Management is hugely upset that our number of flu shots are down from last year. One answer to this is to make sure we ask every patient at both the IN window and the OUT window if they've had their flu shot this year. There is no deviation from this direct order, we're told.
Unfortunately, I'm disobeying the direct order. I know my patients and I know which ones I've already given a flu shot. Asking them again when I already know the answer makes me look foolish.
"Mr. Brown, have you had your flu shot this year?"
"Yes, Dr. RxMan. You gave it to me yesterday." Mr. Brown looks puzzled. He looks at his bottle of medication, wondering if I've actually given him the right medication. Maybe I should switch to the pharmacy across the street, he thinks to himself.
So no, I'm sorry Corporate. I'm not following this direct order. Stick it! And I don't mean a flu shot.