This morning, I had a patient who said she had not had anything to eat or drink since 10pm last night(8/30). I asked her as well as the nurse in outpatient, and she told the anesthesia doc the same thing. We bring her to the room, and she proceeds to tell the CRNA, that she only had "less than 6oz of water at 5:30am" She didn't think water counted, despite being told not to have ANYTHING after midnight.
She was having a breast augmentation under general anesthesia, so the poop hit the fan. I didn't get blamed because I had asked her but as it was, I was a little agitated because I am new to that specialty and it was the first endoscopic breast augmentation I had seen. She had a little attitude to begin with and something told me that she'd be the type to sue if she got aspiration pneumonia even though she was noncompliant. Long story short, I documented like crazy and wrote a small novel in the nurses notes detailing the conversation I had with her in pre-op and the fact that anesthesia as well as the surgeon were aware of the water at 5:30am. Sheesh, some of these patients make you want to scream! If I had been the surgeon or the anesthesiologist, I would have canceled her, but that's not my call. Thank you for letting me vent!!