Life as a senior resident...
I'm 3 weeks out of my intern year! It's great, so far. I've had two weekend calls so far (Sabbath, Saturday night, Sunday). The first call, I had 9-10 admits I had to oversee. Which wasn't too bad, except for the fact that there were lots of mini fires all over the wards that had to be contained.
Last night was great. Only 3 admits (pancreatitis, NAT, and GERD r/o pyloric stenosis). I had three med students and a fabulous intern. The only major crisis during the entire 24 hour shift happened at around 5pm when my intern was paged to the bedside of a child with HUS and fluid restriction whose mother was insisting that JAMBA juice did not count as a fluid but rather as a solid. Now, I don't know how many of you bloggers have had Jamba juice, but last I checked, Jamba JUICE was a JUICE and not a SOLID?!?! At any rate, the intern was quick to assure the mom that it counted as part of her fluid intake. 30 minutes later, I was paged by the nurse. Apparently, the mom was still insisting that some white coated person had assured her that her child could drink "as much Jamba juice" as she wants and that it wouldn't count for her total fluid intake. She was sure the intern was just misinformed about the ACTUAL nature of Jamba juice (and we are here speaking of juice, not a smoothie) She'd even sort of convinced the nurse that the protein content of Jamba juice made it a solid not a liquid (and why is a child with HUS insisting on drinking a high protein drink???). So I went to the bedside reiterated what my intern had previously stated: Jamba juice is a JUICE, period. Well, now the nurse wasn't sure, and thought I should look it up (this is almost bordering on ridiculous!!). Realizing I was dealing with a bigger issue than I thought, I decided to actually call the PICU resident for back up and was once again reassured Jamba Juice is JUICE. And just to clarify the issue even further, I called the nephrology resident, who also reiterated that Jama juice is JUICE!
That being duly clarified, and the patient already well over her fluid maximum for the day, I carefully and methodically wrote the following order: "no more Jamba juice." Mother was finally convinced to comply, and the rest of the night went smoothly; although, I did get a call from pharmacy, to assure me that they got the order, and after picking themselves off of the floor, would be happy to make sure they didn't send any stray cups of Jamba juice up to this patient's room.
Have a great evening!
-Rachel
I'm 3 weeks out of my intern year! It's great, so far. I've had two weekend calls so far (Sabbath, Saturday night, Sunday). The first call, I had 9-10 admits I had to oversee. Which wasn't too bad, except for the fact that there were lots of mini fires all over the wards that had to be contained.
Last night was great. Only 3 admits (pancreatitis, NAT, and GERD r/o pyloric stenosis). I had three med students and a fabulous intern. The only major crisis during the entire 24 hour shift happened at around 5pm when my intern was paged to the bedside of a child with HUS and fluid restriction whose mother was insisting that JAMBA juice did not count as a fluid but rather as a solid. Now, I don't know how many of you bloggers have had Jamba juice, but last I checked, Jamba JUICE was a JUICE and not a SOLID?!?! At any rate, the intern was quick to assure the mom that it counted as part of her fluid intake. 30 minutes later, I was paged by the nurse. Apparently, the mom was still insisting that some white coated person had assured her that her child could drink "as much Jamba juice" as she wants and that it wouldn't count for her total fluid intake. She was sure the intern was just misinformed about the ACTUAL nature of Jamba juice (and we are here speaking of juice, not a smoothie) She'd even sort of convinced the nurse that the protein content of Jamba juice made it a solid not a liquid (and why is a child with HUS insisting on drinking a high protein drink???). So I went to the bedside reiterated what my intern had previously stated: Jamba juice is a JUICE, period. Well, now the nurse wasn't sure, and thought I should look it up (this is almost bordering on ridiculous!!). Realizing I was dealing with a bigger issue than I thought, I decided to actually call the PICU resident for back up and was once again reassured Jamba Juice is JUICE. And just to clarify the issue even further, I called the nephrology resident, who also reiterated that Jama juice is JUICE!
That being duly clarified, and the patient already well over her fluid maximum for the day, I carefully and methodically wrote the following order: "no more Jamba juice." Mother was finally convinced to comply, and the rest of the night went smoothly; although, I did get a call from pharmacy, to assure me that they got the order, and after picking themselves off of the floor, would be happy to make sure they didn't send any stray cups of Jamba juice up to this patient's room.
Have a great evening!
-Rachel
Comments
We enjoy your stories a lot!