Today, basically I have been busy taking care of one patient since 7am till 5pm. The little girl looked so fine the day before,she then suddenly developed septic shock during morning round, and required 3 inotropes despite 3 boluses. Called ICU, and to our dismay, there's no available bed, we have no choice but to treat the patient in our paediatric ward. Specialist asked me to stay with the child and monitor her condition.
Reviewed her vital signs and clinical condition almost every 30 minutes, informed MO and specialist regarding the progress ( I was so worried that I might miss important clinical signs. And looking at those lines with inotropes, IV drip maintenance and correction,K fast correction,IV antibiotic made me even nervous! ), ran down to lab to send blood sample for urgent investigations, called and received calls from HSI, traced results, updating the plan from time to time. Now, I can recite her IC and RN forward and backward.
Whenever I passed by the counter in disposable apron or with trolley, my colleagues will throw me sympathetic looks and asked, "why are you so busy?", and some of them were sweet enough to offer help, which I really appreciated. I was grateful that I had learned something new today. All in all, today is definitely a busy but fruitful day =)
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