Saturday, August 24, 2013
Chicken Little Bang Bang Bang
In order to create more jobs and provide less patient care, the Medical Center has decided that all orders will be done through the Computerized Patient Oder Entry "CPOE" or F+++ing Piece of S""" "FPOS" system. As a side note, the medical center also has posted signs saying that "carrying of handguns in this facility is prohibited" to keep the staff from shooting the computers. Anyway, when you go to order a medication the FPOS doesn't let you order it without giving you at least a dozen warnings that you have to go through and mark "seen and approved", or "noted", or something. Of course all the warnings are the legalese, mumbo jumbo ones that have no bearing on what you are actually doing. One of my favorites is "insulin has been shown to decrease levels of blood glucose". Ive looked, when you try to get rid of the warning there is no "No Sh@@" button. As you can imagine, after fighting this for a while you go out of your way to find someone else to do it for you. I think this is why the medical center had to hire so many PAs and RNPs and why so many of the hospitalists quit. As an attending, I make the residents put in the orders. The residents make the interns do it. They new interns are at least trying to make a sport of it. After every one of those stupid alerts they hit the desk. The call it banging the head of Chicken Little. Of course, with warning fatigue, sooner or later there will be a real warning that will be missed. If only we could combine those warning alerts with an electronic version of "whak-a-mole" or you could fling the warnings like "angrybirds".