"So I put in the order for the CT-- now I can just sign out, right?" asked one of my interns.
"No. You have to wait for the results."
"Oh, come on. It's late."
"And what if it shows something?"
"The night team will deal with it."
"They have a million patients. We order a test, we have to wait for the results."
"I'm not leaving a sign-out that says, 'check his CT results, and if it shows something, do something about it.' How would you feel if you were on night float and that's the note you got?"
"I wouldn't do anything-- I'd save it for the day team tomorrow."
"And by then the patient will be...?"
"Fine. He'll be fine. What's going to happen in one night?"
"Have you worked nights yet?"
"Okay. You'll see after you work nights. There are some things it's okay to sign out. Emergency scans that may need to be acted on immediately-- not okay."
"You're the one who's always trying to leave as early as we can."
"I know. That's why when I say we can't leave yet, you should listen."
"But I don't want to be here anymore."
"I don't want to be here anymore either."
"So let's just go, and let the night team deal with it."
"We'll go after we get the results and see if we need to do anything."
"They shouldn't even do a CT this late. Then we could just leave."
"Did you finish writing all of your other notes?"
"Then you can't leave anyway."
"Come on, don't tell me we have to write notes on the weekend too."