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talking about some medical stuff, nothing serious but I talk about some, uh, not as attentive nursing care
We found out the hospitalists like our unit for a couple reasons.
Apparently the patients get more care, which is kind of scary cause like I swear we just do the standard level. But we advocate the docs for med changes, we advocate for consults, we push the patients to be more independent and to be discharged and we're kind of a pain in the ass about it all (at least I thought). We had a patient who had potassium in 2 different ways that was started at her admission 10 days ago to treat hypokalemia, since then she had recovered - so we asked the doctor if they really needed both nevermind at all. But until us, for the last 5 days inpatient adult medicine had just been... giving her both despite the reversion of her potassium levels - luckily, your potassium has to get pretty high before you see bad effects and mostly people just pee excess out. But I shudder to think, like, what if it was a more serious med. I get adult medsurg is way busier than us, they end up with 4 patients (when they're lucky! It's usually more) with a lot of needs but this kind of thing is what we're paid for? Like, that's why we did a degree and had all those pathopharm classes. Nevermind how often they're left in dirty briefs and clothes, despite the fact that they get care aids for there floor and we don't. Like, cmon...
Anyway, the other reason the hospitalists like us is cause when they come up here they can chart for 4 hours and no one bugs em lol. Swear to god the nurses on other units thinks peds is haunted or something, no one ever comes by (including the time we had a code and had to page an ER doc to actually come when code blue wasn't enough on nights...)