Day in the Life of a Doctor: Nurse Shadows Doctor for 12 hours!


So what was it like, day in the life of a doctor? It was very busy, very stressful and I can appreciate things a lot more. Yeah?! Morning guys. I’m Siobhan, a second year medical resident. In the past I’ve done a video where I shadowed a nurse for 12 hours and it was a fantastic experience, I learned so much. Today there’s a nurse named Ashley who’s gonna be following me around, so we’ll see the opposite view. Plus it’s Resident Awareness Week this week, so gives you an idea of what we residents actually do. So this is Ashley and so she’s gonna be joining us for the day and I just want to get your insight. So if there are moments when you’re like: ”Man, I never knew this.” Or ”Oh, I totally knew this.” Like I just want you to tell me all the thoughts going through your head. Sounds good. All right. Yeah, excellent. So here’s the medical team: Our attending physician, two medical students, two junior residents and me, the senior medical resident. We start the day by discussing a general plan for our patients, identifying who’s the most sick and who’s doing well and can maybe be discharged today. Okay, we are done, so that’s kind of dividing up a list part, now we’ve got a plan for the day. We’re gonna go down with the staff physician, check out the new patients down in the emerge and then we’ll come back and try to see as many patients before we have teaching at noon. Sounds good, let’s do it. It is a lot of talking in the morning, right?! Oh yeah. A lot of talking. Hahahahahaha. Here we go to the emergency department to see the three new patients who were admitted to our team overnight. One patient has pneumonia and is still requiring oxygen. Another has a cellulitis infection on their leg and the last patient came in with chest pain. Okay, we’re running a little bit late, we’re heading to the multidisciplinary rounds now. Yes. Multidisciplinary rounds is a time where all the allied health professionals get together and discuss patient care. Around the table there’s a physical therapist, occupational therapist, social worker, dietician, speech-language pathologist, recreational therapist, spiritual care worker, community support coordinator and nurse manager. Each person plays a critical role in preparing patients with a safe and successful discharge from hospital. So it’s now been three hours since we started. What’s the experience like so far? We’ve done a lot of running around. Yeah. We did get to see quite a few people down in ER, we’ve met with multi D team and a boatload of people come up to you and asked you for several things and you haven’t had a chance to sit down and actually take in everything about all of our patients today. That’s true. About the game plan, so we’re gonna go do that now. Yes, we have tried to find a computer, but that’s the thing. Yeah. Like I’ve had my little check boxes on my list have just grown and we haven’t had a chance to check any of them off. So okay, let’s do that now. Sounds good. Good plan. Okay, so I’m gonna actually take a moment to try to get a couple of notes done and do a little bit of work on the computer. Cardiac exam revealed a normal s1 and s2 with no extra heart sounds or murmurs. Siobhan? Eh yeah. The patient in room 7 is supposed to be going for his CT scan later on today. Yeah yeah. Just wondering whether he’s getting contrast, whether he should have some IV fluids around the time. I know we’re being very careful with that. Oh, that’s a really good point. Okay, so actually the evidence about it is not always clear. We probably actually need to discuss it with him and if you want to take that risk or not. Okay, sounds good. I’ll have a chat with him and then we can know. Let me know what he says. Okay, sounds good. All right, thanks. Right, cardiac exam. Elevated JDP at six centimeters, bilateral. I’m so sorry to bother you. So I have a couple questions. So Mr. Smith in room three, he’s been complaining of a lot of pain. Okay, fair enough. You know what, I’ll swing by in a little bit, but I think it’s so reasonable. Yeah, okay. Thank you. Thanks. Yeah. Bilateral pedal edema… Hi, I have a question about my patient. Alright, sounds good. Thank you. Thank you. Respiratory exam revealed bilateral crackles at the… Hey Siobhan, I have a patient who hasn’t had a bowel movement in 5 days. We tried the Senexon already, but that’s all they have on their orders. Right now. Perfect, thank you. Okay, thanks. Haha. Man, okay what?! That’s been like… I thought that would be like a two-minute note that I was trying to write. I cannot believe how many times you’ve been interrupted by all the different areas of staff. And you’ve had to quickly flip to each patient in your head and… That’s true. You know, out of 30 patients, I don’t know how you keep all of them in your head the entire day. Oh, thanks Ashley. I don’t know, there are some days where I don’t think I’m as good at it. But to be honest, I like being part of the action, like I like being here and having people ome to me, because then you’re up on what’s going on and you feel like very much part of the team. So I like it, but sometimes I’m like: I just want to write this note, like oh my gosh it takes me so long. That 2 minute note has taken you like 2 hours. Yes exactly. Hahahaha, it’s so true. Okay, the morning is complete. Our patients have been discharged and now we are going like 30 minutes late for teaching, but to teaching nonetheless. Okay, just finished teaching. Now we are much better at x-rays. But in all seriousness, what’s… What’s left to do today? How are things going? I’ve got two more people left to see. Two more to see. Okay, how are things going Jule? I also have two patients to see this afternoon, one of whom went to the operating room for a procedure yesterday, so we’ll see how he’s doing. Awesome. Okay Ashley, you’re good. We’re hanging out. I was just undercover, but I’m good. Okay, excellent. So plan for… I think three o’clock would be good and like worst-case scenario, if we make it 3:30, it should be okay. Yeah. All right, excellent. Let’s do it! Is the style of teaching what you expected or? With nursing it’s a lot more hands-on teaching. Right. The teaching for you