My Sunday morning turned out to be one of my memorable clinical days. As I checked on my resident early on, I expected my day to be an ordinary one. Sluggishly, Mr. G.R. greeted me “good morning” while he finished up on his breakfast meal. He seemed sleepy but he was alert and responsive. His agenda for the day was to go downstairs and smoke after he took his medication. I was ready to give him his nebulizer first when I noted blood all over his bed. Mr. G.R. was holding onto his AV shunt dripping blood. Hurriedly, I went back to the nurse’s station to get gauze and reported to his nurse. Apparently, the nurse assistant already told the primary nurse about the bleeding. Hence the gauze he was
