7/12(水)
●本日の新患・診断(担当患者: 4人)
・恥骨骨折
●本日の勤務時間
7時〜20時
●本日行ったこと・みたもの・知ったこと
・de-escalationを試してみる …いい結果になるかな?
・DMインスリン導入プランを練る
・潰瘍性大腸炎治療計画を練る
注腸じゃ、全結腸型では全部にとどかない…
・医師会症例発表会に出席
肩の勉強
●今日うまくいかなかったこと・失敗
・点滴ラインがない、といろいろ準備していざさそう、と思ったら、肘にラインが…。服で見えなかった…。注意力が足りない
・DM患者さん、すでに目の治療はされていた…。問診力不足を感じた。
●今の気持ち・今後学びたいこと・気づいたこと
・血液培養の費用対効果
・MRさんはいろいろ調べてくれるからありがたい
・やっぱり採血がんばらないとだめなのかなぁ? 看護師さんに嫌われると怒られた…。でも、来年他の病院行けば看護師がまったく採血しないと言うし、今から頑張るのも効率が悪い気がする…。でもナースさんたちには好かれないといけない???? でも、採血に振り回されないでじっくり頭を使えるのは今だけだろうし…。悩ましい…。
・4ヶ月目になるのだが、職場でいまだに緊張している自分を感じる。もうちょっと肩の力を抜かないと、教えてもらうことはできないとは分かってはいるのだけれど…。
・抗生物質の臓器移行性を知りたい。耐性だけでは選んではいけないのだろうけれど、そんなに振り回されるべきなのか??
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