Another annoyance from today!!! The same sick pt became very delirious and violent overnight. The ONE night doctor covering wards tried to do an ABG on him (not essential as not a retainer and was saturating on O2 but would’ve been good to know)- They documented a full clear account of how they tried, and how the pt kicked one of the nurses and winded her, and how four people were unable to help keep him safe and still for the ABG. They clearly weighed out the benefits and risks of attempting an ABG-

🧵What pushed me over the edge in the NHS today:

A v unwell pt needed an urgent echo today. I chased the report at 4pm and realised it hadn’t been done. A colleague asked the cardiology consultant if he wouldn’t mind doing it and he said he would if I got the machine from CCU CCU said I could only have the machine if I would make sure it was back in the office before I left. The pt NEEDED the echo so of course I agreed. The lovely consultant did the echo at 5:20 (20 mins after my shift ended) then said he had another echo on another ward and would-