Ok..I am a new nurse with less than 4 months total in the field and currently in LTC.
A couple of weeks ago, I get a call from dialysis letting me know that my pt hct is steadily dropping 26.4,24.7,22. (they draw labs every 2 days and these were one week's results) I do a guaic and its +ve for occult blood. they suspect GI bleed and want an appt with a GI doc. so I call the NP and he recommends an MD the only prob is when I call for the appt, the earliest I can get is Jan 2nd I call the NP back and ask would he recommend another doc and she says no that date is fine. So now my poor lady is probably bleeding inside, and she's having to get blood like once a week to keep going to dialysis and we won't find out what's wrong till next year!!!
Last week, one of my AAOx3 pt goes completely disoriented, her speech is completely incoherent, can't provide an answer to 'what's your name?' type of question...when she tries to talk, she can not complete a thought. skin cool and clamy (not diabetic, blood sugar 122) rolling eyes to back, going in and out of alertness, c/o n/v, having twitches all over body. I mean completely uncharactestic of this pt. vitals completely unstable. I call NP and what does she say? do a CBC in the morning??
I don't know what, but I feel like something is missing. maybe there's breakdown of communication, maybe I am reading too much into symptoms, maybe I expect too darn much, but I am feeling completely frustrated. My supervisor just says 'do what the NP said'. As you can see, this is just a vent and I don't really have a question, but these are just two occurences out of many that make me question both my sanity, and my career choice.
Thanks for letting me vent.