Rn

I work in a Dr.'s office, one of our drs is out currently and the other dr is stressed taking on his job plus the other dr's pts., but handling it as well as he can. Yesterday one of our pts. had a mag of 0.5, yes 0.5. That went unnoticed by both offices . A nurse from the lab ordering dr reported this low mag to me, I told the dr..... The stressed dr did not order the lab and said the ordering physician ( another md in another ofc) needs to handle it. And he did, he ordered some ryders for the pt to recieve in the he was to go into the hospital to recieve them. Then home care calls saying the pt had leg pains....DVT?? Pt had a hx of them. Also the pt had such bad watery diarrhea from his abd. fistula that electrolyte balance maybe a problem.

I told stressed dr this and he said not to worry, the leg pain could be due to low mag. The pt. was going to the hospital for mag ryders that same night....I am worried, I like this pt. I was short with home care when they called at 4:55 to report all this. The stressed dr is on call (again) tonight...hopefully they will call him with any other problems??

This patient has had enough problems.... I feel bad, I shouldnt have been short with home care, but what did they expect at 4:55?? The stressed dr knew the patient was going in for the ryders. I don't know what I am asking....maybe some absolution for feeling like everything falls on me and then I get short with people and feel bad..Surely the nurse in the hospital will assess the pt. for DVT and they will order a follow up mag before he can leave?????

I am thinking of leaving nursing.....sometimes I feel so stressed.

Help.