Podcast #38 - How to Manage the Upset Patient with Rob Orman

We just came back from SEMPA 360 and it was a blast!  But today, we have a two part interview with Rob Orman.  The first half, today's discussion, is all about patient satisfaction.  Next week, we will further our "grab bag" discussion with some other interesting questions that others wanted to hear from Rob about, but all I can say is you do not want to miss the pearls from the interview so make sure to listen to both!

For the few of you who may not know Rob Orman, he is best known for ER Cast but is also now primarily on EM:RAP.  Both are definitely worth listening to but ER Cast is #FOAMed while EM:RAP you will have to pay for in order to listen.  However, some of the content between it and its related websites are available for free such as the one regarding the Upset Patient Protocol which is covered here today.  The original version comes from The Happy MD.

We posted this podcast just after coming back from SEMPA 360 but this was recorded prior to the conference and there are a few points to add from the conference not mentioned in the original podcast recording.  First, as mentioned in the podcast, opiates are frequently a point of contention between patients and providers.  However, this can even extend to a difference in opinion between prescribers in the department.  Christian Tomaszewski's lecture "Prescription Drug Abuse and its Effect on the ED" reviews techniques to help with this and one point he made is that forms can be provided to patients regarding a hospital or department's policy.  One key point to remember is that he did discuss concern for possible EMTALA violations if given prior to an appropriate medical screening exam.  Overall, the main point is that the department should agree on a plan as this will make it easier to be consistent with patients and their desires if there is concern for prescription drug abuse or misuse.

Please let us know what you think by giving us feedback here in the comments section or contacting us on Twitter or Facebook.  Remember to look us up on Libsyn and on iTunes.  If you have any questions you can also comment below, email at thetotalem@gmail.com, or send a message from the page.  We hope to talk to everyone again soon.  ​Until then, continue to provide total care everywhere.

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