Day in the life of a DOCTOR SHADOWING an ICU NURSE for 12 hours

Morning guys, I’m Siobhan, a second year internal medicine resident. But today, I just got to the hospital and I’m not here as a doctor. I’m actually here to be shadowing an ICU nurse. (Siobhan) Okay, gotta find Amy now, uh, here she is. (Amy) Good Morning! Good morning, Youtubers (Siobhan)Thank you so much for having me along today.(Amy) My pleasure
(Siobhan) So my plan is not to slow you down at all (Siobhan)In fact, I’m gonna learn and hopefully you’ll put me to work. Because I actually want to see what you’re doing.
(Amy) I think you’re gonna be a great helper Alright, so what we start off doing this morning? So the first thing I do is I get report from the night shift nurse So I got report on the two patients and then we just get organized for the day (Siobhan) First thing is to check out the morning blood work. Actually the same thing I would normally do as a doctor (Siobhan) Luckily, there were no major issues, so we didn’t have to page for the poor on-call resident (Siobhan) Next, Amy’s going through and figuring out which medications need to be given at what times? (Siobhan) This would probably be a lot easier if it was all automated on the computer, but we’re not quite there yet. Oh, hey, how are you? (Chen) I’m good, how are you?
(Amy) I’m good, thank you. (Chen) Hi.
(Siobhan) Hey! How’s it going? I’m really excited today. We actually have somebody allotted to organize breaks so we can all try and get a break today So the code pagers are… Dianne on the other side and Christine on this side. All right. Thanks Chen. All right, so we’re on third break. Okay, I’m already liking this. As a resident we’re always, I think I’m always a little bit jealous that you guys get… Scheduled in breaks, we find time to have breaks and even all sorts of things but having it organized is really nice and you’re guaranteed some time (Siobhan) Okay, now let’s head over to our other patient and organize the their schedules for the day (Siobhan) There goes the code blue team. (Siobhan)I jumped to my feet when I heard the code blue. It’s so weird not to go running with them Now the job is to get the code blue room setup. So if this patient Survives, needs to come down to the ICU, we need to get room ready for them (Siobhan) Brian one of the respiratory therapists is getting equipment ready. So the patient can be placed on life support immediately (Siobhan) What’s that for, Amy? It’s a slider board, so that we can slide the patient over from their bed onto our ICU bed (Siobhan) No breaking your backs
(Amy) Don’t ever break our backs (Siobhan) The room’s ready, but sadly the patient didn’t survive long enough to make it down to the ICU (Siobhan) So, we switch gears and we’re heading back to our patients now C’mon down, Kathy. We’re just gonna finish off our quick huddle. We are fully staffed today, yay (Siobhan) So this is the huddle and it’s a time for nursing and respiratory therapists to get together and talk about active patient issues (Siobhan) For instance, it’s important to know if there’s a sick patient around the corner from you so that you’re ready to pitch in and help at moment’s notice (Siobhan) Next we’re heading in to assess our patients, which is really similar to what I do as resident (Siobhan) So asking questions about how the patient is feeling and doing a physical exam. Okay, so the patient doesn’t have a bedside table So I don’t know how she is supposed to eat. So I’m gonna go hunt for one Don’t see next one over- Looking for an extra bedside table. No way. Yeah hot commodity (Background) Yeah Okay, we’ll try to find one (Siobhan) Whoo-hoo. Okay. Got it. Honestly, that was not as easy as you would think It’s perfect little powder so I can mix it with some water and put it down a tube (Amy) Okay, round one Okay, so all the medications have been given and (Siobhan) We’ve signed off on everything, you know, it’s all about the dreaded charting
(Amy) The charting, not a big fan of charting (Siobhan) I don’t think you’re the only one I hear this from pretty much everyone.
(Amy) Oh, it’s horrible (Siobhan) So, I’m gonna experience the real deal.
(Amy) You are gonna experience it (Amy) We’re starting with page one so far. (Siobhan) Oh gosh, how many pages? You know what I’ve actually lost track of how many but I’d say close to 25. Oh my gosh, okay (Siobhan) I’ll be counting
(Amy)On one patient and we have two Are you serious? (Siobhan) Okay, that’s so much worse
(Amy) So we’re gonna power through it (Siobhan) Okay lets do it, lets do it
(Amy) Because we got rounds in like fiveish minute (Siobhan) You see the medical team right now, is just rounding that’s right. It’s like two patients away Yeah, no one patient away we’re up next now we don’t know what to do at this point. We can wait (Siobhan) They could be a couple minutes. It could be a teaching session. It could be ten minutes.
(Amy) Yeah, they could be an hour.
