This Thanksgiving…
It’s been some time since I’ve written. Blame it on life !! Work as an NP has been busy, sometmes too much so; but then again, so has ICU work. My day as an NP day begins at 08:30 am.
08:30 am BF arrives as a new patient for a complete physical and medical history. 0910 am KS needs blood drawn to assess her Coumadin dosing regimen.10:00 am LP arrives for a 5 hour Glucose tolerance test.10:15 am ST arrives for a follow-up visit and evaluation of her BP medications.11: 00 am CG calls reporting that he has palpitations and SOB. Schedules a visit in the afternoon.11:05 am TJ arrives for a complete physical Exam. New patient!12:05 pm JK arrives for a PT-INR check.12: 30 pm Fifteen patients have called requiring prescription refills.12:45 pm JG calls about a fall she experienced. MRI ordered. 1:20 pm New patient MS arrives for as diabetic-cardiac evaluation.2:03 pm CG arrives in heart failure and new-onset Afib. Needs IVP Lasix, CXR, and EKG. Had stopped his Lasix on his own after undergoing a CABG, without telling anyone. Requires medication compliance teaching.2:30 pm Grab a sandwich wrap at the local residing McDonald’s next door along with a 8 oz strawberry shake. 2:40 pm Begin calling in prescription refills. Get halfway finished.3:00 pm LB arrives as a new patient for a complete physical and history. 3:45 pm Eight more patients have left messages asking for “callbacks†about concerns, questions and problems.4:00 pm Unexpected heart failure patient in my colleague’s office.4:10 pm JG arrives for a complete physical and history. Weight 380 pounds. 4:45 pm AM arrives desiring a glucometer teaching lesson.5:10 pm Is this day ever going to end ? It goes on and on…5:15 pm IH comes in with a URI. Needs a Z-pack and CXR.5:30 pm Finish calling in prescription refills. 5:45 pm Begin returning and documenting patient phone calls.6:08 pm Billing codes and CPT codes need to be documented along with today’s incoming lab reports.6:40 pm It has been a long day. I need a visit to a spa! I review the next day’s patient charts. What’s ICU work like ?? Next Blog !!
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