I think I need a vacation. (Clinical rant)
It sucks working in closets.
It sucks when my recommendations aren't read, then I get a phone call at 6pm for recommendations I wrote 2 days back (and have communicated them at huddle each day).
It sucks when my lab values requests never get answered, especially when it comes to refeeding syndrome.
It sucks the pay sucks, even for some management positions.
It sucks when you can't place orders in certain states.
It sucks when a gastric residual of 60mL holds a feeding for 2 days.
It sucks when an ICU patient is severely fluid overloaded because 100ml/hr free water flushes were ordered for some reason, along with NS at 100mL/hr over the weekend.
It sucks when a vented patient isn't fed for 3-5 days without any reason as to why.
Further rant:
I think that our profession needs to be more like the model of a PA or NP: Being able to order labs tests freely, order and modify PN and EN, consult others, etc.
We need to be treated like a specialist… Because we are.
End rant.
I appreciate you all.