r/emergencymedicine ED Attending Jul 20 '24

Advice US won’t come in if pain >12hrs

Working at a new site, US techs are very picky, will not come in for torsion studies if pain is >12hrs. I talked her into coming in and she’s pissed af, said she knows I’m new and “I’ll learn the protocol”.

Am I in the wrong?

Edit: Does anyone support the US tech or rad protocol and do you have any studies or evidence to support this practice? I’m just wondering if they pulled this out of their ass or where they got the arbitrary 12 hour thing?

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u/[deleted] Jul 20 '24

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u/KumaraDosha Jul 20 '24

See the thing is, you don’t! You absolutely don’t have to lie. Tell us it’s necessary (and if you’re feeling charitable, explain why, but you don’t have to) and to come do the scan or we’ll be reported. Like, duh.

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u/[deleted] Jul 20 '24

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u/KumaraDosha Jul 21 '24

Don’t be stupid. Any tech that does ANY of that will be severely reprimanded at the very least. Warn them they will be reported if they don’t come in, and if they still refuse, report them. Then the issue will be resolved shortly, because it can’t possibly be an admin-approved protocol. You know how to deal with emergency non-staffing situations if your imaging suddenly becomes unavailable; put your big boy pants on. 😭

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u/CertainKaleidoscope8 RN Jul 21 '24

While y'all are dealing with this administrative bs the patient is in emergency surgery and loses his balls. You know damn well that no issues are "resolved shortly" in the bureaucratic clusterfuck that is hospital policy, that neither of you write or can change.

STFU and do your job. Jesus Christ on his throne..

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u/4883Y_ BSRT(R)(CT) Jul 21 '24 edited Jul 21 '24

It is administrative bs. But we have no choice but to follow the protocols given to us or we get reprimanded. As many others have said in this thread, call the fucking radiologist. We will gladly give you their number and/or show you the protocol.

We do not make these decisions. The radiologists who read the imaging exams and provide a dictation do.

No one here seems to realize that we’re following the orders of ANOTHER physician other than the ER doctors. The radiologists are who we report to, and we follow their protocols. Ask anyone on r/radiology and they’ll tell you the same thing.

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u/KumaraDosha Jul 21 '24

Oh my god, of course I’m not saying it will be resolved for this patient. And neither will “I’ll lie next time!” Trust me, since it’s not an official protocol, you’d best believe admin will be on that sonographer’s ass in no time. Girl, you’re aware that imaging goes down or isn’t staffed sometimes, and physicians have ways to deal with these circumstances? Swear to god critical thinking is on the endangered species list. Bitchy nurse that knows nothing about the situation she’s sticking her nose into tries to tell her equals what to do, more news at 9.