tag:blogger.com,1999:blog-18943510.post9069522438129846814..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Where Were the Techs and Nurses?DrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-18943510.post-71350081020051293872010-01-20T01:33:30.106-06:002010-01-20T01:33:30.106-06:00In this day and age, the role of angiography alone...In this day and age, the role of angiography alone is truly not enough to determine functional stenosis of a lesion. FFR and IVUS is widely available and for questionable lesions or morphology, the cardiologist should always consider its use. Not using it in regularity is approaching malpractice in my opinion.Danielhttps://www.blogger.com/profile/03355412863525525629noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-67308698822933232222010-01-16T20:47:59.160-06:002010-01-16T20:47:59.160-06:00This is actually alarming and maybe the tip of the...This is actually alarming and maybe the tip of the iceberg in SOME places/hospitals. I believe nurses and techs can help avert such situations. Maybe they should have some sort of backup to avoid this in th cath lab. Can other staff see the lesion size when this happens?rayhttps://www.blogger.com/profile/12357711657853902907noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-42044338031468954452010-01-16T16:06:23.388-06:002010-01-16T16:06:23.388-06:00While I can relate to the comments of ChicagoPA, i...While I can relate to the comments of ChicagoPA, it was drilled into me during nursing school that my number one job was "patient advocate", and that required me to speak up when I saw something I thought was wrong - even if it was a superior doing it. <br /><br />If I saw THIS happening and knew it was wrong, I would definitely speak up. And if I got attitude from that physician, I CriticalCareRNnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-19002467060367945052010-01-16T09:35:05.672-06:002010-01-16T09:35:05.672-06:00I am an RN in Cath Lab. While I agree that the of...I am an RN in Cath Lab. While I agree that the offending doc might brush aside any concerns raised about his practice, there are other physicians and avenues that can be used to voice concerns. Our Medical Directors in the Cath Lab have always been open to questions and concerns from the staff, our Cath Lab Manager and Director are available, and failing all of that we have a Quality ManagementKatehttps://www.blogger.com/profile/10977698784948194447noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-2889445177727303392010-01-15T08:51:28.258-06:002010-01-15T08:51:28.258-06:00ChicagoPA-
Changing hospital systems starts and e...ChicagoPA-<br /><br /><i>Changing hospital systems starts and ends with physician leadership, and until that emerges the ax will continue to fall on those with the most initials after their name.</i><br /><br />I have no problem with the ax falling on those ultimately responsible. But remember its about the patient. Hundreds of caths with similar results should never have been tolerated by DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-9534017223548552962010-01-15T08:19:28.717-06:002010-01-15T08:19:28.717-06:00Love the blog, really I do. And I also am a strong...Love the blog, really I do. And I also am a strong proponent of analyzing hospitals from a systems perspective to reduce error and improve patient safety. <br /><br />But let's be honest, what is the outcome when a "lowly tech" questions the judgement of a "board certified, MD, PhD-been doin' this since before you were born" cardiologist? The tech is berated for their ChicagoPAnoreply@blogger.com