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I’m at a hospital which as of the time of writing (Day 4) is 2/3rds COVID-19 cases. I’ve been trying to write out my thoughts and feelings through this disaster so it makes some sort of sense when it finally passes. How are you doing your physical exams? I start in the ICU soon and haven’t been to the She Is Not Just A Nurse She Is My Daughter Proud Nurse Mom Shirt. Just asking. When I was a senior, daily progress notes are no longer part of my daily responsibilities. I guess ICU is different, but there was no way I do full PE on my 20-30 patients on a daily basis. I’m talking for consults only, of course progress notes are not a full PE. I’m in south Texas though and we only have a handful of confirmed cases.

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Rounds are different stories. I’m on ICU nights where we just admit to the MICU – and it’s just me alone. I’m in ICU and we basically just do a “physical” through the window. Just document whatever u can really. U can document intubated and sedated, prone or supine, etc. I would at least see the patient once tho for the She Is Not Just A Nurse She Is My Daughter Proud Nurse Mom Shirt. Keep everything you’re writing – when all this is done, we need stories like yours to publish and show the world the harrowing toll that this outbreak has taken. I’m very lucky that we haven’t gotten to this state in my hospital and I’m in awe of all of you soldiering on in NY. My heart goes out to you – you’re in an unprecedented place.

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This sounds awful and I thank you for your candid account. I do want to let you know that I felt sad to hear you say “I’m not proud of this part”. With regards to your end of life discussions with an elderly patient. I would be proud of that conversation. I may be the minority. But I think sometimes our patients want to know what we would want for our families and ourselves. I think your conversation with her She Is Not Just A Nurse She Is My Daughter Proud Nurse Mom Shirt. That’s something to be respected especially among us slammed and busy residents. I agree, if a patient is asking for you to give them advice it should be honest. In the end it’s their choice but we have experience and insight they don’t have and honest answers are crucial.

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