Tuesday, May 15, 2007

i really hate

feeling dumb ...
and it bothers me that when given an answer they tell me "it's in the policy
so i looked up the policy and guess what? it's not in the policy!
arrrgggghhhh .....
really frustrating
my pt was on a temporary dialysis machine that we have to manage
a ventilator
2 drips (continuous IV's that we have to titrate) to keep his blood pressure up
one to control his heart rate
another for sedation
another for pain
another for clotting
another for his blood sugar
total parental nutrition and lipids
something to look at is heart fluid status
so there's 12 IV pumps in my room along with all of this other stuff
and i manage everything until 0500
then the one thing - the dialysis thing - clots off at 0500
and when the docs come in at 0630 that's the one thing they notice
not that everything else is stable
just that one thing made it seem like i did nothing the rest of the night ...
i hate it

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