Outsourcing Healthcare

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benzocaine
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Joined: Wed Jul 09, 2003 12:20 pm
Location: St. Thomas

Post by benzocaine »

IJ wrote:"Do they utilize these types of services where you work?"

No, I work in an academic medical center, so we have indentured servants to read x-rays (and admit patients) all night. However, with the work hours regulations, that is changing, and soon my job will entail 24 hour coverage (in shifts) of our hospital. I was there at 10 pm last night already.
Our surgery residents are on call for 36 hour shifts. It amazes me that a truck driver has to stop after 10 hours of driving but a person can make life or death medical decisions after not sleeping for 24 hours.

I'm sorry for your new schedule. Hopefully it won't be to aweful.
IJ
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Joined: Wed Nov 27, 2002 1:16 am
Location: Boston
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Post by IJ »

36 hours? Where? The limit in the US is 30 hours a shift, 80 hours a week averaged over a 4 week rotation with 10 hours between shifts and at least a day off a week (attendings are not so protected but do ok).

It's worth noting that my longest shift, 39 1/2 hours, was my most memorable. We stayed late when one of our patients crashed and there was no open ICU bed. My thinking was crystal clear, and we saved that woman's life. One of the best things that's ever happened to me.
--Ian
benzocaine
Posts: 2107
Joined: Wed Jul 09, 2003 12:20 pm
Location: St. Thomas

Post by benzocaine »

IJ wrote:36 hours? Where? The limit in the US is 30 hours a shift, 80 hours a week averaged over a 4 week rotation with 10 hours between shifts and at least a day off a week (attendings are not so protected but do ok).

It's worth noting that my longest shift, 39 1/2 hours, was my most memorable. We stayed late when one of our patients crashed and there was no open ICU bed. My thinking was crystal clear, and we saved that woman's life. One of the best things that's ever happened to me.
I'm just going based on what the residents complain about. I had asked one what her schedule was and she said it was a 36 hour long shift. It wasn't entirely at the hospital. Since she was a surgery resident she had to do clinic that morning.Thanks for the info though, I'll feel a little less compasion for them knowing they only work about 30 hours at a time. :-)

You must have been riding a wave of pure adrenaline to have crystal clear thinking as you say.

Many new young Therapists (I was one of them once) like to work trauma bays. Mainly because a person's life at stake. With that in mind the adrenaline surges and it indeed does make your thinking crystal clear.

But man it winds you up. I prefer to keep my excitment contained to rapid response team calls and the occasional code blue.
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