(Siobhan) Or an hour. Mm-hmm Okay, so we’re gonna assume that they’re only gonna be a few minutes So try not to engage into too much so that we can be available when they have it do them Which is so nice cuz you know, I’m gonna do rounds without the bedside nurse is really not very helpful True we like to think that (Siobhan) Sorry, guys, you can’t listen to this part (Siobhan) But this is an opportunity for the whole medical team the nurses respiratory therapists residents and the attending physician to discuss each (Siobhan) Medical issue systematically and then create a plan Okay, you have now done rounds on our second patient and now it’s break time, although it’s only five to eleven I guess it won’t last that long I’m going to do a coffee run or as you guys know tea run I like my teas and I’m gonna get Amy a tea even though she said she doesn’t want one I feel like I want to thank her for allowing me this opportunity My other big thing I want to do this today is Start some IVs, and I know that sounds silly like I can put in central lines and I can do procedures But we don’t get a lot of practice with IVs, Nursing does all of them here, really It’s a skill. I think we need to have, so I need to practice So, I think my favorite thing so far is just seeing the environment here with the nurses working together walking down the halls, people are saying Oh, can I help you with anything? How are you doing? It’s just a nice environment and I don’t know if it’s just here in the ICU because The nursing stations are set up outside patient rooms like this, or if it’s like that in all of Nursing, but I don’t know It’s a really great environment Okay. So what we right now 12:30, how are we doing? (Amy) Still a bit behind definitely, definitely behind in charting
(Siobhan) Charting, okay So personal care I guess i’m fluffing, you know spa days Yeah, so patients get washed and cared for every single day, which is so important and again just wanna look at her chest to make sure it’s Working well still, and we’ve had to make a few changes on the ventilator So just kind of see how she’s responded in terms of those changes to the ventilator Okay, so you’re gonna gather all the items that we need to do a complete bed bath (Siobhan) Ooh, excellent So start with the- all right Okay, I think we’re ready (Siobhan) Perfect! And the other thing we’re gonna do, we’re gonna sneak in here (Amy) So we’re gonna do a little shopping
(Siobhan) Ooh (Amy) So I know, were I the patient, she would like to brush her teeth. So, we’re gonna get a toothbrush (Siobhan) Excellent (Amy)and a toothpaste
(Siobhan) Excellent
(Amy) and… (Amy) Her mouth has been a little bit dry. So I’m gonna give her this little spray Okay, I haven’t been part of this other side of all of the the patient care produ-, I’m usually waiting the other side of the Of the curtain waiting for it all to get done so I can go into the patient. So getting in part of the action (Siobhan) Caring for a person while they’re so vulnerable is really a privilege (Siobhan) I’m struck, by the way, Amy creates an environment of respect and dignity for the patient while still remaining efficient (Siobhan) It also gives me a huge insight into how physically demanding Nursing can be (Siobhan) Alright care done.
(Amy) Yep care done. Beds have been given Now… yeah, multiple times Charted, multiple times Multiple times and there’s probably more to go What about the other patient? We need to- anything going on? Not really anything going on at the moment We’ll see, the other nurses kind of popped in to see if she needed some care done But it looks like we have to deal with some hypotension in this room. Oh (Siobhan) Oh. Low blood pressure, gotta go
(Amy) Back at ya Alright, so with that low blood pressure. We just went and um, I spoke with the resident, its’ kind of funny He’s one of the first year internal medicine residents So he’s one of my juniors, but of course, I’m not in that role right now So got him to come over and assess the patient and actually we ended up just changing the position of the patient and blood pressure came Right back up. So There’s an easy fix which is always nice Well, the pressure is low again we just chatted with the resident and fellow that are on and (Siobhan) They concur with us pressure is-
(Amy) They’d like to give a bolus
(Siobhan) Still low- bolus you guys what that is That means we just give a bunch of fluid reasonably quickly and that should improve it. So, this will just go into them, perfect Let’s hope it helps While we wait for the bolus to finish it’s time to go and give our other patients some medications soon for the propofol propofol shipping (Amy)Take one out take of our little portable pharmacy here.
(Siobhan) Fantastic (Siobhan) How many times have you done this? Time for a lunch break now the second break I’ll show you what the break room is like So we have just about made it till 7 o’clock almost done the whole 12 hours
(Amy) few minutes shy And… Jessica who’s the nurse that’s taking over (Siobhan) We’re gonna give her hand over.
(Amy) That’s right. It’s an exciting time for us because we get to go home. The end is near This has been such a fun day. Thank you so much. There’s something about your compassion and your caring not just to patients Who are awake and talking to you, but the ones who are not conscious you give them just as much care and respect and dignity and it’s really Amazing- and the way you were with your colleagues. So this day has made me want to be better in to continue always (Siobhan) Acting as you do in my career, it’s really been a fantastic day. So thank you so so so much
(Amy) No, thank you I appreciated having you here. It was it was it was a fun day (Siobhan) It was
(Amy) A very educational informative day, but it was very fun. So if you guys have any questions about What it was like with, the role of nurses, you know, comment below we would love to hear about it And maybe there’ll be a follow-up video if there are a lot of questions, so bye for now. Bye

100 thoughts on “Day in the life of a DOCTOR SHADOWING an ICU NURSE for 12 hours

  1. I was in the ICU for 3 days after surgery. You guys are amazing! I’ve never had surgery before or ever been taken care of by an RN. Y’all are some hard workers!

