Outside Hospital

[a57m2000]

OMG, sounds like all the metropolitan Chicago hospitals belong to the Outside Hospital Network!

[WhiteTrashPeg]

I worked for years as a trauma nurse in a tertiary care hospital, and I worked for years at a level one trauma center as the nursing trauma team leader on midnights. It's comforting to see that nothing has changed: the wet-behind-the-ears new doctors at the level 1 facility will always believe that they are the smartest and wittiest human beings to ever wear a scrub top, and make sure everyone around them "knows it".

They already made "Scrubs" guys. I think you missed your window of opportunity

[ZDoggMD]

Outside, inside, we're all on the same side. What?

[WhiteBubblySoup]

No cath report, echo report or hospital summery......but we'll send the nursing notes. Classic!

[mirmirisme1]

I'm a stepdown nurse at a UH and I getting report from OSH. 80% of the time, the nurse has no clue what is going on and will say things like "skin intact" and then the patient shows up with a Stage 3 DPU. That makes nurses look so bad! But then again, sometimes the same thing happens within my hospital... we had a nurse from a med-surg floor transfer a patient to us for what she called "DVT's" when the patient was having "DT's" from ETOH withdrawal. The moral: MEDICAL MORONS ARE EVERYWHERE.

[itogrr]

HAHAHA! ALL of this is SO TRUE!! HOWEVER, it is definitely not all true about OSH. Some of it, like the nurse notes (LOL!), is classic OSH. But it's the university hospitals that consult 'specialists' for every, and I mean EVERY, complaint, no matter how minor. Its damn ridiculous. Consulting has become such a pathetic crutch in the university/large hospital setting, that the primary doctors can no longer make common sense medical (or social) decisions on their own.

[ticklehound]

They have shitty doctors at outside hospital.

[anmd40]

Judge not, lest ye be judged...

I am temp'ing in an extremely rural community in the Southwest, and tonight I visited an ER in the middle of NOWHERE. There was a doctor there. How can they afford that? We should be glad that any physicians are willing to accept the risk of working alone in some of these areas. This video was made by kids with no "real world" experience. But I will admit, some hospitals get wayyy too many consults. ? if they do this in academic centers.

[alliebob21]

Hahaha...."the nursing notes." True!

[ZDoggMD]

I work as a hospitalist at both University Hospital and Outside Hospital. So I get to transfer complicated patients from Outside Hospital...to myself! And guess what? Even when I dictate the transfer summary myself and hand carry it with me to University Hospital, it somehow magically vanishes! WTF??!?

[dlgarbett]

Best video ever. I watch this prior to every call shift. :)

[mhaissen]

man .. fuck outside hospitals

[james040280]

@mhaissen great comment! succinct

[kidquick07]

The funny thing is, ultimately, a vast majority of University trained residents end up practicing at Outside Hospital. And end up getting made fun of by the House Staff from University Hospital. The circle completes itself.

[ZDoggMD]

@kidquick07 Ha, this is absolutely a fact!

[kuocal]

I graduated from residency and now I work at Outside Hospital...just livin the dream

[lk34rr]

50 pages of M.A.R. summary, no EKG. Nuff said.

[torammaa]

so fuckin funny

[allacesmax]

Very true. I can't tell you how many times I've just wanted to see the cheif complaint and triage practitioner notes...NOT HOW MANY TIMES THE PATIENT HAS SHIT.

[DHO82]

Soo, horribly true.

. . . freaking nursing notes!

[boredmanaic]

so....freaking....true..... *sigh*

[Westerfluf]

Wow, where did they find Nurses Notes?

[chadygreen]

True story, 2008:

Male in MVC c/o abdominal pain. Chest/ab/pelvis CT at outside hospital negative except for some free air under the diaphragm.

[chadygreen]

Well apparantely, outside hospital laughs at free air under the diaphram, and sent this patient home!!!! I mean so what if you have a perf in your GI tract, suck it up!

A few days later, comes into a level one trauma center and gets a small bowl resection.

He was lucky that he didn't go into septic shock and die at home.

I WILL ALWAYS GO TO A TRAUMA HOSPITAL FOR TRAUMA.

[xyo1120x]

lol...lasix and then septic shock

[LaRojaLoca]

No joke, the pneumonia scenario happened to my patient last night---I love it when people get lasix for poor urine output and it turns out they are in shock! HA!

[amostaj]

This is pure gold. The end is classic!

[NYPoster]

How true this is.

[toddmanqa]

I particularly like the one page summary covering a one month stay at outside hospital! This was brilliant!

[Samura1gamer]

Samuraigamer used more than 2% of His Skill only once.astronomists call that moment as 'big bang'

[arlington12345]

I do love how they hide a few random lab results in 200 pages of nursing notes. I often find myself bored on call and when admitting a patient the hunt for pertinent info in the notes gives me something to do

[bobswerski2002]

Yeah, we "require" a d/c summary for transfers too, but somehow they never seem to make their way into the packet that comes with the patient.

[pzavislak]

Genius. Great job, guys.

[callogician]

haha. Shouldn't have mentioned Penn though.  Makes you come off as arogant bastards.

[ImitationCrab]

awesome. great job

[zoombusa]

hell yeah, sad but true. if you didn't get it then you are from outside hospital

[zinniasj]

Hilarious! If you have a lung... HAHAHAHAHA! Good job guys!

[merrygolucky]

OMG..Lasix and Metoprolol...Havent we seen that one..LMAO..so true...awesome video...true the general Public will not see it or understand!!!!!!

[flooby8888]

I'm laughing my ass off...the general public would never get this..which is sad

[radmd]

Awesome video...so true

[stephangle01]

lol...nursing notes....it's funny cuz it's so true!

