knew which one they meant!
I wish you could have seen the case manager we had to deal with for my sister this weekend! She was admitted for emergency hypertension, but due to being short-staffed with nurses, they discharged her with no resolution. When I called the case manager, she went to my sister’s room and told her if she wanted to fight her discharge, she would only get one more day. She told her that her BP being 236/134 was due to White Coat Syndrome. We’re gonna need more doctors like you here!
When I get discharged from the hospital, I learned to be a patient patient. 😂 last time I was admitted, I drove myself. I didn't have to worry about a ride.
I have so many things, I always keep an up to date list of all my medications in my phone case, so I can give an accurate account of my prescriptions, complements and their dosages without forgetting anything 😅
As a regular hospital visitor, not once have I or anyone I have ever met successfully left the hospital on discharge day at noon. It’s more like 4pm onward 😅
At least you called it ciprofloxacin. We had a patient demanding that her doctor had prescribed brand name Keflex and she was upset that we were trying to give her cephalexin instead.
As a nurse... dude, all of these calls go to ME. Then I get to make calls to increasing pissed doctors who don't understand why SW and CM can't set up EF in 20 minutes. And then why they need to actually tell the retail pharmacy what medications are needed...then "What do you mean 'we can't give a recent intentional OD pt the full month's supply of narcotics they usually get?' They have pain!" (true story)
Yeah geez aren't doctors stupid. Lucky we have those nurses to do our jobs for us, as a hack fraud surgical resident I can attest to that. We have a very difficult time understanding anything and are very lazy; its amazing how nurses with 2 years of education are so much more proficient than doctors with 14 years of education and manage to get so much more done despite their entire working week being about as long as a single call shift. I recommend the next stupid vascular surgery attending you see, you tell him you'll be taking his 14hr fem-fem, fem-pop because you're a nurse and therefore superior.
@@lachyt5247 look everyone a real life caricature of R/esidency... best of luck to you. Hopefully you’ll learn to vent without attacking other healthcare professionals. It reeks of tiny man syndrome.
@@splinky1633 "NooOOOoOO you can't reply in a sardonic manner to a ridiculous self important post slamming your profession as lacking understanding, only we can do that!!!11!"
As a hospital social worker, I can relate to all of this, we sometimes follow up all this work for the nurse and call the doctors and pharmacy as well when they are too busy trying to discharge other patients.Then set up aftercare. Doctors and nurses are amazing and work very hard. Everything is time sensitive! It’s a circus sometimes.
When my hands hurt, Percocet always does the trick. Actually whenever anything hurts. Or if I’m sad. Or if I’m bored. It really is a cure-all. And I would be pretty adamant about getting it, too. It’s the only good thing about going to the hospital.
As Hospitalist, I can confirm. This is 100% accurate.
wow sorry to hear that doctor, props to you for making it work though despite how challenging it sounds
Agree!!
100%
IM resident and incoming hospitalist in one month. This is going to be my life 😬
@@bryan1598 OMG I am dreading it
"It's all in the computer"; my nightmare begins with those 5 words, usually said by someone on no less than 10 meds, with at least 40% being old with unknown indication and the remaining 60% with an incorrect dose
@@ruirodrigues3596 6 words
But as a patient you can't really do anything about it. I could go into my electronic chart and mark the drugs I'm no longer taking as request for removal but they would never be removed and cycle back to the main list. And every time I went to the doctor they would read the list and I would say "I'm not taking that" and they would say "we will remove it from the active list" and they never would. This would go on for years so half of the stuff I would forget was even there because I took it for like a week 5 years ago. I finally managed to get one to do it in front of me but otherwise you are stuck.
My experience with that phrase is someone who's making something up to score. The amount of times I've heard a patient say that they've got pain killers in the computer followed by "No you don't, but you have this psych medication" is phenomenal.
Alternatively, it's someone with an old parent that thinks that the nurses have every single patient's medical history, drug list, exact diagnoses, etc. just programmed in their heads. They like to get pissy if the nurse has to look at the computer before answering, somehow
Every doctor asks me to check my medication list everytime and even though I update it, it's always wrong. I don't trust what's in the computer.
The computer systems are always hard to understand and changing anything that’s already in the computer takes expertise in the specific system that they use. Once my psychiatrist had to ask my mom how to change the dose of my medication in the computer system, mom works pharmacy and had used the system before. The solution turned out to be delete the medication from the list, then add it again at the new dose, because the new dose was a bigger pill instead of a larger number of the previous ones. Learning new systems is difficult.
