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Assess & Treat: Well...the first three letters are right.

Posted Jun 14 2010 5:53am

If a picture paints a thousand words then here is the prose for my night last night:


I don't have any cutesy stories or smartass cleverness to impart this morning.  Last night was long and hard and relentless but I am grateful to have such a great job and even more grateful to work with such amazing people. I really love my crew. They're some of the best people I've ever met in my life and I appreciate them more than they know.

I am going to indulge in a grumble this morning. And then I'll take a bath, go to bed, and wake up happy again.  Promise.

My one most frustrating thing from last night was Why in the heck would we take a patient in the ER, with a diagnosis of impending respiratory failure (both bad clinically and bad gas), and a doctor's order to Bipap as needed,  and not only NOT Bipap them in the ER but also send them to the floor on a non-rebreather and to a floor that we're not allowed to Bipap on? What part of that makes sense in any way except as a SNAFU?    What a waste of manpower and time to move the patient and get started all the stuff that could have so easily been handled with a thoughtful admission placement.

I don't get it. I just got to fix it.  I guess that's just one of those things that falls into the "Shit Happens" category.

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