









only have tonight off and then i go back to work for a few more shifts and then education day. ends up i got lucky this week. patients kept me busy at times, but nothing horrendous. first night my dude went into a zippy rhythm, next night got a surprise patient from the juneau, last night got a lady with an extremely rare blood type who was actively bleeding. not sure she really comprehends the possible gravity of her situation. she was a rare antibody type that only a few polynesians have...so if you are polynesian or of somoan decent you really should get in there and donate just in case you have this type so the blood bank can have you on record for unfortunate young women such as this one. they had found only one unit of blood on the entire west coast that could be matched to her an it was going to take 24 hours to get it to her. often when someone is bleeding they get many units of blood. her hct was 14! guess i never realized there were people out there who were at such risk when it came to blood typing. not that my blood type is rare A+ but i really should get in there and donate. such a simple thing that can really help out people. an easy way to "volunteer" in the community.
med errors...they happen all the time. i make errors..i always say, medicine is a profession where you are expected to be perfect 100% of the time and since you are human you won't be. i will make mistakes, we all will, i just pray every day as i drive to work that i won't do any harm with those mistakes. no harm this week. interesting though what you find out about the character of your co-workers. one this week...i suspect a wrong dose was given to my patient by a co-worker helping out. he fudged on his answer when i asked about the 2 vials i found. i appreciate the help, and the guy did okay, but it's always best to just fess up to an error so that you can prevent the fall out. it's tough though as in this business confessing to an error can cost one their job, thier license and even thier homes if there is some lawsuit...just adds another dimension to the whole medicine thing. luckily for us all, our bodies are more resiliant that we think. also found a bag of tpn(total parenteral nutrition) that had precipitate in it. i didn't hang it so nothing bad could have happened...reasons why we will always need people and quadruple checks and even that isn't enough at times. i'm always just shocked that people are shocked that mistakes happen. just like it shocks me that people are shocked that people get infections while they are in the hospital.
met up with kelly and her mom for a walk today. not a monday walk, but we ended up doing the same loop, i just got an hour extra of sleep. felt great. still, i came home and napped a bit before heading to the pool. my shoulder felt a bit sore so only 25 laps today. never push too hard. got into a cleaning/tossing mode so went through a few of the drawers and some closet and donating a few bags. lots of stuff i just don't wear or can't wear as it no longer fits...better to just get rid of it. plan on buying a few things that actual fit nice and look good on rather than torturing myself with stuff that may never fit the same again.
well, i gotta get up kinda early tomorrow....
No comments:
Post a Comment