[paustinmd]

Fucking hilarious. I think all the well trained physicians who watch this are rolling with laughter. Haven't we all seen these situations again and again, though unfortunately they occur at 2 a.m.. I love the bit about the nursing notes. Yeah, no need to send dictated operative reports or the admission H&P, either. One always thinks, "What were those guys doing out there?"

[tanyamcnurse]

omg- we send nursing notes... lmao!

[mateluna]

Let me get this straight. If you don't do your residency at Hopkins or MGH you are not smart. Perhaps part of the reason things at "outside hospital" don't work that well has to do with OUH being a business, as is all our healthcare system. Look at the real example of Tenet Hospitals in Texas doing cardiac caths on patients that did not need them, with the full knowledge and participation of physicians.

Our healthcare system sucks.

[zoombusa]

so do you and your idiotic senseless ramblings. go fuck yourself

[ranmaniac10]

@mateluna

So true, I got to spend the day at the cath lab for my nursing clinical, I witnessed a patient get a cardiac cath that turned out not to even need it at one of the county hospitals here in Houston. What was supposed to be an educational experience turned out to be a lesson in how the medical establishment fleeces the system.

[nooseman11]

If these residents are so damn smart, why are they training at Penn instead of Mass General or Hopkins?

[MemphisRaines50]

Because the Ivy League is where the class clowns are exiled to do their training. Hope you're joking, otherwise you're a moron.

[nooseman11]

Oh, really, Osler? Dartmouth is Ivy League but no one would put that on their list of top hospitals. Guess how many patients I told to avoid Outside Hospital only to watch the infallible geniuses at University Hospital perform another assassination, while the residents obsess about innovative ways to avoid as much work as possible. Here's a tip, Skippy - finish residency and figure out how the real world works before you run your arrogant mouth.

[MemphisRaines50]

Thank you for helping me to feel less bad about calling you a moron. You obviously have no clue about "the real world" if you think that good care is only delivered at MGH or Hopkins.

[nooseman11]

Not only are you an idiot, but apparently you suffer from attention deficit disorder. This video plays on Penn residents' resentfulness because they supposedly provide better care than Outside Hospital. My point is that at many hospitals, people would consider THEIR care just as sloppy as care at Outside Hospital. Typical response from a geek who is good at science but flounders when it comes to common-sense thinking and needs everything spelled out for her. Please crawl back into your hole.

[MemphisRaines50]

Umm, no, it's a damn funny video and you sound like an elitist douchebag...with the fun-ruining combination of anger issues, no sense of humor, and furious typing skills.

[nooseman11]

Oh my god, please go back to watching your Yes, My Dear reruns and listening to your Nickleback CD's. Which part of patients suffering was the funny part again, Hitler?

[NardCore1]

Woah, touchy, touchy. Sounds like someone just might have had his training at Outside Hospital.

[MemphisRaines50]

Wow, that was quite possibly the saddest attempt at an insult that I've ever heard. You're about as funny as the smell of fresh melena.

[goldieloxbagel]

I love it! love it!!! this made my call fly by!

[bobertzoltan]

God forbid anyone actually come as a transfer with a summary of their 10 day hospitalization.

[docoda]

My hospital has started to require the records be faxed, including a discharge summary, before accepting patients.

[yourmommademe]

that's great... and even greater because i know the actors and just stumbled upon this...

[pc1018]

very funny... but sad that the reason it's funny is because it's true. we've had pts show up in our univ ED with discharge paperwork that actually included a google maps printout of directions from the OSH to our hospital. wallet biopsy negative? send to the U!

[docoda]

Yep. See that a few times a month. "Discharge to the University Hospital."

[Ficon]

Brilliant! Good job. HIDA scan seems to be the test of choice regardless of indication in our neck of the woods.

[lvhbugman]

Outside hospital: was going to transfer you, is transferring you, will always transfer you to University Hospital, but not without billing you first.

[IheartURmom]

Because the CEO is a jew. Did you miss that part?

[hsujim]

any particular reason the "we can cath you" CEO had to have a Jewish name and a curly brown wig?

[zombiepanic911]

No we just need a follow-up video from "Skilled Nursing Facility."

[zombiepanic911]

Now we just need a follow-up video from "Skilled Nursing Facility."

[MemphisRaines50]

Here's to you Mr. 24 Gauge In The Scalp prior to transfer for the guy who just vomited up a band and his crit is 8, hahaha! This video is hysterical, well done.

[onerine]

umm..., what? what the hel is a 24 gauge in the scalp? a peripheral in the hand is how they all arrive in our micu. as noted in this video. funny.

and does "vomiting up a band" mean anything to anyone?

[MemphisRaines50]

Umm...it's a joke, admittedly kind of an inside joke - but not really if you can appreciate this video.

[jali778]

as a resident, i've totally seen the 24 gauge in the scalp too!! your earlier post was hilarious, memphisraines.

[Pudu18]

Three cheers. 5 copies of the same Chem 7 drawn a week ago but no MD notes are de riguer for our network.

[jwoodydoc]

It is so true "we can treat any organ.....HA HA

[doctorsaj]

It's funny 'cause it's true!

[Colehazel]

This video was made by the "CEO." All participants, including the "CEO" were third year internal medicine residents at the Hospital of the University of Pennsylvania at the time. The video was made for the Dec 2005 Holiday party.

[whupdido]

Bravo, bravo! It's nice to finally put a face to OSH.

[sparky47807]

I think I used to work there. LOL

[adamfp01]

This may be the greatest youtube video of all time. I love you.