A nurse called me yesterday because a patient was getting worse, fast. So I ordered a STAT CT scan of her head.
So Ms. Nurse asked if I wanted just a head CT, or a if I'd prefer to do a "Stroke Alert!".
This was a new one to me. She explained that a "Stroke Alert!" is a new protocol developed by my hyperactive colleague, Dr. Nerve. When a "Stroke Alert!" is ordered they automatically do a head CT, EKG, a few labs, and call a Nurse Practitioner who's in the hospital to come assess the patient.
So I said what the hell. Let's do a "Stroke Alert!". She said she'd take care of it, and got off the phone.
Roughly 3 minutes later my cell phone rings again. It's the clerk for that floor.
Dr. Grumpy: "This is Dr. Grumpy."
Mr. Clerk: "Yes, I'm calling to tell you that there's a Stroke Alert! in progress in room 52."
Dr. Grumpy: "Um, yes... I ordered it."
Mr. Clerk: "Well, the protocol says we have to immediately notify the neurologist on call for all Stroke Alert! situations."
Dr. Grumpy: "Even if the neurologist is the same person who just ordered it?"
Mr. Clerk: "Look, I'm just following the protocol."
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