KevinMD June 3, 2024
Susan Pasley, RN

The medical alert blared over the hospital’s public announcement system. Someone was down in the medical office building. A medical team, including myself and a doctor, rushed with a portable cot to find a man in his early 30s unconscious on the waiting room floor.

The man hadn’t been feeling well and was waiting to see his doctor when he passed out. We whisked him to the ER, and I ran routine tests as he regained consciousness, including a lactic acid to test for sepsis. He was anxious and worried about his wife and young daughter.

The doctor opted not to submit that test. My nurses’ intuition told me it was a mistake, and I shared my concern, but there’s...

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