Honestly, what is the point of AKI nurse specialists....
I'm happy to be corrected if I am undermining their role.
This rant has been overdue. I always thought I'll just get over it but everytime I see an entry from one of the AKI nurses I want to throw the PC out the window.
Currently in ED, if I have a patient with a AKI 2 or 3. One hour or so later after the bloods results being ready, there'll be an entry from the AKI nurses on the notes and it is 99.99% of the time the exact same fucking thing. I feel like they just copy paste a template for every fucking patient.
"AKI 3. Oliguria. Metabolic acidosis on gas.
Suggested plan:
IVT
Catheter
Repeat gas in 1 hour
Escalate to ITU
Team to consider underlying diagnosis for AKI"
Like okay?? thanks?
Normally these entries are after I have done every single thing for this patient and they then come down ' have you seen my entry for this patient' ' can I see the gas' ' have you checked their UO' .. yes, I'm a doctor and I'm doing my job?
Again, I'm happy for someone to tell me that I am being unfair and they are actually useful.