guys, it’s a lot of like quizzing, being put on the spot. You use the poor med students today. Like every two seconds it was question, question, question. Or what would you do here? Or what would you think of this? Or do you think this is a great route to take with this patient and… It’s true. If I were in that position what I saw today, I would be sweating profusely and being very nervous around you guys. But if they didn’t know the answer, it was totally okay. Yeah, yeah. You guys are always looking for teaching moments and you make examples of it in a good light and I don’t think anybody really feels incompetent. Yeah, cuz at the end of the day if the med students knew all the answers right away, then what’s my role, right? Like I’m here to be teaching and to be bringing some of the educational piece throughout the day. So yeah, definitely med students should not be expected to know everything. Don’t stress about that. All right, so that note is done. Next we should go and see this patient here. We need to do a volume assessment on her. Okay, what’s a volume assessment? Oh, ooooh. So a volume assessment is when you look at how much fluid is on someone. So are they looking dry? Do they look like they have too much fluid on them? Like how much volume is literally, how much fluid volume is on them. So this person has congestive heart failure and so they’ll be volume overloaded, right?! Of course. Yeah, so you guys always see that, but I don’t know why we always call it volume assessment. So that’s what we’re gonna do. Because you don’t eat or drink at all throughout the day. Practise what you preach! Thank you so much. Oh my gosh. Yeah, not by choice, just cuz things get busy and then yeah, I should be eating and drinking more. I agree! Okay, so off to see the next patient. Okay, so just went to see this patient together and it was so great having Ashley there, because immediately her nursing instincts just kicked in, because we walked in and the patient was really like short of breath, huffing and puffing a bit. Something didn’t look right. Something didn’t look right, I know. You know, as I’m going and talking to the patient, checking the pulse, immediately Ashley’s got the oxygen probe on. She’s like looking at the oxygen, bringing it up. Like it was such a teamwork moment, I wish you’re always there with me. Wouldn’t that be great? Yeah, actually! Teamwork makes the dreamwork. Hahaha. I agree. For you Siobhan, that you do have really really good bedside manner. And just for you going forward across your career, I hope you don’t, you know, forget about that or lose that aspect and just maintain it and it’ll do wonders for you and your patients. It really shows that you do care. Well, thank you so much. That’s incredibly sweet. I definitely hope I never lose that, that’s something… But you, you… It’s not the first time I’ve heard this and so you you start to wonder what happens. Is there something that happens where it doesn’t come across the same way over time? So yeah, really hoping that never happens. Don’t lose it. Yeah, so if you look over here. Like the creatinine, overtime it’s actually getting a lot better. So I don’t know, I think we’re actually okay with the Lasix we’re giving. Hey guys, we’re are in the room ready to round if you’re done as well. Yeah okay. Sounds good. Okay, perfect. Let’s do it! Hey, this is Siobhan the SMR, returning a page. Okay, great. Thanks so much. Oh my gosh, four consults. It’s like, it turns 5:00 p.m. and the night is starting. Yeah, so four consults right away. We’ll head down to emerge and we’ll also meet up with the other resident who’s on tonight. We do not have to do all the four on our own. Perfect. But we will at least get one of them done. Sounds good. Thank you. Alright, so now we’re finally down in the emergency department and we’re gonna be seeing this new patient. See, it’s kind of cool, you get to see the ones upstairs and now a new patient coming in. And I get to see it all behind the scenes. The behind the scenes. Yes, exactly! So before I see a new patient, I go in and look at their blood work. So let’s go. We’ll go see the blood work, we’ll get a sense of what’s going on and then we can go and see them before actually writing with the note and everything. Mainly just to see if there’s anything like acute that we automatically need to do something about right now. Like how sick is the patient?! All right, done with that consult. It was a lot longer than we anticipated. It did take longer, it’s like seven o’clock now. But we weren’t quite sure what was causing this patient’s shortness of breath. And then you think like: Okay, it could be lung, it could be liver, it can be heart. There’s so many conditions that could be contributing. So it’s all the thinking, right?! It’s kind of like dr. House, right? Yeah. Okay, I can’t believe. End of the day already. Me neither, it flew by. Yeah? Okay. I’m actually like, like my mind is pretty exhausted at this point. For sure. So what was it like being in the life of a doctor? It was very busy, very stressful and I can appreciate things a lot more. Yeah? Definitely! I think my big take home message from today was, you know, understanding that, you know, when I don’t see you on the unit, or you know, we don’t get an instant reply back to our pages, It’s just for a good reason. You’re either in the ward doing consults, you’re involved in your teaching, you could even be getting a code. Yeah. There’s so many other areas in the hospital that you may be overseeing and your participation, you need to be there. Yeah, it’s a lot of running around. And I know that regardless, you will get back to us. Well, I hope that’s true. It should be true. But either way, it was such a pleasure having you here, and honestly it was awesome seeing patients together. Like I wish you’re always on our team. I mean we are on a team together. I’m gonna be seeing and working with you tomorrow, right? I’m on the fourth floor. Back on the floor. Exactly. Well, thanks for the opportunity, I really appreciate that. Oh, my pleasure. And so if you guys want to see more videos like this or have questions, comment below, subscribe. And otherwise we’ll be chatting with you next week. So bye for now.

