Choking on a fishbone

💬 comments

We have to agree with Karen on this one - this is the kind of post that makes NPs look bad.

It's been a long, long time since we've seen a post that's made us facepalm as hard as we did. "Someone has to know it off the top of their heads"...someone, like a physician? OK, let's be honest, a medical student just starting clinical rotations would know how to work a fishbone diagram. Even if you didn't know, a quick Google search would have instantly answered the question, just like Karen here points out. You know you dun goofed when even Karen is right!

We're not really sure that "we don't usually write out labs in this format" is a valid excuse. While not everyone uses paper charting techniques like the fishbone table anymore, you'd be hard-pressed to find a physician who didn't learn it in medical school. It's something that's so fundamental to medicine that it's truly mind-blowing to come across a clinician that doesn't know it. But I guess you can't take anything for granted these days when it comes to nurse practitioner and midlevel education, or lack thereof. Let's dig a little deeper into NP Sarah Olsen's educational background:

Wow! "Board-certified" in nurse practitioner-ing and also a DNP graduate with "high honors" from the University of Illinois at Chicago! We have it on good authority that medical graduates of the University of Illinois College of Medicine know what a fishbone diagram is. Evidently, the same can't be said of graduates of the DNP program over at the College of Nursing, which advertises itself as being for "The Expert Clinician". We're not exactly sure how someone who can't arrange a patient's WBC count, hemoglobin, hematocrit, and platelet count in a standardized manner can call themselves an "expert clinician", but I guess that's what passes for "doctorate-level" nursing education these days!