I applaud on how Dr Schimdt pokes fun on common hospital issues that usually gives health workers a toxic environment.
If you call THIS toxic idk what you’ll call the conditions of HCWs in India 😭.
@@anti_fascist toxic. If something's toxic then something's toxic don't undermine it
After looking up on google.
There are 4.46 million "Asian" Indians in the USA and over 5 million native americans. So we haven't got there just yet. But soon the Asian Indians will overtake the Native Americans.
@@ericolens3 I think that they referred to doctors who live and work in India, the country.
TOXIC!!!
“Really, Mrs. Jones, we want you out of here as much as *you* want to be out of here!”
More even. You’re sat here in a free warm bed getting three meals a day and someone to wipe your arse. Please find yourself a carehome already so we can treat sick people.
But NOT with out my Percocet!
-Mrs. Jones
Administration calling at the end... that is every admin ever.
They started this discharge "lounge" recently... like ... you are waiting for your family for more than 30-40 mins ? well you are kicked out of your room to sit with a bunch of other semi sick people, With basic masks and an emt.... it's a great way to spread covid I'm sure....
The guy running it came up today to bug me since I was educating my patient too much ... don't mind their a1c was high and this was their second stroke and they were finally ready to ask actual good questions and listen... and was injecting insulin for the first time ever with me but I'll rush through her discharge so she can be admitted again...
She hugged me and thanked me for actually spending time to teach her ....
She'll be back 100% but hopefully still not in terrible shape ....
That was my fave part. Im no doc but admins suck on every job.
Yes
Nothing is more helpful than someone nagging you about something while you're doing it lol
God bless the little old ladies that carry their medication list with them and it’s printed 💕💕
That's me and I'm 35 lol I'm on 12 medications and I aaaalways carry with me a list of all of them, correct dosages, and what they're for. Disability organization for the win 🎉😂 lol
@@LaurenAlexandra13Yep, I just turned 40 and in my phone’s Notes app I have a list of all 11 meds I take (generic name and brand name), the dosage, and indication.
I also have a list under that of any OTCs I’m currently taking and any supplements.
And I put a date on top for the last date it was updated.
Last month I was admitted to the hospital and stayed for a week and having that list was SO useful.
I was really out of it when I went to the ER and had trouble remembering what meds I was on, but all I had to do was bring up that list and hand my phone to the nurse.
And then when I got admitted to a different hospital, I only had to hand my phone to the nurse there so she could confirm my meds were right in her system.
I also have a separate list with my diagnoses and my past surgeries.
That's me! And just did the same for my husband. Lol. My MIL was admitted to a hospital, she did not have dementia , and she literally didn't know the names of her meds or the doses or why she was taking them. 🤦♀️
Granted, mine is written, but I keep track of whether or not I'm taking my meds (hooray ADHD!), how often for the PRN, any symptoms i've been experiencing, and in what capacity.
The accuracy of it all in sixty seconds or less😂
The 60 second limit helped me convey the sheer chaos 😋
@@Doc_Schmidt You haven't filled my 💊💊💊
@@jamesonjohnson1719 😂😂😂 i see what you did there!! Good job!
So true
MD: I'll have everything done by noon
Social worker: schedules transport for 2pm because nothing ever goes according to plan
That’s not a social worker. That’s an angel
For me it’s usually the opposite.
Social calls at 12:35pm : “I’ve set up the transport for 1pm, that should give you enough time”
Me: 💀
I was recently discharged after 6 weeks and the day before was told that transport was booked for 12:30pm. The I pointed out that I had a (clinic) follow up with surgeon at 1pm and was told the surgeon would come in the morning…. The next day the transport was moved to 2:30pm, the appointment was still at 1pm (discharge was dependent on the X-rays and lifting some restrictions) and thank goodness the transport was running late. 😂
@@beckyowen6753 ugh, I try to give my nurses as much of a heads up as I can. I generally always give them a two hour window unless they don’t want it.
Social worker: sets up transportation, make sure family notified, gets discharge packet, makes sure patient can resume their outpatient dialysis, boom! Patient comes back positive with Covid and can’t go skilled nursing 🙃
Don't forget the daily page/email reminder that the hospital is at capacity and that we should prioritise discharging patients.
And the nurse also gets all of the same questions from the whole care team and the patient and family along with, "where is my doctor?!"
