OMG! I'm torn apart. I dunno what to decide. I was trained to satisfy the needs of our doctors. But that is limited to what the policy states.
Our policy in St. Luke's Medical Center with regards to admission of patients, states that only patients from Cardiovascular Operating Room shall be admitted to the Cardiovascular Recovery Room. Ironically, we do not follow that due to the fact that we cannot refuse customers, and that includes the "freakin" doctors.
Its just a case of PDA stenting done in the cathlab. Its less invasive compared to our usual Open heart surgeries. The operation is being done by inserting a catheter in the artery. In short "napaka simple". That is why I wonder why the hell they want to send the patient in our unit when it is actually against the policy.
I called the NRM to help me solve the problem. I admit I cannot solve this alone. I told them the situation, but still in the end, Im in this on my own. Hay..why did they ever invented that worthless department anyway when it wont help solve the problems.
Just like what happened with my staff. Same hybrid procedure. Something happened, because my staff is not trained to handle a pediatric patient. She withdrew blood from the femoral vein which resulted to the clotting of the blood at the tip of the catheter. What made it worse is that all the inotropes were flowing at the venous catheter. Because of what happened, the patient became hypotensive and bradycardic. The team were stressed out to stabilise the vitals of the baby. Eventually, the baby okay.
And so now...its happening again. They want to admit a baby in CVRR.
Hay nko..after waiting for the baby for 6 hours..They changed their minds. They want to transfer the baby directly to NICU. Buti naman at nkapag.isip sila.
