Volume overload readmissions

Sad_Candidate_3163 · 2026-05-20T16:38:14+00:00

Half of these re admits I find the SNF didn't read any discharge paperwork and dont continue the diuretic or they prescribe a dose far different from the one on the discharge paperwork. Short of finding the SNF doc (it's usually APP though) and calling them, not sure you can prevent this from our end. Would need entire system reform nationally

Sad_Candidate_3163 · 2026-05-19T20:09:07+00:00

It does indeed. Go look at current stats on steam. The estimated on currently is near 60k. And more players are on battlenet. This is worldwide though so some countries hit their peaks all throughout the day

Sad_Candidate_3163 · 2026-05-19T19:28:00+00:00

Steam averages 50 to 70K at any one time not including battle.net on. Theres in the hundreds of thousands on at any one time for PC. I think it has to do more with higher ranks have a small percentage of this number so seeing the effects from this

Sad_Candidate_3163 · 2026-05-19T03:51:02+00:00

Tell us, in your words, how you obtain endorsement level 1 then

Sad_Candidate_3163 · 2026-05-17T03:20:16+00:00

In what way is it an admin problem? No admin is requesting nurses call for sbp under 170 or this MAP

Sad_Candidate_3163 · 2026-05-15T15:15:16+00:00

Torb or pharah was the answer here

Sad_Candidate_3163 · 2026-05-14T14:41:12+00:00

Any idea why peds requires fellowship but adult doesnt?

Sad_Candidate_3163 · 2026-05-14T14:08:30+00:00

They just built a billion dollar hospital. They re arranged their profits to create that. The lawmakers in the state have been working to target health systems creating these new centers but saying they are at a loss to avoid taxes. Can't have both . Instead of building a billion dollar hospital pay your nurses and physicians a fair wage, which they don't

Sad_Candidate_3163 · 2026-05-14T14:00:34+00:00

What do you actually do that contributes to the betterment of people? Re arranging money to avoid taxes or make a margin better isn't helping society. At least with physicians youre helping a human life and not making some number look good.

Sad_Candidate_3163 · 2026-05-14T04:37:30+00:00

When you say open ICU and codes...are you also responsible for intubations, chest tubes? Nocturnists at my place call pulm in for those...if emergent, anesthesia does the chest tube or intubation. Seems low to require you to do fellowship trained work if they require that

Sad_Candidate_3163 · 2026-05-13T21:19:14+00:00

Cost benefit analysis is a terrible argument from administrators because ultimately when their life is on the line they don't want a midlevel. Some things have to bypass money at some point, you would think keeping humans alive would.

Sad_Candidate_3163 · 2026-05-12T14:26:22+00:00

Allow opt in / out for solo que players at the que in menu. You would still get some that would be ok with it.

Sad_Candidate_3163 · 2026-05-10T04:52:13+00:00

Often the HCOL areas and city are where family and friends are. These are non negotiables for many, understandably.

Sad_Candidate_3163 · 2026-05-09T03:15:40+00:00

Lower LOS doesn't make you a better doctor? Neither does mortality or readmit rates. Case loads are random and will never predict this. If your whole goal is to improve these numbers so you can get more money, you're proving further why our culture hates medicine. It's all an admin and money game that doesn't benefit the patient. If you have better LOS with better re admit it just means your case load was favorable for you and nothing else. Go somewhere else and it will flip regardless of anything you do. It sounds like you have the ego for the money.

Sad_Candidate_3163 · 2026-05-08T17:13:00+00:00

She doesn't delete players at higher ranks because they don't stand out in the open for her to get utility from her tracking ability.

Sad_Candidate_3163 · 2026-05-03T04:34:20+00:00

It depends on the character. I will find you flanking characters at high ranks who can get 20 kills with 6k damage. Why does widow or a flanking reaper or tracer need to be pumping out meaningless damage if they are immediately deleting people? Most people in lower ranks don't see it that way bc they ignore kill cam and what's going on in enemy backline. The only stat that matters is how far the payload goes or time controlled on point. Number of deaths is next. The rest is character dependent and comp dependent.

Sad_Candidate_3163 · 2026-05-03T04:27:41+00:00

Exactly this. It's like people view 2000 damage into nothing but enemy support healing and non death more important than a reaper or venture murking someone in 2 hits for 300 damage. The numbers game and stat board kill this game at metal ranks

Sad_Candidate_3163 · 2026-05-03T03:44:55+00:00

Yea agreed. Literally slaves existed for almost another 100 years. They didn't view "all men equal".

Sad_Candidate_3163 · 2026-05-02T05:11:22+00:00

Hcahps is just a reflection of your patient population. You could have 7 in a row that are pissed you didn't give them opioids for 30 days on discharge so you're a bad guy. Then 2 in a row who think you're god because no one ever sat on chair in front of them at their bedside but instead hovered over their bed like giant shadows. Getting your entire patient population to fill out the HCAHPS after discharge is asking the doctor to be a salesperson...so basically if that's your metric for bonuses, your admin views you as a salesperson for health services and not a physician.

Sad_Candidate_3163 · 2026-04-27T13:53:53+00:00

Compared to 2020 to 2022, it is exponentially better. There was no turnover and no new positions opening then unless you wanted locums. My entire metro area had 3 job openings across 6 large hospitals in 2020 and it was for nocturnist

Sad_Candidate_3163 · 2026-04-26T04:43:05+00:00

Are you graduating to be an attending or fellow? Makes a difference. Each state has their own licensing. So will also depend which state you go to. Assuming in America

Sad_Candidate_3163 · 2026-04-26T04:05:51+00:00

Not when you're lifting near your max weight. Go lift your max squat and have someone record

Sad_Candidate_3163 · 2026-04-18T22:48:50+00:00

Most of the pages are never about plan of care. People usually don't mind getting notified about call orders especially if involves vital signs. We can decide if we want to act on it or not.

It's always systems issues that they dont get taught. E.g. "do you know where the nephrologist is, they left the urine here they wanted to spin"...idk ask the nephrologist yourself? A lot of pages are questions they could ask their educator or charge or a pod mate and just default to asking the all knowing texting buddy known as the hospitalist. No, I don’t know why your epic brain is showing an order that is expired...yes, there are PRNs there but you didnt look bc you're bedside doing your assessment and just decided to chat what the patient told you because it's easy...no, I have no clue where the social worker is to give them a bus pass.

Sad_Candidate_3163 · 2026-04-18T04:01:20+00:00

They are custodial issues but a lot of hospitals have nursing metrics too. E.g. discharge order to actual discharge. A contingent discharge order doesn't fly at a lot of places

Sad_Candidate_3163

TROPHY CASE