Tuesday, September 13, 2005
~ I HATE THE GM DOCTOR!! ~
9:36:00 pm
*ARRGGHH*... IRRITATING GM DOCTORS!! They are simply the people who are causing all the unnecessary misery that I have gone through these few days... They are the ones who made me felt so guilty yesterday, so much so that I shed tears out of my guilt...
What if my patient had died? I would still be left thinking that I was the one who would be responsible for my patient...
And this was what happened yesterday...Apparently, I had one patient who came in for pneumonia 2 days ago under the General Medicine (GM)... Patient was already on 50% oxygen when I came on shift and we were told to maintain the oxygen saturation level at 95%... And patient was on DIL maximum ward management...
Somehow, about 4 plus in the afternoon, my patient desaturated to 88% SpO2 but it went up again to 91% after a few minutes... Although the GM HO initially ordered for 100% oxygen, she then said since patient's SpO2 went up, so to continue on 50% oxygen but to maintain SpO2 above 90%... So that's fine...
About 8.30pm... Patient desaturated to 74% SpO2... HO on-call was called... Patient given 100% oxygen... Patient's SpO2 still low... Apparently, this was when I spotted the patient's abnormal blood results... The reason why I felt so guilty? Cuz the patient could be having Acute Myocardial Infarction (AMI) or in laymen's term, heart attack... MO on-call and Registrar came to see the patient... ECG was ordered although the ECG showed that it wasn't "too bad" (as quoted by the HO on-call)... All sorts of investigation was then ordered...
By then, I was feeling super guilty... I felt as though I was responsible for what had happened to my patient... Especially when the patient held my hand... It felt as though he was trying to reassure me that it was okay... And yes, the more I felt guilty over it... If only I had spotted the blood results earlier... What if patient had died? All these questions were running through in my head...
Apparently, my SSN who was on duty at the female side, was the one who helped me to call the MO on-call and it was because of her that I spotted the abnormal blood results... So after everything was done, she gave a little 'talk' on what to do when a patient desaturates and when we receive abnormal blood results, since I expressed that I had not done the right thing for my patient... That was when she told me not to cry and at that instance, my eyes just got teary... And the moment she turned back to me after a few seconds, I started to burst out... Got a little consoling session then...
Well of course... If anyone is in my shoes, they would feel guilty too unless if that person is heartless...
And this was what happened today...When I came on duty this morning, I was told by my night duty staff that the same patient actually had cardiac enzymes and bloods that was to be repeated twice... I totally did not notice this AT ALL during my shift yesterday... Furthermore, the previous shift did not mention a single thing to me... Since my preceptor was the one on AM shift, there was some 'heated' argument between the two of them...
And so, the real story was... THAT GM HO had inked up the order in the morning round changes when it's already the afternoon... As a result, I had actually oversaw it... And as for the blood results? The HO had actually noted the results via the computer and hence, not signing on the paper...
And SO... I do admit that I have a part to be blamed... But I just can't accept how the HO does her things...
Another incident... She just decided to discharge another one of my patients when all along, their plan was to transfer patient to SGH... WHAT THE HECK?!?!?!
Just like what my ward clerk and SN said, "
Muka jer lawa, tapi buat kerja tak betul"... *Sigh*
written, NaDiaH eRNiYaNTi
