Fight diuretic resistance with the right dose | ACP Hospitalist

Fight diuretic resistance with the right dose | ACP Hospitalist

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Fight diuretic resistance with the right dose | ACP Hospitalist

If a diuretic dose wasn't working at hospital admission, it's not going to work ... “Some of them just will overdiurese and all of the sudden they put out five liters in ...

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Up, down and all around | Today's Hospitalist

That may not sound very scintillating, but your livelihood literally depends on it. Benchmarks Hospitals use a variety of management metrics, and industry ...

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Getting down with OPPE | Today's Hospitalist

If you're not, you should be.” I am not sure which is worse: writing a reference to a lame and politically incorrect (if not outright offensive) 1991 hit song, or worrying ...

Is it observation or inpatient? | ACP Hospitalist

... will be looking at hospitals' one-day admissions to determine whether patients were appropriately admitted or should have been under observation status.

What should you do for AMA patients? | Today's Hospitalist

We do know that in almost every AMA case, it comes down to some kind of communication issue: Patients might not understand why they're still in the hospital or ...

Not a time for modesty | ACP Hospitalist

Value may be the word that hospital administrators and consultants use to describe what hospitalists are being expected to demonstrate, but what it boils down ...

Coding confusion | ACP Hospitalist

However, observation status is determined by the clinical presentation that warrants intervention in the first place, not the treatment or procedures themselves. For ...

No halfway measures | ACP Hospitalist

“To me, [a partial DNR] is a billboard that there has not been an adequate ... discussion with a patient has broken down in some way, Dr. Chittenden said. Ideally ...

A new view of nutrition | ACP Hospitalist

“We should be looking at every single patient who comes in the door for nutritional status,” Dr. Kirkland said. “And not just by looking at their albumin, or saying, ...

Do's and don'ts for personal protective equipment | ACP Hospitalist

Take the gown off very carefully, rolling it up and away so it does not come in ... don't have many places to put down items while staff are taking off their PPE.

The new observation status: The good, the bad ... - ACP Hospitalist

Just when you thought it was safe to go back in the water, CMS has developed a new definition of inpatient status, new rules and regulations—all of course to ...

Ducking out early? | Today's Hospitalist

Leaving early has its share of critics, who claim that not working a full shift is bad ... “Only the slow people were getting called down to help,” says Dr. Alfandary.

Problems with handoffs? | Today's Hospitalist

Another problem with handoffs is that they often are not a two-way street. ... said, as long as physicians appropriately whittle down and update the information.

Hospitalist Fellowships | Society of Hospital Medicine

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A new approach to inpatient admission status | ACP Hospitalist

Image by Thinkstock. The Centers for Medicare and Medicaid Services' (CMS) regulations do not permit anyone other than a clinician with admitting privileges to ...

A video to explain code status | ACP Hospitalist

The six-minute video describes and demonstrates patients' code status choices: full code (CPR and intubation if required), do not resuscitate (DNR), and do not ...

Code status discussions sometimes difficult, but ... - ACP Hospitalist

Understanding individual preferences about code status is critical to delivering the care patients want. Still, code discussions between doctors and patients don't ...

Observation status: making the right call | ACP Hospitalist

Understanding when to admit a patient to observation status or to inpatient status can be confusing and challenging##mdash;and so can knowing when it's ...

Need to calm down a frustrated patient? | Today's Hospitalist

After he listened to the patient's frustration over not having a diagnosis or treatment plan, Dr. Nelson's first move was to “admit guilt,” he said. “Hopefully, it calms ...

You're fired! (by your patient, not your group) | Today's Hospitalist

The hope, explains hospitalist Stephanie Rennke, MD, is that the team will help hospitalists repair a broken doctor-patient relationship and stave off being fired. “ ...

Shutting down orders for duplicate tests | Today's Hospitalist

The initiative at Cleveland Clinic started in 2011 as a project to cut down on excess phlebotomies. Not only are such phlebotomies a big patient dissatisfier, Dr.

Communication skills mitigate conflict | Today's Hospitalist

When people feel they are not being heard and relationships breaks down, “that can have very insidious and long-term consequences.” Climbing down the ...

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Reviews from Sound Physicians employees about Sound Physicians culture, salaries, benefits, ... They employ the doctors, who treat their patients and it is not a conflict of interest? ... Advise to have things down in contract every promise.

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