So true, at the same time with half of the patients on the unit, while getting New admissions. Gotta Luv the teamwork 😁🙃🥺🤐😢😵🤣
Oh man, ouch. Sounds like you guys deal with so much
Thank you so much for all that you do and I pray the best to y’all ❤️🤲🏼
And the family that comes to get the patient at shift change or the ems transport that promises to show up at 8am and never shows up till the next day. 🙃
Exactly
Sympathy for nurses. Cause just like teachers they were forced by gun point to do the job!
And that folks, is why I keep an updated medication list in my purse for emergencies and always bring one to doctors and hospitals. They LOVE IT.
Same! I actually have mine in a little chart that has the name, dose, frequency, and indication of each med. I also include the as needed meds on there. I carry one list in my purse, and then if it's a planned doctor's appointment I print them one in larger font and alphabetical order so it's easier on them haha
I came to this channel for the humor, and stay for the accuracy
x2
Facts!!!!!!💯
Can I just say, those wigs look good on you 😂
You’re too kind 😋
They actually do though lol I forget it's all the same person a bit
Hahaha.....so true!! Lol
God bless adult doctors. Pediatric med lists are a lot simpler (unless you’re on transplant). Docs need WAY more support to improve medical care-so much gets missed because there just isn’t enough time!
Well said! Understaffing seems to be a big issue too.
I have no idea why anyone would choose to work in adult medicine. Give me my kiddies all the way. The only problem with Pediatrics is the kids have parents😂🤣😂
“SUPPORT” ???? You sound like admin, tha “support” that’s needed is STAFF !!!!! More docs, nurses and aides.....one human can only do so much no matter how much “support” you give them, it takes bodies to get it all done !
What - really? I have ALWAYS found paediatric doses difficult. It’s like whenever I see a child I start panicking because I usually have absolutely no idea about the peds doses. I honestly have to look them up by mg/kg. Or have to go check what’s available in the pharmacy. I thought dealing with adults is easier since at least the therapeutic window is wide.
@@anti_fascist it's not that hard to look up if you don't know them off hand🤷🏾♀️.
Whoa! I'd be exhausted by the end of the day dealing with this. Mad respect 🙌🏾
I wanna say I appreciate the accuracy... but honestly this is just freaking traumatic flashbacks 🤣
Having my husband is ICU for months has given me a whole new level of respect and patience for health care workers ❤ my moms a retired health care worker so I always knew it was a hard and often thankless job. But to see first hand how hard and diligently good health care professionals work for their patients.........my goodness....... ❤❤❤
100% accurate. This is why I work nights.
Me too!!!!
🤣🤣
HONEY!!!!😂😂😂😂😂
Stay away night dude! We only respect day time workers. ;)
Well try working night shifts in the ER in a country like mine where patients would come to you at 3 AM! for something as stupid as seasonal cough/allergies . That they have been having since 10 days. Idk what enlightenment they get at 3 am randomly that they decide to show up.
This makes so much sense on why it takes so long.
Who is supposed to go over the med list? Like, these were all ordered or administered in the hospital
Where I work, the dr prints his orders and the nurse corrects all the mistakes.
where I work pharmacists are on wards to avoid these issues coming up at discharge
Med rec techs
Sometimes I'll be sittin in the ward with no discharges and being bored and then out of nowhere I am bombarded with like 12 discharges at once 😂
You forgot the consultant who decided to increase the lisinopril dose after the medicine list was updated on the depart which caused the hospitalist to fail their stretch goal for discharge timeliness.
....and I get to my pcp to authorize scripts, but they can't without an authorization....but the pharmacy needs permission from the e.r. who needs permission from my pcp who....nevermind I died.
This **** is absolutely rediculous and happens WAY TOO MUCH.
This is scarily close to home. I’m a pharmacist that helps discharge patients and this 💯 accurate
As an RN, I can also confirm this is true. We have to drop everything to get a discharge out so they can clean & refill a room. Can’t have anyone waiting on a ride. Don’t want to miss the next wad of cash.
Is the next patient medicare? OMG, we're gonna jump through ALL the hoops now! 😐
They need the wad of cash to overpay the nurses
Lol. So true. And this is only 4 of her 22 recorded home medications!! ;)
What about my "x-colored" pill gave me PTSD
I apologize on behalf of all patients, but I can never remember what that small yellow one is called 🥺
Clonazepam @@MissMeganBeckett
I showed this to my nurse dad who never laughes at anything I show him and he said “that’s reality where’d you get that” so yeah thanks for this video ❤️
As an RN, I can say this is 100% accurate 😂.
Pharmacy Tech here! Legit had this happen yesterday.
Patient calls us up. Wants a refill on his meds.
