NIGHT 1
Nurse: Hi, I was just wanting some advice regarding a patient.
Me: Fire away
Nurse: We have this patient Mr X he was reviewed this evening following a nasty fall when he banged his head and since then he has been on neuro obs.
Me: Uh-huh?
Nurse: We were told to monitor his GCS but he has dementia and is being quite "vocal" at the moment and we were wondering if it would be OK to give him his normal sedation?
Me: No (explains reason)
Nurse : Could you come and document that in the notes when you come to dose those warfarins for us?
Night 2
Nurse (same nurse): Mr X (same pt) has had a fall and banged his head again, there's a lump on the back of his head but he seems OK.
Me: If he's banged his head, he needs to go back on neuro obs. I'm busy with a sick patient right now so could you please start them and I'll come and see him when I'm finished here.
Nurse: I know you're busy but if you could not leave it too long because he has been a bit noisy and restless
Nurse: Hi, I was just wanting some advice regarding a patient.
Me: Fire away
Nurse: We have this patient Mr X he was reviewed this evening following a nasty fall when he banged his head and since then he has been on neuro obs.
Me: Uh-huh?
Nurse: We were told to monitor his GCS but he has dementia and is being quite "vocal" at the moment and we were wondering if it would be OK to give him his normal sedation?
Me: No (explains reason)
Nurse : Could you come and document that in the notes when you come to dose those warfarins for us?
Night 2
Nurse (same nurse): Mr X (same pt) has had a fall and banged his head again, there's a lump on the back of his head but he seems OK.
Me: If he's banged his head, he needs to go back on neuro obs. I'm busy with a sick patient right now so could you please start them and I'll come and see him when I'm finished here.
Nurse: I know you're busy but if you could not leave it too long because he has been a bit noisy and restless
My favourite bleep was as an F1 at 4am regarding a post-op ortho patient - "Dr, Mr x is in a lot of pain"
"Oh ok, what is the patient written up for?"
"Paracetamol, diclofenac, morphine"
"Gosh, well what have they had so far?"
"Nothing, I thought I should ask you first."
"Oh ok, what is the patient written up for?"
"Paracetamol, diclofenac, morphine"
"Gosh, well what have they had so far?"
"Nothing, I thought I should ask you first."
Nurse: Sorry to wake you... you've prescribed fluids for a post-op patient if the urine output falls under 30
Me: Yep
Nurse: The urine output is under 30, shall I give them?
For the love of god
Me: Yep
Nurse: The urine output is under 30, shall I give them?
For the love of god
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