Comments 100

  • what state u work at

  • Though you are not showing any personal information nor are you disclosing any personal information, I so so curious if you asked someone higher up if you could film your day? I’m sure most of your coworkers and friends know by now that you have a camera with you, but are you constantly finding yourself asking for consent to film and has this ever caused you issues with higher authorities?

  • Your videos randomly popped up on my recommended and I absolutely LOVE your channel, your videos, and your essence! Absolutely positive and such neat videos that are so intriguing and full of information. Love videos that help others learn.❤️❤️❤️

  • I can sit and watch you for HOURS! The way you make and plan your videos is so calming and interesting! I have a question as to the salary of a first year resident?

  • Did ya find out what was wrong with the sob patient?

  • You too look great you can treat me anyday I need medical help, we have our fair share of quacks in the medical field but you look pretty experienced 😄

  • The way you say creatine is so funny😂 i say it KA-RE-A-TEEN

  • Do you have to get permission from your residency college or hospital for vlogging?

  • it is just me or does Ashley's mouth / nose / eye area make her look like she could be related to Emily Van Camp?

  • Are you single? DM me.

  • This is a such an amazing, neat video! A treasure I found recently… Love you!

  • I love these videos! I would love to see you do a video shadowing in the lab!

  • I wish I had her skin after not sleeping for hours 😂

  • I just started watching your videos and I must say I’m so excited to continue I’m currently in college for Medical assistant so I’m happy to learn things from you

  • I love this channel! I think it is awesome that you have shadowed a lot of different occupations throughout the hospital! Everyone's job is difficult in their own way and it is important to remember that! If we did not have every piece of the puzzle, hospitals would not run!

  • Great video, but I would like to let you know that at 12:10 you used the word there instead of their. Keep up the good work!

  • This is probably a stupid question, but why do the doors open opposite ways? Like when there is a double doors, on opens towards u and one opens away from you?

  • I absolutely love your videos. Your wonderful personality shines through in every video.

  • You are so positive! Keep that attitude! 💓

  • I really enjoy your vlogs! So interesting 🙂 I am a hospital pharmacist in Australia and so glad these videos came up in my recommended 😊

  • Hi! I was wondering what you use to film? Is it a camera or a phone? I always wonder what you're walking around with when you're filming (and also how you filmed your fingers at 3:36 haha!) . I just found your channel and I've binge watched all of your videos, keep up the great work!

  • Hey! New subscriber here 🙋🏽‍♀️ love the insight into a doctors role.. I’m currently an occupational therapy student.. it possible whether you could do a video with an occupational therapist? It would be quite a different but informative video and I don’t think us OT’s get much recognition

  • I love your channel! I’m binge watching!!!!!

