#we had a heme/onc fellow in here the other day talking about this so now im down a rabbit hole

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Making headcanons that would require an entire college class to explain

[randommomentsdevida]

Back on ICU....

I’m so tired already. I just got off of medicine and now I go to ICU... then back to medicine... then back to ICU... then to heme-onc.. then to night float. I’m so tired. My intern last month exhausted me. 

Why? Because she’s so slow and her knowledge has huge gaps in them but she refuses to read, even when assigned something by the attending. For example, she didn’t know that a pulmonary embolism could cause hypoxia... I don’t even. 

Anyway, that’s not what this post is about. This is more about how my PD is so disconnected with us residents. 

So we have a family med transfer to internal medicine resident who, for his first time in the ICU here, he will be a senior. To explain to you how stupid and irresponsible this is, we do q4 24 hour call. At night, we are essentially by ourselves. There are no intensivists at night. We do not have critical care fellows to fall back on. In fact, after going to this other hospital in the inner city, we residents function as the critical care fellows here. We decide who goes to the unit, who we turf, we determine if they need lines, we run the rapids and codes... 

Where this family med resident came from, the intensivist runs rapids and codes and probably everything else. So, to have this inexperienced resident try to run the unit is just ridiculous, but our PD doesn’t even realize this because he doesn’t even know what we do in the unit and how much we are responsible for. 

We told him that this wasn’t wise because I’m not even sure this resident has ever had a code status talk or even knows what pressors are necessary when, and sure he’s signed off on lines, but I don’t even know if he knows when they’re appropriate... Anyway, we tried to explain all of this to him, but he laughed in my friend’s face - literally. 

Today is his first day in the unit. I want to care if it’s going to be a boiling hot mess when I take over tomorrow, but at the same time, my PD lives in his own little world and needs to be hit in the face with reality.