‘Round and ‘round we go … [Warning – philosophical, WORDY post!]
But, when a mid-level practitioner [one I feel I’ve helped raise and mold over the years] decided to stand on his soap-box and lecture ME about being tired of hearing “nurses complain about his orders”, I got mad. What this former pupil of mine doesn’t recognize is that he is still chasing the ‘life-saving-high’ that certain complex procedures can give – when performed SUCCESSFULLY. Forget the fact that some of these current ER mandates are not only useless, but down-right bad in the face of good nursing care or unskilled medical care. [Lactic acid levels and central lines – in a free-standing, rural E.R. … THIS means sick folk get flown out PRONTO!], ARRRGGHHH!!! If you understand the concept behind AGGRESSIVE fluid hydration, how the body works in a septic patient and WHAT you’re chasing … there’s no NEED to delay transfer for the problematic central line … just sayin’!!!]
I spent a LOT of time last night working through my emotional turmoil. My initial response – “You are SOOO on your own now … Listen here, you little punk! … Think a nurse can’t make your life difficult? … Watch and learn, young Padawan!” And while I relished in those evil thoughts for a bit, I realized I would never jeopardize a patient’s health – even if the medical practitioner deserved it. He eventually apologized – in a weak, MALE fashion [- ‘I don’t understand what your issue is, BUT …’], “sorry … Are we good now?” …
So … HOURS later, once again in my Mother Theresa/zen-like WISDOM – I’m circling around with this question: Is it MY current life-stage malfunction? I’m reminded of one of my favorite childhood books – “The Giving Tree” (by Shel Silverstein), and while I accept that I’m NOT at that particular altruistic point of view [‘the tree’] right now … Will I EVER BE???
Oh – such DEEPNESS on a Monday morning … The reality of today: Everyone got GOOD CARE in my ER this weekend; I may have taken the next step on the ‘Road to Maturity’ – or maybe my hormone levels have just peaked for this month (?!?); … Predictions are for a WARMING-TREND and SUNSHINE in Michigan this week!!! So – at the end of the weekend … It’s All Good!