It is late in the shift and the charge yells out that I am getting a patient from the OR. She says it is a belly of Dr Boran and those are always messy.
I wait patiently for report, but here it is 1820 and not a peep. Ten minutes later I am on the phone with Mona and she tells me patient is on the way and the vent settings are tidal volume 600 and rate of 12 and then 'click'. I am like - WTF!!!?? That is all the report I get?
Six minutes later the gang comes rambling in. The other SICU nurses rush in to help set up the patient as I get a partial report from the anesthesiologist. Patient was a train wreck and they don't expect him to survive. He is 82 years old and just had a whipple by the most incompetent surgeon in the hospital (but you didn't hear that from me).
During the report of what the patient was given and what his vitals have been the anesthesiologist says:
Anes: Yea, he is gonna need something for pain and maybe a touch of sedation.
Me: I have the propofol ready to go.
Anes: ok, and for pain lets give him well. How bout you give him what any prudent nurse would deem fit and I will back you up.
Me: But what if I am not prudent?
Anes: You know what I mean, whatever you deem best.
I had to laugh a little bit, because usually physicians are more than ready to give you very specific instructions on narcotics - especially anesthesiologists. He must have been new.
P.S. Dr Boran - not his real name......
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