4 ms·
The whole 24hr thing seemed ridiculous to me, until I learned about the concept of continuity of care and a loved one spent a few stays in inpatient care. Now I
by sliverstorm 9y ago
The whole 24hr thing seemed ridiculous to me, until I learned about the concept of continuity of care and a loved one spent a few stays in inpatient care. Now I don't really know what the answer is anymore. It sucks to be regularly handed off when you've just established some rapport with your provider and reached treatment plans, and the evidence shows it impairs outcomes.
I speculate whether we could have duos who rotate with each other, rapidly trading naps and duty & working closely together, over say a 48, 72, or 96 hour period. Barring emergencies, each gets 12 hours rest a day, and from the patient perspective they function as a tag team. But, not a healthcare professional.
- paviva 9y agoIn most services, the treating physician is rotating on a weekly basis. That's pretty much the most convenient/tolerable/safe period of continuous work, as long as you do not receive more than 2-3 calls per night. Call number is dependent on the acuity of patients' condition, and the ability of the house staff (i.e. residents on site) to manage minors problems without immediately consulting the attending by phone.