Thursday, August 13, 2009

Night call frustrations

---Anonymous Doc writes:

My second-year resident didn't let me sleep last night. This whole overnight thing depends so much on the resident in charge. This guy must be on drugs or something, because he just did not get tired. At 2AM, he pulls me out of bed to check the labs on a patient, said he felt like it would be a "teaching opportunity," and that he wanted to show me something about something I can't even remember. I finally get back into bed by 3 and at 3:30 he grabs me "to go over the patients for 7AM rounds, just so we're on the same page." At 3:30 in the morning?? Then the nurse with the EKG at 4, and a patient wandering out of bed and pulling out his tubes at 4:30, that the nurse felt compelled to wake me up to tell me. And I couldn't get to sleep after that, wrote my morning notes, then stumbled through rounds before finally getting to leave a couple of minutes ago.

My pet peeves? Waking me up at 3AM to “touch base.” And please, please, in the middle of the night, I don't need a “heads up.” I'll be more alert and engaged when you really need me if I get a little sleep.

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