I was on call this evening. And now my mind in is turmoil. Its not that anything went really wrong....as far as I know. But its just that I dealt with a couple of patients whom I didn't get to re-review after my initial management and I only discussed one patient with my SHO. I was late for handover and didn't get a chance to discuss the patient with anyone, except the "hospital at night"* nurse practitioner.
And now, unless I concentrate, I find myself mulling over the events of the evening, trying to see whether I should have done what I did. This is good - its called reflective practice and is a way of learning. But there's little point in my mulling, as I haven't had a senior to discuss with and only the worst case scenarios are coming to mind, along with all the other things I could have possibly done.
And all its doing it keeping me awake and giving me a headache.
Sleep, oh dreamless sleep, where are you??
*For a relatively accurate account of hospital at night that is not affected by bias, apart from my own, you're going to have to wait until I do my week of nights in surgery as medical PRHOs don't do nights.
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