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Good Page Bad Page

Good page: Mrs A. needs a coumadin order. Easy fix. Look at her INR, look at what she’s been getting the last few days, prescribe a dosage and you’re done.

Bad page: Mrs A’s heart rate is 130 bpm and we don’t know why… Her last INR was 5.0

Good page: Can you write a tylenol prn order for Mr. B’s pain?

Bad page: Mr. B isn’t responding, he’s been getting a lot of hydromorphone today…

Good page: Ms. C has some crackles in her lungs but her vitals are normal, can you come and assess?

Bad page: Ms. C is crashing, come here quick!

I don’t mind being paged about minor things such as medication re-orders, filling out paper-work, talking to a family member, etc. Because even though the pages can be minor nuisances, every page that is not a bad page is automaticallya good one.

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5 Comments

  1. Anonymous
    Anonymous February 18, 2011

    What is an INR?

    • medaholic
      medaholic February 19, 2011

      INR is a measure of anticoagulability. If you want to learn more look up PT/PTT and the coagulation cascade.

  2. Michael
    Michael February 18, 2011

    The more details the better I suppose?

    • medaholic
      medaholic February 19, 2011

      Not necessarily. As long as the pages are simple fixes, and not something bad is happening come here QUICK!

  3. David
    David February 19, 2011

    Alright! New post. I was hoping to read some stuff from you soon and I got it. Thanks for blogging!

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