“Sure. No problem. Which medication did you need?”
“All of them!”
“Hmm looks like you haven’t taken this coreg in over 6 months. Do you still take it?”
“Yes. Just refill it all”
“Hmm. You just got a couple 90 day supplies on your cholesterol medication. Do you know what the meds that need refills are for? I can look them up in your file that way”
“It’s a white pill. Just do all of them”
-me looking and seeing antifungal meds for 5 months ago. Antibiotics from 2 weeks ago.-
“Ok Mr. Smith. How about when you go home take a look at the bottles of the medication that you’re running lown on and call me back with those names/rx numbers and I’ll get them taken care of for you.”
Pharmacy is like: she said everything is the same. NOTHING IS THE SAME?????
That’s just pharmacy life 😂 in hospital and in retail.
😂 it may be niche humor but I love it.
I wish we had. Clinical pharmacologist who goes over the dr's orders. Sadly we have a great shortage, so they are not involved in the disharge at all. The nurse is the gatekeeper.
Hilarious! Also MUCH RESPECT!!! It's a lot of work and stress. Hat's off to the true heroes 👏
Discharge day is pretty much like that except the patient finally gets some sleep... provided they aren't begging for Percocet!
Sounds like Percocet should just be included in a little gift baggy you get when you’re discharged. It would save everyone a ton of headache.😵💫
@@BenWard29 SERIOUSLY IT WOULD! But of course if the patient is thinking about heading to the ER because they REALLY feel bad it probably shouldn't be discharge day either. Been there.
😂😂 and the nurse running around like crazy getting her ready and reassuring her that everything will be ready soon.
Your videos make me MUCH more patient any time I’m in the hospital or doctors office. It’s great to know more about how hard you all work for all of us. You’re awesome!
This is why we feel bad for the physicians and nurses trying to sort through all these meds (not to mention the patient "forgetting" that she does Not have a current prescription for some of them)...
Dr. Schimdt, I subscribed you from Day 1. As a RN, I applaud you with two thumbs up. You are so real. These things happen in the hospital every single day. And I couldn't agree more. You're able to play multiple roles with everything so precisely good. What an amazing Doc. Yes, boys and girls, this is true. I concur, 100%.
Oh, my God. I’ve handled calls like this as an interpreter. Working with old people and when they’re from other countries with a vastly different Spanish accents from mine and that don’t even know how to answer questions directly are the type of interpretation calls that make me pull my hair out. Bonus if the English speaker themselves have a thick accent and that get all pissy when I cannot understand what they’re saying in English.
As a hospitalist, this is very accurate. We try to get patients out by 11 am.
These videos are so important for the public. Understanding the inner workings of healthcare system is long overdue, I love it! Thank you
Thank you for reminding me why I became a nurse NOT a doctor!
I thought RNs had it worse.
What! As a rn I have it worst.
@@anti_fascist We do have it worse! We are the ones that have to face the patients and their impatience and then have to clarify the changes in the med list!
Thank you
Alright, isn't this also totally the experience of the day shift RN on a Friday late AM? Not to mention SNF dc's. So funny. This guy hits the nail on the head. Always best when the docs and RNs can understand and help each other out and maybe laugh about it a bit. "Just reminding you that all discharges should be completed by NOON!" 🤣🤣🤣 Sure thing, chief.
I’ve been in pharmacy for a decade and this is so true.
Word for word true daily scenario
💯💯💯
That last bit reminds me of the time when we had a Grand Rounds presentation for R U OK day. All about Doctors wellbeing etc. After the presentation finished, some hospital administrator got up, wasn't even joking, and said in despair "just need you all to know that the hospital is full and we really need you all to prioritise discharges!"
RIP the doctor wellbeing, along with any pretence that the higher ups actually cared about it in the first place.........
Meanwhile in the UK whilst waiting for social services or therapy, patients will acquire nosocomial or hospital acquired bugs, and then miss their 'slot' to be discharged/transferred. The cycle then continues (some make it some don't)!
That's why sometimes they would catch bugs they would never recover from :(
This was almost me last week! Lol. Love my doctors and nurses who took great care of me last week. ❤️ to all caregivers
I once had a patient once who told me his one pill made him sick so he quit taking it. I said “which pill?” He said, “that white round pill. It has that commercial on TV.” It took me about 3 hours to figure out which pill, literally all of his generics were white and round. I wonder sometimes how the elderly people do it when they don’t have help…..
