Open letter from an ICU nurse

My patient is incredibly sick; they have a tube keeping their airway open, sedated, ventilated, paralysed, needing multiple inotropes, severely septic needing dialysis, who needs to be proned, as they are needing 100% oxygen.

I take a detailed handover, I then record my observations including ventilator, dialysis, patient vital signs, medication rates and anything else that needs documenting... More here.

This hits hard.