I had a very busy Sunday. I kind of wish it wasn’t because I would’ve liked more time to read up on my future career path. But I liked it because I got to test my skills and knowledge base with certain clinical issues. Three out of five of my patients’ blood pressures were out of whack (either too high or really low) and the MDs wanted me to give furosemide IV to the patient whose blood pressure was 85/45. Yeah…I was nervous. In fact, so were the doctors. But I waited until the blood pressure was about 90/60 before administering it. My understanding was that the benefits of this drug outweighed the risks. In addition, I agreed with the physician that if need be it would be better to call a rapid response in the day time than during night shift. Fortunately, the blood pressure did not plummet (in fact it went up to 100/83) and the worst thing that happened was that the patient kept peeing on themselves and I had to keep changing bedsheets.
Lord knows I hate rapid responses. It’s part of the reason why I’m so proactive with patient care. Rapid responses to me are a last resort. They’re something you do when you’ve done everything else in your power in a timely manner. Some people are so eager and willing to call a rapid response so they can continue on their day. I’d rather miss 3 meals to provide care and prevent a rapid, than go on a lunch break, come back, and call a rapid response. That’s not the adrenaline rush for me. I already work at a level 1 trauma hospital. Our medical-surgical unit functions more like an IMC unit to be honest. So whenever I can, I prefer a nice, fairly slower pace at work. That doesn’t always happen so when it does, I embrace it. It reminds me of what I want to accomplish and the place I’m trying to get to in life.
Like I’ve said in many of my previous blogs, I’m on a journey of self-discovery. I’m just glad I feel that connection to myself again.