As a nurse for many years, this is 100% accurate. He nails it totally. Hilarious but scary because it's sooooo accurate. LOL
I still cant believe how accurate you are at summarising my daily issues as a doctor in another country (also in internal medicine and currently doing GI, hi!l
This is why I choose to work in an ICU where nurses don't have to deal with discharge.
“I only ever discharge to the morgue.”
@@meganamos8543 To be fair, they're not nearly as likely fight you getting into a wheelchair, demand things even as you wheel them off, or fight you because they don't want to go somewhere else
@@remen_emperor the little old ladies are the hardest patients. They’re freakishly strong and will absolutely take you out if you let yourself guard down.
Thankfully, doctors in the NHS do not have to deal with some parts of a patients discharge.
The wonderful nurses and discharge team personnel are the ones who have to sort a good part of it out.
😂😂
I've been on ciprofloxacin repeatedly, have NEVER been told to avoid multivitamins.
Wonder what else I've missed.
It’s just recommended you don’t take them at the same time because it can effect how well the drug is absorbed. It’s not like a toxic effect, don’t worry!
Same
Phew 😅
I've worked in a pharmacy for years, and there's so many people who just don't listen to the pharmacist, and also don't care very much. Then there's people like you who do care, and they've just never been informed!! I suggest reading those papers that you get with your prescriptions that are typically stapled to the outside of the bag. You don't have to read the whole thing, but there's lots of really helpful information on those take home papers. I was once telling my friend to be careful because she was taking an antibiotic and also taking birth control pills at the same time, and some antibiotics can affect the efficiency of birth control, and so I told her to use a secondary birth control method. Well, she didn't listen. Can you guess what happened? Yep. She got a side effect that lasts 18 years at least!! Haha.
@@nicoleamy1126 wow
I feel this way except I'm a nurse and it's so many phone calls about discharge planning...and then the care manager tells you they're leaving in 15 minutes...lol
And then the patient will be angrily saying "what's taking my Discharge so long?!", Completely forgetting the fact that you have tirelessly managing his illness this whole time. A thankless job indeed
You poor hospitalists, you guys do a great job putting up with all of us.
These just keep getting BETTER and MORE accurate than EVER!
As a staff nurse… I can confirm. It’s so fu king accurate
Your videos are amazingly true to life....and you're hysterical
U speak to my soul! Discharges the bane of our existence
And this is why it’s super helpful to have two pharmacists in my family, esp when my grandpa was in his last year of life with a shit ton of medications.
I used to work in community pharmacies as my first job out of school. And we used to get a lot of flustered calls from hospitals about medications and patient histories. The pharmacists would sometimes be really busy... so they'd try their luck at cross-questioning me (brand new to dispensing) on the phone about medications and doses even after telling them I'm not a pharmacist. It was always stressful. They'd go, "I just quickly need to know what heart medication the patient is on right now" and I'd be staring at a patient history of 20+ recent medications, some of which I didn't recognise, going, "ah, so... Can I just read you the history and you tell me which ones you need to know about?" And you could practically hear the frustrated sigh on the other end of the phone.
💯💯💯💯💯💯 accurate. Feel so bad harassing the hospitalist for all that crap. And then pharmacy calls for the same reason.
This frantic scramble at discharge with the med rec is brilliantly relatable
I feel this. Especially, when all of this is going on with a discharge, I have other patients I need to see, and I'm getting a new admission on top of it.
It’s like this for me + a million pages/texts a day. At a certain point I get irritated and prioritize the most important or concerning tasks. For the patients: keep in mind while we are doing all this, we are still managing other patients, responding to critical lab values, codes, etc
It's no picnic for the patient waiting to go home either 😂
Hahaha...when medication reconciliation goes horribly wrong. Love this guy!!
Oh man...good to know that they aren’t just dinking around. I feel like it took forever to get discharged.
Trust me, they're definitely not. On any given morning the physician could be discharging 3-7(ish, maybe more) patients at once while handling 2-5(ish, maybe more) new admissions coming up from the ED, also while checking on current patients that aren't getting discharged that day, also while meeting up with consultants to go over treatment plans.
Wow, it’s kinda sad and scary to learn they are so bombarded with different things at the same time. I have so much respect for medical professionals…given this info, I’m surprised more mistakes don’t happen each day actually!
OMG! You're giving an old nurse PTSD!
Me too! So glad to be retired!!
I’m the only receptionist at an assisted living facility, and I feel this in my soul. Constant phone calls. 😂😂
I work with a group of hospitals and your videos are so hilarious and accurate.
As a doctor .this is soo stressful to watch cause it's soooo accurate .
