In medicine, in general, the higher the safety margin required, the more stringently metric is used. While adult medications are typically not administered on per weight basis, those given to children are. Children's hospitals will likely be the most metric medical institutions. Kilograms rule there, and pounds, if used, are quickly converted. Thus a hospital-based pediatrician can be metric's most frequent user. Similarly, intensive care units (ICU's) and anesthesiology services are also heavily if not exclusively metric. Oftentimes, they're the only metric islands in hospitals that steadfastly refuse to metricate. We have a county hospital here where following bit of foolishness happens all the time: all temperatures during surgery are recorded in Celsius by an anesthesiologist, but that same anesthesiologist has to record the patient's temperature on delivery to postoperative recovery area in Fahrenheit, because that's what the rest of the hospital refuses to go metric. Same thing happens, by the way, in all VA hospitals, the same ones covered by the Executive Order 12770.
On Sun, Jun 1, 2014 at 8:54 PM, <[email protected]> wrote: > My friend Julie Grant Bickers a Registered Nurse in Terre Haute, Indiana > responds to my blog (via Facebook) telling me about "an initiative in ER > nursing that all weights on patients are to be in kg due to weight based > medication dosing. We do not use pounds at all anymore. It is a step." > > ----- Message from Facebook <[email protected]> > --------- > Date: Sun, 1 Jun 2014 17:07:47 -0700 > From: Facebook <[email protected]> > Reply-To: Reply to Comment < > e+06gwuoc000zg5axz8gi0037xi0wwcuh0000000000000000000000002n...@reply.facebook.com > > > Subject: Julie Grant Bickers commented on a link you shared. > To: David Pearl <[email protected]> > > Julie wrote: "FYI.. it is an initiative in ER nursing that all weights > on patients are to be in kg due to weight based medication dosing. We do > not use pounds at all anymore. It is a step." - Reply to this email to > comment on this link. facebook > <https://www.facebook.com/n/?david.pearl.165%2Fposts%2F327052894112009&comment_id=327053947445237&offset=0&total_comments=1&aref=14117588&medium=email&mid=9f5bd80G5af40bf38e92Gd76ad4GeG6f56&bcode=1.1401667667.Abmi5Jmq2nmWDjco&n_m=contact%40metricpioneer.com&lloc=logo> > <https://www.facebook.com/n/?julie.grantbickers&aref=14117588&medium=email&mid=9f5bd80G5af40bf38e92Gd76ad4GeG6f56&bcode=1.1401667667.Abmi5Jmq2nmWDjco&n_m=contact%40metricpioneer.com&lloc=image> > Julie > Grant Bickers > <https://www.facebook.com/n/?julie.grantbickers&aref=14117588&medium=email&mid=9f5bd80G5af40bf38e92Gd76ad4GeG6f56&bcode=1.1401667667.Abmi5Jmq2nmWDjco&n_m=contact%40metricpioneer.com> > commented on a link > <https://www.facebook.com/n/?david.pearl.165%2Fposts%2F327052894112009&comment_id=327053947445237&offset=0&total_comments=1&aref=14117588&medium=email&mid=9f5bd80G5af40bf38e92Gd76ad4GeG6f56&bcode=1.1401667667.Abmi5Jmq2nmWDjco&n_m=contact%40metricpioneer.com> > you shared. Julie wrote: "FYI.. it is an initiative in ER nursing that > all weights on patients are to be in kg due to weight based medication > dosing. We do not use pounds at all anymore. It is a step." Reply to > this email to comment on this link. See Comment > <https://www.facebook.com/n/?david.pearl.165%2Fposts%2F327052894112009&comment_id=327053947445237&offset=0&total_comments=1&aref=14117588&medium=email&mid=9f5bd80G5af40bf38e92Gd76ad4GeG6f56&bcode=1.1401667667.Abmi5Jmq2nmWDjco&n_m=contact%40metricpioneer.com&lloc=1st_cta> > This > message was sent to [email protected]. If you don't want to > receive these emails from Facebook in the future, please unsubscribe > <https://www.facebook.com/o.php?k=AS0RO49ZDiZnQmbQ&u=100004219031186&mid=9f5bd80G5af40bf38e92Gd76ad4GeG6f56> > . > Facebook, Inc., Attention: Department 415, PO Box 10005, Palo Alto, CA > 94303 > > > > > ----- End message from Facebook <[email protected]> > ----- > > David Pearl www.MetricPioneer.com 503-428-4917 >
