Originally posted by TELEpathicRN
chronics-same pts day in a day out, a few suprises every now and then, possibly a set work schedule, only working your assigned hrs, begging PCT's to do what they are supposed to do and being accountable for their actions.
My chronic unit is different. Lots of out pts are really too ill to be there, lots of complications and problems all the time.
The first week that I was orienting on the floor, there were three codes.
Had a pt go into PVCs while dialyzing last week, had another confused pt pull out his central line, twice. (Not on my shift, thank goodness). This pt is very ill, unstable and confused. He is brought in on a stretcher by paramedics to dialyze three times a week.
We had a pt have a severe panic attack while dialyzing last week, too. He had been sedated before tx, but jumped out of his chair w/ bloodlines attached, BFR at 400, started screaming, etc.
Frequent problems with clotted caths, LifeSites malfunctioning, etc.
I often have to stay late, have shifts cancelled and am called to work on my off days.
Pts are often no-shows, then come in when they are not scheduled, demanding to dialyze and we accomodate them. It really screws up scheduling.
We have a lot of pts who are non-compliant, substance abusers, homeless, etc.
We work all holidays except for Christmas Day. Pt's start coming in at 3am on Christsmas Eve to accomidate this. Our unit is closed on Sundays.
The part about begging PCTs to do their jobs and being accountable for them does apply at my unit.