This is something that I am having to deal with now that I have returned to Small Town America. Although I intellectually told myself that this type of situation was bound to occur, I found myself very unprepared when it finally did.
The father of someone I went to high school with had a life altering accident. I found his name on my patient list at 0600. I spent the next 2 hours mulling the ethics in my acting as Nurse Practitioner for him and his family.
It was an emotionally rough day for all of us. By the end I realized what an important thing friends, neighbors and families are, most especially during times of crisis. They welcomed my presence and help with gratitude.