  2. I can't believe that in 2018 there was a hospital that didn't have electronic medical records. It also doesn't seem like a real day in an ICU. Not busy enough but maybe it was just edited that way. Like you can't chart on two people in 5 minutes then just stand around doing nothing waiting for rounds.

  3. I play the violin too! I also am a premed student who applied for medical school! My first blog post is about my experience with secondaries..

  4. There was like a collaboration our school made med students, nursing students, PT, OT, Social work and dentistry students to make a care plan for a make believe patient. And one of the med student didn’t get why nursing students are there. When asked what he thinks nurses do he’s like “i don’t know.. nursing stuff?” Yeah.. how do you plan to be a doctor when you don’t know what nurses do.

  5. This is the kind of person I want to be a doctor. I have seen far too many young medical residents with the “better than you” attitude. She definitely wants to be a doctor for the right reason.

  6. I think I watched this video at least 3 times and it keeps popping up as a suggestion! so here I am watching again 🤣🤣

  7. The medical profession needs some fresh blood in all discilplines. As a nurse, I sometimes deal with older doctors very set in their ways who don't acknowledge the work we do and it can be a little intimidating. Conversely, some nurses are not very nice people to patients or their colleagues, so we can't pretend like it's just a doctor thing. New generations seem to ackknowledge the contributions of each profession. We must respect one another's roles and not step on our toes. The goal is the patient to get well either completely or the best they can. It's not always easy. The workload is a lot. But we chose this proffession for a reason. They notice how the crew interacts

  8. Care may be higher when there's a team forced to review medications. I lived in a hospital for a couple of months on iv medications, just because they're using computers doesn't eliminate errors and poor quality care. This Canada hospital has more chart work than insurance paper work. Regardless patient care is probably higher considering nobody's got to think about insurance.

  9. next year a going to a tech school and entering a program there for health care careers and im going to be shadowing a doctor eek

  10. ICU nurse here and I fully think this should be a requirement for all med students. I have worked both tele and Neuro ICU and juggling patients is very tough no matter what floor. On my tele floor i would have 6 patients unless I had a vented patient then it would be 5 and juggling all that needed to be done took a lot of organizing. Now in Neuro ICU i have 1-3 patients and it’s more critical based and juggling anywhere from 5-10 drips per person is super challenging along with monitoring Neuro exams every hour and keeping strict hourly intake and outputs and making sure my patients intracranial pressures are ok… going to CT scan every morning with at least one or all patients…. our residents start to see as they are on overnight all that we do and with no real breaks because my hospital doesn’t have people to give breaks so we eat on the run. I am so happy to see that you did this as a physician because not only will you gain and maintain a respect for your nurses but you also got to see the patients side of things and I’m sure the struggles of talking in depth with families that are struggling every day. Way to go!!!

  11. Okay you’re using meditech, you said “eh”, same bed side tables as the hospital I work at and same med crusher😭😂 I’m going to guess that you’re in Ontario!?

  12. I am looking at studying nursing so this is a really nice helpful insight into the job. Obv I can't see much more until I start the course and do placements cause of confidentiality but this is a lot more than I've found elsewhere.

  13. I cannot believe that this hospital is using paper charts. Even my poorly funded NHS hospital has a full electronic system!

  14. I have so much praise to offer to Doctors and Nurses. You all are absolute angels.
    I'd also like to give recognition to everyone who works in the hospital environment, from the people who keep everything clean, to those who keep meds and equipment well stocked, to the kitchen staff who keep patients and staff well fed, to the administration who keep everything organized, the technicians, and so much more.
    There are so many people working together, it is amazing.

    I'm a heart attack survivor. Four stents and a double bypass.

    I get emotional just watching your videos.

  15. I agree, they do need to do this everywhere. I think it would give a new perspective to med students or new doctors on what is actually going on, how/what we see and how their potential orders can impact the actual flow of care. I've had doctors who WERE nurses have some clue and a few that had to be reminded what it was like. Great video!

  16. 8:42 Okay, that sounded like a fart the first time around. Then I went back and thought it came from one of the girls. What was that and where that queef sound come from?

