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LETTERS TO THE EDITOR: Have Your Cake and Eat It, Too

doi: 10.1097/01.EEM.0000484532.63795.8a


With the early advent of computers in the ED, I was told that my verbal orders were “no good” and that I had to stop in the middle of suturing or whatever I was doing to write in orders for the new chest pain patient just arriving. Nurses have been trained not to give an inch unless it is “put in the computer.”

I was taken aback recently when I asked about a head CT scan I had requested to exclude an intracranial hemorrhage. This was not a stroke protocol patient, but I put in the order and was surprised when the nurses said they must have overlooked that order three hours later. Then one nurse said it might be a good idea to give them a verbal order, too! Have your cake and eat it, too!

Charles J. Neilson, MD

Sugar Land, TX

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