A CTA chest is ordered and the patient is found to have extensive pulmonary emboli. The APP spends 45 minutes in Critical Care time in the course of obtaining history from the paramedics, reviewing computer records, placing medical orders, talking with the radiologist, ordering IV heparin and co...
I asked a nurse, “When do I start my heparin drip? Shouldn’t I be on that now?” The response was, “Well, we don’t really know if that’s what you need to be on right now.” No one was really listening to what I was saying. The logic for not starting the blood thinners...