  17. I really appreciate you doing this and I think all doctors should be required to do this! Even as a student I have doctors come in to talk to my patient, they're in there for maybe 5 minutes and they never see them again! I know doctors have a lot of work of their own but I feel like a lot of them, at least where I am, take what we as nurses do for granted and sometimes they need to come back "to reality" to realize how much nurses really do every day with their patients….and many more!

  18. On nov 1, I had a hip revision. Surgery went quite well but as soon as the surgery concluded and I was wheeled out, my blood pressure plummeted. I ended up in icu for 4 days until I threatened to leave ama. After many tests, endocrinologist and I concluded I dont like general anesthesia. Two weeks prior to surgery, I behaved like a lunatic, I must have used up my adrenals causing the dangerous drop in BP. When I was escorted around icy on my short walks, I realized I was the only awake patient. Ice nurses were incredible. The care and attention was amazing; I can never thank them enough. I'm now almost 6 weeks out of surgery and doing great. Working on exercises for my hip but I will always remember my nurses.,

  19. Regular breaks for nurses is job specific. Every facility has their own policy. Many times nurses just don’t get a full break

  20. Hi can you please ask your ICU nurse friend what kind of bracelets she's wearing? I wanna get some for myself! Like what is that black bracelet and that one with green and white bracelet with a charm? thank you!

  21. Oh Look, it's yet another video from Doctor Sleep Deprivation! GET OUT OF MY RECOMMENDATIONS, I BLOCKED YOUR CHANNEL! Get some sleep soon as you do, because, you know, not being sleep deprived makes a patient not at risk of your compromised judgement!

  22. My dad was in the ICU bc he had really bad gallstones and he had to get his golbaltter removed. I was only a kid. Me And my mom went into the ICU. They wouldn't even let me see him. The said it was bc he had all the tubes in him and stuff and it would "scare" me even though I've seen gorier things. So I didn't get to see my dad till after surgery. They couldn't the microsurgery I think its called, I don't remember but they said something was to close to something. SO they had to do regular surgery. Now he has a giant scar that looks cool and it looks like a bug. He couldn't even get stitches. He got stables instead of stitches.

  23. I’ve literally been in a depression about not being motivated and this completely changed my life. Thank you so much.

  24. One of the biggest pet peeves about ICU is that cna's are not allowed on staff.

    So as a nurse, your job is basically from a-z in terms of responsibilities.

    You not only have to perform all nursing duties but you are also responsible for bathing, clean up, etc.

  25. I love the insight, especially being on the patient end of things. Everyone involved does not get enough credit.. seriously, you are literally heroes.

  26. Great video! Maybe you could also shadow an ER nurse for a day?… Would be super interesting, I promise!!! 😉

  27. I want doctors to do a Medical Assistant job for the day, I want to stand over the top of them while they check a patient in in 3 minutes and then run in a room with the Doc, and run back out to the check in patient, they would be sweating bullets. Make all patient calls, get prior authorizations and schedule their own surgeries and call in all their own meds. Clean all the instruments, and all the other stuff that comes with it. Our profession is taken for granted by some.. I wish they would realize they couldn't run an office without us.

  28. I work in the Neuro ICU at a Level 1 trauma center and I think shadowing a nurse for a week should be apart of our resident onboarding program. This will allow the doctors in training to gain a greater understanding of our roles in the patient's care

  29. Bringing the whole team together. It should be a requirement that each person shadows each other for a day to understand eachother more!

  30. Thanks for mentioning the respiratory therapists…..we rarely get mentioned or noticed, despite our significant role in ICU/NICU.

  31. Nurses are great people with compassion for their patients yet, they get very little recognition. My sister is an ICU nurse but I haven’t a clue what her day to day work is like because she never talks about it nor do I want to ask. All I know is, she is always exhausted for working long hours, consecutive days, standing a lot. This video gives me a glimpse of what an ICU nurse do. Thanks for posting.

  32. This is a wonderful idea but 2 full breaks? And no one running around or packing up a patient to go to CT? The whole thing just comes across too calm compared to a real day! If my days were really like this, I wouldn't have retired!

  33. why do i watch your stupid videos, st joe is a good hospital as i live beside it, anyway i just like your good energy i can feel it

  34. also i can't remember the last time i seen someone with so many frekles, it just one of those things i guess, plus i love the violin, wtf is wrong with you, i used to play the trumpet soo, i will buy one again as i miss it

  35. omg i can't watch your vids anymore, i get way too excited, i'm not a doctor but it means my penis gets really hard, what can i do hmmmmmm, ok bye

  36. I used to work in the ICU as a housekeeper. Some of the nurses were rude to me because I was considered beneath them 🙁 They would throw wrappers from different medical devices on the ground in front of me even though the trashcan is right next to them.

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