Do forgive the excessively medicalised whinge, I think everybody has the nimrod-colleague experience from time to time and I just happen to have the good fortune to work in healthcare where the lingo is particularly obtuse.
Feel free to substitute you own colleague and/or profession of choice.
I did not have fun at work yesterday. I had anti-fun.
In retrospect I think it took me a while longer than it should have for the ‘I am working with a female Doctor Nick’ penny to drop.
In other words when your night colleague wants to piddle about handing over the minor dross of the previous twelve hours while BOTH the outgoing night and ingoing day consultants are currently running around like blue arsed flies because one woman has just fitted and another needs to be delivered NOW, perhaps that should be seen as a bit of a flashing neon Sign.
Especially when aforementioned quite sweet colleague merely goes ‘Oh, yeah, so and so just had a fit, I think. I sent bloods!’ and doesn’t actually know anything as such about either patient. Because she hasn’t been in the bloody room. But that’s okay, Internet, because the midwives and consultant seem to be handling whatever it is. So we can hand over, right?
Sometimes I despair because I hate being snarky about nice people but incompetent nice people are the very worst. Nobody wants to tell off a puppy.
I settled for brightly smiling, saying ‘don’t worry about the handover, I’ll figure it out, go home and get some rest!!’ before sprinting from room to bloody room all morning sewing, reviewing, magnesium’ing, phone-calling and arranging transport OUT urgently for the fittee and a proper pre-eclampsia workup for the other on accounts of a blood pressure best measured in the richter scale in labour. I mean, it was nice to hear from the night resident that the blood pressure had settled down with meds, but I kind of personally felt that THAT was probably missing the point and we’d already had one proper fit that day.
Perhaps the next clue should have been the time I finally made it downstairs to review the gynaecology patient who was thirty nine degrees and shaking all over and had been half of the night as it turns out. I’d been told that she had ‘anxiety issues’ and her diazepam was all charted now. Awesome. I love me a little rigor with benzodiazapines, personally.
A pink fluffy cloud is one way to cushion the blow of gram-negative sepsis.
The nail in the coffin was the bit where I handed back over at the end of a very long and sweaty-armpitted day only to find myself answering ‘so what condition are we looking for with these bloods?’ with another no-puppy-slap even-voiced ’Pre-eclampsia, except it looks more like it was HELLP syndrome brewing and it’s really REALLY lucky she just turned up and delivered when she did.’ Overnight. With aforementioned Richter scale blood pressure. On her watch.
Um.
Yes, I did slap my forehead and call the hospital back on my drive home and suggest she call the consultant for advice about that last tenant of the Hotel Of New Mothers. It took that long for the penny to finally drop that she had no earthly idea what I’d asked her to review the blood pressure, urine output and reflexes for overnight as well as how to interpret the repeat bloods and I just hope the consultant got the hint that a little more of a hands-on approach overnight might be warranted because I couldn’t really tattle tale to the boss that I thought I was working with a pre-schooler that day.
I just whine to the internet in complicated medical jargon, instead. Everybody needs to let of a little steam sometimes.
I promise I shan’t do it again for a long time and, also, I am equally sure there are many people out there complaining equally bitterly about my f*ckups. The f*ckups just get more complicated as you go along. It’s the beauty of specialising.
G