As a pharmacist this is also true. Mostly. We wouldn’t actually be able to get a hold of the doctor.
As a patient who has had to stay the weekend to get this stuff set up, it's so true! I can only imagine.
I didn’t know I needed this video! I was usually the transport that arrived for discharge, and often forget that stuff like this happens!
As a patient many times, if you don’t make that noon cutoff, you’re there another night
I understand now why my medicine was never on time at the hospital! Crazy when I was told , “you have to take this exactly on time”.
As a former Medical Transportation driver, sorry we had to leave but we have been there for over 30 minutes and it was Care Management that told us to be there at 1200 lol
This is why I take a laminated copy of all my meds and doses with reasons to the hospital with me 👍🏻
"All discharges should be done by noon" fits perfectly as I watch this at 1152.
Hahahah I’m an RN and this was too relatable after the last inpatient patient I discharged. Epic had to make sure those discharge orders were reconciled before AVS could be printed. Cards PA spent 25 min and 3 phone calls figuring that out lol
The best thing I ever heard a hospital doctor say when assisting with discharge was "Go talk to your primary about your other meds. If I didn't prescribe it, I'm not authorizing a refill."
I can relate, when I worked in a pharmacy so many elderly patients would ask for a refill of “the little red one”. The pharmacist always knew which one they meant!
I wish you could have seen the case manager we had to deal with for my sister this weekend! She was admitted for emergency hypertension, but due to being short-staffed with nurses, they discharged her with no resolution. When I called the case manager, she went to my sister’s room and told her if she wanted to fight her discharge, she would only get one more day. She told her that her BP being 236/134 was due to White Coat Syndrome. We’re gonna need more doctors like you here!
When I get discharged from the hospital, I learned to be a patient patient. 😂 last time I was admitted, I drove myself. I didn't have to worry about a ride.
This is why every patient should bring an accurate medication list to the hospital. All of this should’ve been clear when she was admitted.
I have so many things, I always keep an up to date list of all my medications in my phone case, so I can give an accurate account of my prescriptions, complements and their dosages without forgetting anything 😅
Doctors like you are the reason pain doesn’t get treated appropriately
I love how things start simple and small and then the complexity proceeds to escalate
As a regular hospital visitor, not once have I or anyone I have ever met successfully left the hospital on discharge day at noon. It’s more like 4pm onward 😅
Ohhh I remember these calls from pharmacists and ONLY when the patient is about to go home. SO ANNOYING 😂
At least you called it ciprofloxacin. We had a patient demanding that her doctor had prescribed brand name Keflex and she was upset that we were trying to give her cephalexin instead.
As a nurse... dude, all of these calls go to ME. Then I get to make calls to increasing pissed doctors who don't understand why SW and CM can't set up EF in 20 minutes. And then why they need to actually tell the retail pharmacy what medications are needed...then "What do you mean 'we can't give a recent intentional OD pt the full month's supply of narcotics they usually get?' They have pain!" (true story)
Yeah geez aren't doctors stupid. Lucky we have those nurses to do our jobs for us, as a hack fraud surgical resident I can attest to that. We have a very difficult time understanding anything and are very lazy; its amazing how nurses with 2 years of education are so much more proficient than doctors with 14 years of education and manage to get so much more done despite their entire working week being about as long as a single call shift. I recommend the next stupid vascular surgery attending you see, you tell him you'll be taking his 14hr fem-fem, fem-pop because you're a nurse and therefore superior.
@@lachyt5247 look everyone a real life caricature of R/esidency... best of luck to you. Hopefully you’ll learn to vent without attacking other healthcare professionals. It reeks of tiny man syndrome.
@@splinky1633 "NooOOOoOO you can't reply in a sardonic manner to a ridiculous self important post slamming your profession as lacking understanding, only we can do that!!!11!"
Bro....these wigs though 😂😂😂😂😂 oh my goodness.
As a hospital social worker, I can relate to all of this, we sometimes follow up all this work for the nurse and call the doctors and pharmacy as well when they are too busy trying to discharge other patients.Then set up aftercare. Doctors and nurses are amazing and work very hard. Everything is time sensitive! It’s a circus sometimes.
When my hands hurt, Percocet always does the trick. Actually whenever anything hurts. Or if I’m sad. Or if I’m bored. It really is a cure-all. And I would be pretty adamant about getting it, too. It’s the only good thing about going to the hospital.
The pharmacist wig did it for me 😂😂😂
this is painfully accurate, I couldn't even laugh. Just sobbed a bit.