6/13(火)
●本日の新患・診断(担当患者: 7人)
・UC
●今日一日
7:30 出勤 →ごはん
8:15 回診・オーダー途中まで
9:30 病理で顕微鏡のぞく
10:30 たまったサマリー仕上げ
12:00 ごはん
12:15 サマリー再開
15:00 PTCD
16:00 画像確認、オーダー整理
17:30 検食
18:00 低体温療法
19:00 オーダー確認
21:00 帰宅
●本日行ったこと・みたもの
・PTCD
・サマリー三つ仕上げる
●今日うまくいかなかったこと・失敗
・看護師さんに怒られた。「検査前処置」とひくくりしてだしたオーダーが、「ルート」「抗生剤」「Premed」に分けなければいけなとのこと。確かに現場では、そうしないと、時間的なずれがあるからわからなくなるのかな…。
指導医のチェックを受けてからオーダーしてください、と何度も言われたが、いろいろ考えるが、無理だよな…
●今の気持ち・今後学びたいこと・気づいたこと
・HCV治療確認
・ショック確認
・勉強したい…
・処置の少ない患者さんに会いに行かないドクターの気持ちがよく分かるようになってきた。忙しいんだもん…。
・看護師さんに怒られているとき、無表情な自分がいた。悪いのは分かっているけれど、素直に謝れていない。余裕がないんだろうな…
・上の先生によって少しずつ違う指導方法に対応しきれていない…。「何でも聞かないとだめ、わかったふりするのは悪い癖だよ」といってくださる先生と、「なんでも聞いちゃだめだよ、まずは考えてから質問しなきゃね、お医者さん」という先生とおおきくは分かれる。自分を使い分ければいいんだけれど、頭のハンドルまわりが弱い僕はなかなかつらい…。
●明日の予定
・状況チェックし尿カテ抜く?
・今日の入院患者二人のサマリー
◆たまっている宿題…
・サマリー三つ
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