  • I’m not in any way going to be a doctor or training to be a doctor Nor do I have anything to do with doctors. I just love watching these videos because of how interesting they are xx

  • I couldn't agree more with Ashley on her comments about what a great doctor-to-be you are as you show you care through your attitude and hard work. Ashley seems the exact same way, she's a nurse and you're a doctor?/doctor-to-be? because you care about helping people and happen to also enjoy biology and the science behind the human body so this field couldn't be more suited for you. Love the video.

  • Is a senior medical resident the same thing as a doctor? Please don't attack me, I'm just wondering and finding contradictory stuff on Google.

  • Loved the fast pace!

  • Brings water. “Practice what you preach” 😆 awesome

  • Every doctor in training should watch how you go about your work and learn how to be professional, hardworking and dedicated yet kind, respectful and enthusiastic all at the same time. Keep up the great work!

  • I work on the administration side of the house in a hospital and love how these videos give me some insight on the front line. Thank you!

  • i love this so much!! and yes! you sound so sweet! i wish you were one of my doctors!

  • Siobhan what does consults mean

  • So cool to see this in the hospital I work in. Look forward to meeting you some time!!!!!

  • You're doing something really great here. Keep spreading the understanding!

  • I love these so much and these videos inspire me!

  • I LOVE YOU ITS NICE TO SEE YOUR CONTENT ITS COOL ITS A SIDE YOU NEVER SEE….

  • I WAS IN A WORK ACCIDENT WERE A SCAFFOLD COLLAPSE ON TOP.OF ME AND. BROKE MY BACK. I GOT A BACKFUSION NOW I HAVE 12 SCREWS TOTAL IM ALWAYS IN PAIN. IM GOING TO HAVE PAIN ALL MY LIFE CAN YOU EXPLAIN PLZ…….😷😷😷😷🏥🏥🏥🏥🏥

  • Is there anything in the medical field that you know of for people who are not good with needles, blood or anything like that? (Lovely videos by the way, really interesting. I’m only a teen but love watching)

  • I would LOVE to follow a doctor around, the learning opportunity would be amazing.

  • Lol the montage at the computer 😂 you’re so patient, working with you must be a pleasure. I work in the medical field and I appreciate patience SO MUCH!!

  • i have watched so many of your videos and they are so interesting and informal. you do such a good job handling patients needs and being quick on your feet!

  • now we know why our doctors take so long

  • Just curious but how did they allow nurse Ashley to shadow you? Is it up to the resident and is she in on her day off? i’m a nursing student doing my final clinical and now i’m curious if maybe one of the medical residents would allow this for one day!

  • You have such a beautiful and happy personality☺️

  • this is such a good idea!

  • Your videos are awesome! Your always so cheerful and you do great work. Its cool to see the stuff your doing.

  • I doubt Siobhan would lose the bedside manner lol
    She's literally the bubbliest person ever

  • The doctor and nurse are such nice, positive, and pleasant people, and work great as a team with the goal of helping patients, we need more doctors and nurses like this in healthcare

  • Ive enjoyed these posts. My wife and I have a daughter and son inlaw who both are 2nd year residents. She in family, and he is internal. They are in the same large city but in different programs. You have added some great background that i can add to the brief phone calls we get at all hours as she is heading to or from work. Her life has been so busy. I like that you have shown some light hearted chance to enjoy everything while dealing with it all.. gives me hope she can also.

    Thanks for these posts.

  • Do you use your phone to record?

  • A LOT of workplaces would benefit from having people who work in different roles or departments shadow each other for day.

  • I’ve watched your past 4 videos and I wish I had a Dr. as compassionate I’ve never seen a Dr. so caring.

  • Definitely med students should not expect to know everything, and do not stress about that!!! Lately I’ve been feeling too bad for not knowing answers in a discussion and this is comforting 😇😇

  • I'm not sure if you take requestsbut I think it would be really cool to watch you shadow a paramedic. There scope of practice(at least in the county I live in) are so interesting.

  • Do u get to attend interventional procedures? Please shoot something of this kind for us, cath lab, EP lab, bronchoscopy, GI stuff

    Thankss

  • 1:57 my dad got that , he had to go to A&E on father’s day , his leg still hollow where they took the infection thingy out , it was super gross watching

  • how are you able to get these videos through out the day? i love it.

