Last night went WAAAY too easily...... I have 3 babies: 2 crappy po feeders and a NCPAP/NPO. So I manage to stay on top of it all until 6am. Suddenly all hell breaks loose. One of the crappy po feeders has projectile vomited all over her fresh bed/clothes, after I cleaned up her bed/space for day shift.... Have to clean her up. Then I go to check my NCPAP 31 weeker's PIV only to find that his left bicep is as big as Popeye's compared to his left.
OK, Ok, I say to myself, I still have the INT in his foot that I flushed 2 hours ago with heparin. SO I dc the IV and try to flush the INT. No luck. So now no IV. 3 of us "experienced" RN's stick him 5 times, no dice, blow, blow, blow. Labs come back: Calcium is 7.....still no IV. Then he starts bradying to the 70's without desatting, no response to stim. Check temp, then realize he's just had a huge poop. HR finally comes up. Meanwhile the other crappy PO feeder is screaming his head off, BC I haven't fed him, and 2 other RN's babies' IV's are out and can't help feed him. SO I drop a quick OG feed and give report while attempting to chart the madness of the last hour as dayshift walks in. I had to leave the IV for the dayshift resource RN so she could use the 2 last good veins for a PICC. Don't you HATE it when stuff like this happens! I'm so tired I could fall out of my chair writing this..... good thing I'm off tonight!!!