Question

On Thursday night Dr. Jones was at home watching television and spending time with his family. The phone rang. The South Shore General Hospital ER physician asked him to see an urgent patient. Dr. Jones replied that he was not on call for the emergency room at South Shore General Hospital, and furthermore, the hospital was paying members of a competing group to cover the emergency room. The emergency room doctor said that he was aware of the arrangement with the competing group. However, the ER could not reach the on-call physi-cian and had tried for some time. Dr. Jones, who earlier had a glass of wine with dinner, responded, “You’ll have to keep trying. I’m not coming in.” The next day Dr. Jones called the Chief of Staff and the Chief Medical Officer (CMO) of South Shore General Hospital and informed them that neither he nor any members of his group would cover the ER unless they were compensated in a similar manner to the competing group and had an appropriate contractor arrangement with the hospital. Dr. Jones asked the Chief of Staff and CMO if they worked for free. Dead silence. “While you’re thinking about that question, let me say this to both of you. Doctors are working harder and longer hours and earning less money every year. Why should we give up our free time and work for nothing when you’re willing to pay the other group?”

1. If he had gone in and there had been an adverse patient outcome, how do you think the fact that he had consumed an alcoholic beverage that evening would play in a courtroom?

2. How should the ER physician have handled this matter? What is the best way to ensure emergency room coverage?

3. What steps should the administration of South Shore General Hospital take in the future to prevent this problem from occurring again? Provide your reflections and personal opinions as well as your recommendations and rationale for your responses.

Background Statement?

Major Problems and Secondary Issues?

Your Role?

Organizational Strengths and Weakness?

Alternatives and Recommended Solutions?

Evaluation?

Answer 1

1- if he had gone in and if there is occurane of any adverse effect obviously he will be responsible for that thing and he may be charged because he had consumed alcohol before management. Consuming alcohol before surgery or on duty time this is illegal and doctor can be charged for this if any adverse effect is there.

2- emergency injury can be life threatened for a patient if it is not identified correctly and managed correctly. General physicians play an important role to manage it because they being the first contact care provider.they should be updated and we'll trained in general management of emergency like airway management , breathing,circulation .He should has confidence also with good skills.

3-the administration of South Shore General Hospital shuold have a team of experienced doctors for emergency Management rather than having single doctor. Because if there is a team ,due to any reason one is not available other will be present for emergency Management.they should have a trained ,updated and with good procedural and communication skills and com paramedical staff, equipment for procedures , necessary medication.

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