My father-in-law passed peacefully this afternoon. I just wish it had been easier for me to convince them that q4 of 2mg of Dilaudid orally is NOT appropriate CMO dosage for end-stage lymphoma. I fought hard and got his pain covered appropriately with morphine, but it was a battle. Note to anyone: please be sure you live near or can transfer to a medical facility that knows how to treat you. I found it scary that they readily admitted they were ‘not used to comfort measures protocol’ in the unit he was in… And that was their critical care step-down unit. :( Thankful today that I work at a hospital that understands compassionate end-of-life care.
Some light bedtime reading…
Aha! One of the physicians I shadowed last year kept trying to find his little yellow EKG book to show me, but he couldn’t find it and didn’t know the name. I bet this was it. Excellent!
Ha. That is what happened to me too! The Doctor who shall not be named looked for his copy to show me and could not find it. I found a free PDF within a few seconds of googling and read that for my first time through. He said it took him three or four times of reading it before it started becoming second nature to correctly interpret ekgs. I figured the book would be worth having on hand, so I found it on half.com… Brand new, for less than $30. Totally worth it! I correctly identified a block today after just 1 time through the book. :)
WHEN YOUR PATIENT IS PUT ON CONTACT PRECAUTIONS HALFWAY THROUGH YOUR SHIFT
Me, last week, when the Doctor who shall not be named brought us a patient and informed us as she was rolling in that she had lice.