Wednesday, December 8, 2010

There is no I in team...except at this hospital

Last week I had a very sick ICU patient who came in around midnight, luckily for me I knew he would be ICU early on (I then prepared him for ICU admit) it was just convincing the ER doc that the patient was "that" sick. (sarcasm) I just wonder what ever happened to the idea of team? This patient was very sick and Not one of my co-workers decided to get off their ass to help me. This patient's pressure was dropping and all I could think of was him arresting in my room. If it was not one critical change in this patient it was another. Hypoglycemia, hypotension,possible PE, renal failure and of course intense pain due to the fact this patients legs were the size of an elephants. This was the type of patient that should be 1 on 1 and I was one on one only because there were few other "really sick" patients in the ER that night. I finally get a chance to go eat my lunch...( or just took a second to noursish my being) I was in the breakroom right next to this patients room maybe 5 mins. A nurse runs in "Do you know his pressure is 50/17!?" OMG! "yes" I respond...."its been in the shitter all night and the doc wants to send him to tele and maybe try one more bolus." Nice of them to notice that I might need a hand at some point instead of sitting on their asses decorating for Christmas. The charge nurse then comes in and tells me to go take care of my patient. You have got to be kidding me...the nerve of these nurses. It is just times like this where you work so hard and try to do so much for patients...sucks when they do not notice but I almost feel as though it sucks more when your co-workers watch you run all night long and do not offer a hand. WHAT EVER HAPPENED TO TEAM? oh and I had this patient for a total of 7hours. I just love ICU holds

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