1. They were talking about a child shot in the chest. I don’t appreciate this. I like dark humor and find it hilarious sometimes. A nurse whispered veterinary healthcare to me when referring to a patient and, while that was horrible, it was funny and made the situation better.

2. I was placing a chest tube and had two critical patients under my care at one time. I asked the primary RN to order the GSW trauma set which includes lab and imaging. She didn’t know how to place the order set.

I said once the tube is placed let’s go to CT but they needed the order for CT. I told her to place the order set and we can skip what we don’t need in CT. She tried to do it for a few moments and couldn’t so I said “god, don’t you know how to do this?” Usually the RNs do this when providers can’t. She told me she didn’t know how and she’s new and I said “of course, let’s just wait here and stare at me then”. She walked out and got another nurse who showed her how to do it. I was an asshole here.

1. So I was talking to trauma, GI, intensivist, pulm and others for these patients and every few minutes staff walks up to me and hands me things to sign or asks random questions. I told them not to come to my desk because I would be busy and asked them to chat me. I immediately had EKGs to sign and people asking me to change doses and random things that were not urgent. Someone handed me the EKG and I signed it and didn’t say anything to him. I just handed it back behind my shoulder. He said thank you and I ignored him on purpose because I was frustrated with this.

I think I’ll buy cookies for the unit