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	<title>Comments on: Authorized Personnel Only</title>
	<atom:link href="http://kathrynsmoore.wordpress.com/2008/05/08/authorized-personnel-only/feed/" rel="self" type="application/rss+xml" />
	<link>http://kathrynsmoore.wordpress.com/2008/05/08/authorized-personnel-only/</link>
	<description>Some days funny ha-ha, others just funny weird.</description>
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		<title>By: runlikemad</title>
		<link>http://kathrynsmoore.wordpress.com/2008/05/08/authorized-personnel-only/#comment-295</link>
		<dc:creator>runlikemad</dc:creator>
		<pubDate>Wed, 21 May 2008 20:51:36 +0000</pubDate>
		<guid isPermaLink="false">http://kathrynsmoore.wordpress.com/?p=71#comment-295</guid>
		<description>They&#039;re at least close on that... they don&#039;t show Med Students, but they do have Interns, Residents, a Cheif Resident, they&#039;ve talked about Fellows, and Attendings.

It would be nice if someone came in the hospital with a good ol fashioned sore throat once in a while instead of &quot;help, i&#039;m being impaled by this big metal rod and by the way, the rod is stuck in him too&quot;</description>
		<content:encoded><![CDATA[<p>They&#8217;re at least close on that&#8230; they don&#8217;t show Med Students, but they do have Interns, Residents, a Cheif Resident, they&#8217;ve talked about Fellows, and Attendings.</p>
<p>It would be nice if someone came in the hospital with a good ol fashioned sore throat once in a while instead of &#8220;help, i&#8217;m being impaled by this big metal rod and by the way, the rod is stuck in him too&#8221;</p>
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		<title>By: kathrynsmoore</title>
		<link>http://kathrynsmoore.wordpress.com/2008/05/08/authorized-personnel-only/#comment-293</link>
		<dc:creator>kathrynsmoore</dc:creator>
		<pubDate>Wed, 21 May 2008 18:44:25 +0000</pubDate>
		<guid isPermaLink="false">http://kathrynsmoore.wordpress.com/?p=71#comment-293</guid>
		<description>The true rankings in a teaching hospital are as follows, from bottom to top:

Med Student
Intern (1st year of residency)
Resident (length of residency depends on specialty)
Chief Resident (optional)
Fellow (further specialization)
Attending</description>
		<content:encoded><![CDATA[<p>The true rankings in a teaching hospital are as follows, from bottom to top:</p>
<p>Med Student<br />
Intern (1st year of residency)<br />
Resident (length of residency depends on specialty)<br />
Chief Resident (optional)<br />
Fellow (further specialization)<br />
Attending</p>
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		<title>By: runlikemad</title>
		<link>http://kathrynsmoore.wordpress.com/2008/05/08/authorized-personnel-only/#comment-292</link>
		<dc:creator>runlikemad</dc:creator>
		<pubDate>Wed, 21 May 2008 17:34:12 +0000</pubDate>
		<guid isPermaLink="false">http://kathrynsmoore.wordpress.com/?p=71#comment-292</guid>
		<description>It&#039;s my favorite question to ask of anyone who&#039;s working in a profession that has been turned into a tv and/or reality show.

I went through 2.5 years of school for my Bachelors, and I&#039;ll clock 2 years of employment before I can take the test to call myself an &quot;Interior Designer&quot; - all those shows on HGTV and TLC have people title-dropping like it&#039;s nothing but most of them don&#039;t have the background, or the license, to truly call themselves designers.

