Three miracles

Worked tuesday day shift I dont do day shifts much doesn't fit in with family. We were short staffed and poor mix of experience and one poor casual quite sick in pain but no sick days. Told them who I was having, not the difficult patient again as I'd had her for 2 days and thought I will end up in a fight with her if she says one more F.... to me. I dont refuse patients much but sometimes its better when you know you are at the end of your patience with someone. I had 5 people but 2 were ok and one was going home, which takes quite a lot of organizing. We had been trying to get a physio to see her about some issues for two days so I rang and left a message. They came miracle 1, didnt do much but I hate saying to patients we will do things and they never happen. 

The other girl had been waiting for an ultrasound for days rang U/S oh no form ring Doc form written sat ring U/S check sat oh yes we'll do it tomorrow, tomorrow? oh we might fit her in in the afternoon. She got one in the pm miracle 2. 

Then the big one. C/S wound break big hole been home and back, very upset new baby, life vision of stuck in hospital for ? weeks. Promised the wound care person will see her, still hadnt come so I rang oh yes I'm coming next (was she) I'm off at 11.30. Funny person. Looked at the wound said oh about ten times then walked out saying I didn't want to say anything in front of patient. I said you should, we talk to our patients. She wanted to ring the doctor to get permission for a Vac dressing he wasnt answering I said go ahead and arrange it I'll tell him about it, he'll be fine with it. Then she left but didnt tell me that she'd organized it. I told the doctor and waited then miracle 3 the company rep turned up to help us do the dressing. We thought she put it on but I did under her direction. It is really good a closed system that only needs changing twice a week. Very good for a new mum. I'm sure there are issues with it and very expensive but really a good solution for her and she could go home and get seen by the community. She said thank you about a hundred times this would never had got done if you hadnt pushed it. I'm afraid she is right. I was so happy it got organised.

Theres always the sting in the tail one of the petulant princesses had complained to a junior doc (a fellow PP) she hadnt got her iron and vit c tablets and she complained to the unit manager who had the good sense for once not to bring it up with me. Sigh. Who told this gen that its all about you. I laughed felt happy who knew a Vac dressing could make you so happy.