  • are u always smilling or is it for camera only

  • I really love your video love Kelly -marie francis thanks see you soon

  • are u a fake doctor? lol

  • I just found your channel yesterday and am in LOVE! I never knew most of the things you go through! Definitely an amazing person!

  • I want to work in the medicil field and I can’t decide between a nurse and a doctor which would you recommend

  • I mean, if Siobhan walked into the room I was in, I'd be short of breath, too.

  • Hey! New doctor here. Any advice on how to get my fellow workers to be so in on the whole camera thing!?!? Any advice helps aha

  • Y'all are all so kind

  • Just stumbled on your video. How, no idea how a med video could pop up in my flow of music, math, physics and other fun as I never see any hospital series or like that on TV… but here I am and this was different. Like some of the best short doc serie I ever come across. You’re awesome and outstanding. Thanks a lot for bringing us laymen into your fascinating world. Subscribed and 👍🏼

  • I’m kind of upset that I didn’t find this channel until a week ago. I absolutely love them!!!!

  • i really like your videos! i'm not studying to become a doctor, but these videos are still really informative and cool! 🙂

  • I’m in Nursing School currently! I watch your videos religiously and am obsessed with such amazing content you put out. I wanna shadow you!!😫😫❤️❤️

  • Thank you for making such a lovely content, it is very interesting and informative,

  • That is my clinical instructor asking us "what would you do" what is the pathophysiology of the heart.. why would a person need a CABG? But the more you understand patho, the more you understand everything… and especially with medication administration. #NursingStudent

  • How come few doctors ever talk about PAs and NPs?

  • I'm curious why you don't dictate your notes. (?)

  • How did you guys get so cute?

  • I am just a nine-year-old kid when I grow up I’m gonna be like you

  • I knew I seen you before your the one that actually listened to me and helped me

  • Do you not work with pharmacists in the US??

  • Great video. Are you and Ashley related? Same coloring , eyebrows , cheeks ,dimples and chin cleft

  • So cool. I work in an emergency animal hospital and it’s almost the same. You should shadow a vet in an Er hospital.

  • Hi I love your videos. You seem so sweet and caring.💕

  • I think what happens, as with any job, people get jaded and over time may lose compassion or empathy as the years pass and excitement may fade.. I sure hope she never loses her awesome bedside manner, I’d be so happy to have her as my doctor!

  • How many opioid deaths so far

  • Thanks for sharing your experiences. I learned a lot warching your video.

  • I would like to see you in the Telemetry unit 💕💕💕

  • That resident at 11:54 is so damn fine 😏🤪😍

  • Your so gorgeous!

  • I just discovered this channel. I love these videos so much. And I love that this game s canadian ❤️

  • is this in Ottawa?

  • What hospital are u practicing at

  • Those fake scenes though lmao

  • You are seriously too adorable for words. I have watched five videos in a row and can't get enough. Your father is also adorable and I can imagine he was such a great influence on you being an amazing doctor. I have personal experience with doctors. My 13 year old was born with astrocytoma and underwent lots of surgeries and chemo. So we have lots of experience in rounds, I like to lead them. I think you will not lose your bedside manner because you have a light in you. I think with staying healthly physically, emotionally, mentally, and spiritually that you will maintain that light. I'm interested in seeing your mom in a video, apologies I don't know your backstory so hopefully that isn't offensive or insensitive. You could also do a Q&A video, I left some questions below to start you off. Maybe another video having a cancer mom, momcologist, like myself follow you for maybe 8hrs, I couldn't do 24 😬 I love your violin playing also. What city are you in, not creeping, just didn't recognize it. We usually go up to Mayo Clinic and St Mary's in Rochester, MN. What would your favorite hospital be to work in? What specific study of medicine do you like best? What's your five and ten year goals? Do you want a family? K, it's been a pleasure. Thank you and keep up the good work!!!

  • Hi, @violinmd! What software/app do you use to edit your videos? They seem so neat and organized! ☺️

  • What is a senior medical resident.

  • watching your videos have given me some zeal back in nursing.

  • Hii. I'm a fan from the Philippines. Thank you for this kind of experience,its also inspiring since I want to be a Doctor soon!. Moreeepowerrr

  • when people come in and interrupt you to ask you questions it seems pretty staged. I know this does occur frequently but it just looks liked you staged or prepped for it. They look like theyre acting or pretending.

  • is that a hickey on your neck?

  • A lot of talking, eh! 😁

  • I love you videos!!!!

  • Does she have a bf, Ashley?

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