I thank Grey&#039;s for teaching me the rankings within a hospital - do they at least have that right?  Intern - Resident - Attending?</description>
		<content:encoded><![CDATA[<p>It&#8217;s my favorite question to ask of anyone who&#8217;s working in a profession that has been turned into a tv and/or reality show.</p>
<p>I went through 2.5 years of school for my Bachelors, and I&#8217;ll clock 2 years of employment before I can take the test to call myself an &#8220;Interior Designer&#8221; &#8211; all those shows on HGTV and TLC have people title-dropping like it&#8217;s nothing but most of them don&#8217;t have the background, or the license, to truly call themselves designers.</p>
<p>I thank Grey&#8217;s for teaching me the rankings within a hospital &#8211; do they at least have that right?  Intern &#8211; Resident &#8211; Attending?</p>
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	<item>
		<title>By: T</title>
		<link>http://kathrynsmoore.wordpress.com/2008/05/08/authorized-personnel-only/#comment-287</link>
		<dc:creator>T</dc:creator>
		<pubDate>Wed, 21 May 2008 01:27:06 +0000</pubDate>
		<guid isPermaLink="false">http://kathrynsmoore.wordpress.com/?p=71#comment-287</guid>
		<description>Thanks for your wonderful answers about our behind-the-scenes life, Katy!  You&#039;re so gracious and articulate.</description>
		<content:encoded><![CDATA[<p>Thanks for your wonderful answers about our behind-the-scenes life, Katy!  You&#8217;re so gracious and articulate.</p>
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		<title>By: kathrynsmoore</title>
		<link>http://kathrynsmoore.wordpress.com/2008/05/08/authorized-personnel-only/#comment-241</link>
		<dc:creator>kathrynsmoore</dc:creator>
		<pubDate>Wed, 14 May 2008 15:27:53 +0000</pubDate>
		<guid isPermaLink="false">http://kathrynsmoore.wordpress.com/?p=71#comment-241</guid>
		<description>Hello runlikemad!  Thanks for tuning in!  To answer your question, I can&#039;t stand watching Grey&#039;s Anatomy.  The whole thing is so unrealistic it drives me crazy. I&#039;ve tried to watch it twice, and both times I had to turn it off.  It&#039;s little stuff, like the cases the interns were doing, or how they leave their mask down when they enter the OR.   And it&#039;s a total bummer because I think Patrick Dempsey is YU-UH-MMY!!  I used to watch ER, because that was a setting I was unfamiliar with, so it didn&#039;t bother me as much.   But I quit it years ago.</description>
		<content:encoded><![CDATA[<p>Hello runlikemad!  Thanks for tuning in!  To answer your question, I can&#8217;t stand watching Grey&#8217;s Anatomy.  The whole thing is so unrealistic it drives me crazy. I&#8217;ve tried to watch it twice, and both times I had to turn it off.  It&#8217;s little stuff, like the cases the interns were doing, or how they leave their mask down when they enter the OR.   And it&#8217;s a total bummer because I think Patrick Dempsey is YU-UH-MMY!!  I used to watch ER, because that was a setting I was unfamiliar with, so it didn&#8217;t bother me as much.   But I quit it years ago.</p>
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		<title>By: runlikemad</title>
		<link>http://kathrynsmoore.wordpress.com/2008/05/08/authorized-personnel-only/#comment-240</link>
		<dc:creator>runlikemad</dc:creator>
		<pubDate>Wed, 14 May 2008 14:48:09 +0000</pubDate>
		<guid isPermaLink="false">http://kathrynsmoore.wordpress.com/?p=71#comment-240</guid>
		<description>Can you stand to watch shows like ER or Grey&#039;s Anatomy without screaming at the TV, &quot;YOU&#039;RE DOING IT WRONG!&quot;</description>
		<content:encoded><![CDATA[<p>Can you stand to watch shows like ER or Grey&#8217;s Anatomy without screaming at the TV, &#8220;YOU&#8217;RE DOING IT WRONG!&#8221;</p>
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		<title>By: kathrynsmoore</title>
		<link>http://kathrynsmoore.wordpress.com/2008/05/08/authorized-personnel-only/#comment-232</link>
		<dc:creator>kathrynsmoore</dc:creator>
		<pubDate>Tue, 13 May 2008 17:24:44 +0000</pubDate>
		<guid isPermaLink="false">http://kathrynsmoore.wordpress.com/?p=71#comment-232</guid>
		<description>Patrick - It is very, very rare that a patient has awareness during surgery.  It is common for the patient to remember counting down to go to sleep, and then feeling like he is immediately waking up, even though hours may have passed.  Sometimes patients remember the breathing tube being pulled from their throat.  (I hear people talking about this alot.)  But generally memories of surgery are hazy at best.  Here&#039;s a link to the American Society of Anesthesiologists page on Patient Awareness:  http://www.asahq.org/patientEducation/Awarenessbrochure.pdf

