Tuesday Night

This will be quick because I desperately need sleep. The good news is we have been moved out of the ICU and back to the regular floor (not the floor we had hoped for). Alex has been on 1 Liter of oxygen most of the day and is only having desaturation with sitting or standing. We have stopped the continuous heparin drip for his clots and switched to shots of lovenox. The plan was for everything else to stay status quo. BUT I am still trying to figure out where the issue is whether it was the new hospitalist or surgery, but there were several orders that got changed that have caused me to be extremely upset. Some have been changed back and some have not. Someone switched his steroid frequency which could be catastrophic. Luckily, they called his endocrinologist who said absolutely not so it has been changed back. There was disagreement on his Gtube drainage bag and ultimately we just reverted to What we normally do. The biggest issue is that someone cancelled his TPN (IV nutrition) for tonight. Again I am unclear of what happened, but I think there is confusion as far as who is in charge between PICU, Hospitalist, GI and Surgery. Ultimately, we will need to have this all sorte out tomorrow.

Ali