Now, for your other question.  Surgeons and nurses are human, thus, errors will occur.  We have layer upon layer of safeguards in place in the OR to prevent these events, but sometimes all the best practices can&#039;t prevent a mistake.  Our policy called for honesty with families.  The surgeon generally explained what happened, and what we had done about it.  The good news is, it&#039;s rare for these errors to result in harm to the patient.  It stinks, no doubt about it, and I spent a good deal of my time at the hospital working on policies and procedures to prevent mistakes.</description>
		<content:encoded><![CDATA[<p>Patrick &#8211; It is very, very rare that a patient has awareness during surgery.  It is common for the patient to remember counting down to go to sleep, and then feeling like he is immediately waking up, even though hours may have passed.  Sometimes patients remember the breathing tube being pulled from their throat.  (I hear people talking about this alot.)  But generally memories of surgery are hazy at best.  Here&#8217;s a link to the American Society of Anesthesiologists page on Patient Awareness:  <a href="http://www.asahq.org/patientEducation/Awarenessbrochure.pdf" rel="nofollow">http://www.asahq.org/patientEducation/Awarenessbrochure.pdf</a></p>
<p>Now, for your other question.  Surgeons and nurses are human, thus, errors will occur.  We have layer upon layer of safeguards in place in the OR to prevent these events, but sometimes all the best practices can&#8217;t prevent a mistake.  Our policy called for honesty with families.  The surgeon generally explained what happened, and what we had done about it.  The good news is, it&#8217;s rare for these errors to result in harm to the patient.  It stinks, no doubt about it, and I spent a good deal of my time at the hospital working on policies and procedures to prevent mistakes.</p>
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		<title>By: Patrick</title>
		<link>http://kathrynsmoore.wordpress.com/2008/05/08/authorized-personnel-only/#comment-230</link>
		<dc:creator>Patrick</dc:creator>
		<pubDate>Tue, 13 May 2008 16:07:16 +0000</pubDate>
		<guid isPermaLink="false">http://kathrynsmoore.wordpress.com/?p=71#comment-230</guid>
		<description>What happens when a mistake is made?  Does everyone agree to keep silent until the inquiry or do you tell the patient (or his family if he doesn&#039;t make it)?

Have you ever had a patient not fully go under and after he wakes up he tells you that he felt and heard everything?</description>
		<content:encoded><![CDATA[<p>What happens when a mistake is made?  Does everyone agree to keep silent until the inquiry or do you tell the patient (or his family if he doesn&#8217;t make it)?</p>
<p>Have you ever had a patient not fully go under and after he wakes up he tells you that he felt and heard everything?</p>
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		<title>By: Rachel</title>
		<link>http://kathrynsmoore.wordpress.com/2008/05/08/authorized-personnel-only/#comment-226</link>
		<dc:creator>Rachel</dc:creator>
		<pubDate>Mon, 12 May 2008 23:39:26 +0000</pubDate>
		<guid isPermaLink="false">http://kathrynsmoore.wordpress.com/?p=71#comment-226</guid>
		<description>Not so much a question...but, thank you. I have been in and out of hospitals quite a bit in the past few years and I&#039;ve always been thankful for nurses. They are incredible and have made my visits so much better. We need more people like you in the world.</description>
		<content:encoded><![CDATA[<p>Not so much a question&#8230;but, thank you. I have been in and out of hospitals quite a bit in the past few years and I&#8217;ve always been thankful for nurses. They are incredible and have made my visits so much better. We need more people like you in the world.</p>
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		<title>By: jvalways</title>
		<link>http://kathrynsmoore.wordpress.com/2008/05/08/authorized-personnel-only/#comment-225</link>
		<dc:creator>jvalways</dc:creator>
		<pubDate>Mon, 12 May 2008 23:31:53 +0000</pubDate>
		<guid isPermaLink="false">http://kathrynsmoore.wordpress.com/?p=71#comment-225</guid>
		<description>APO, as in &quot;Alias?&quot;</description>
		<content:encoded><![CDATA[<p>APO, as in &#8220;Alias?&#8221;</p>
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