Here' s an amazing story, hard to believe, but, true. This happened at fairly large hospital, maybe some other nurse will recognize this story, and join in, and vouch, this really happened. I started to write this, to add to a thread on funny
stories, but, realized, the ending is not really 'funny'.
still, it's a great story, but, not so much about the human spirit kind of great story, just a good story about those occasional great 'wins' we get in nursing. I'll be back later, to post an amazing human-spirit kind of story, to keep more in theme with the spirit of this here thread...
I was acute care float. I usually worked ER and ICU, but, i was sent wherever. One night, i was working IV TEAM, as i often did. My buzzer went off, for Trauma Room #2 in the ER.
oH MY, my heart instantly sank as i ran to the ER,
as that is the PEDIATRIC room,
and i suck at starting IVs on kids.
I always always would try to get out of IVs on kids, always, as my skill level on kids was not the best, it was almost a self-fulfilling thing, where i'd become so full of dread,
that i'd miss.
Anyway, there i am, coming into the ER pediatric trauma room,
and all the ER nurses hearts sink, as they KNOW i am not a real IV team nurse, mnot one of those amazing IV nurses at all..........i'm just the float that they work with, not any better than they are at IVs....it's obvious on their faces, they are disappointed when i am the IV team. I also share their fear.
and dawg, there was a full code and ongoing seizures in progress, on a 2 year older who had multiple birth disorders, and had been brought in via ambulance, from a town about 30 minutes away,
The EMTs had stuck every visible vein in route, unsuccessfully.
The ER nurses and the doc, all had tried, both arms (any many other places) are now ruined and bleeding from previous attempts, there is nothing left. The ER doc is working to get in a central line, but, it's not going well there,
and meds are being given via ET tube and intra-osseous, but, they want a vein open.
hard to believe, as i am not good at pedi IVs, nope, and this child is bouncing, both from seizures, and from chest compressions, and is head down for a central line placement,
like, could it get any worse?
My heart is pounding, i tell ya, i could hardly breathe, anything with kids always always gets my emotions right up front,
but, i put on tourniquet, and while others hold that little arm as still as they can, i fairly quickly, insert a #20 into the antecubital, which was just stunning, as it had already been stabbed many times. They'd been using much tinier needles, which may have delayed the flashback til after they'd gone through the vein, who knows.
We verified and verified, it really really WAS in the vein above all the other holes in that same vein.
NO idea how i did that, cuz i am terrible at kids IVs, but, i did. I could not have gotten in IV into that child even if he was still, yet, it went in. Was some huge luck involved here!!!
A 20 no less! A 20 gauge iv into a very
small seizing child!
Then, i go to other arm, and do same thing! NOw, it's over, and all my adrenaline is flooding me, just flooding me, and i am now trembling slightly. This might not sound like much, but, i felt so so much pressure, that tons of leftover adrenaline are now making me tremble.
I clean up my stuff, and exit the room, my role there is done. I smoked cigarettes at the time, and i went outdoors, for a 5 minute break,, to have a smoke, since i am right by exit doors anyway. I still have on my beeper, if anyone calls me.
I heard next day, the child did live, was stable in ICU.
While i am just outside the door, in the dark, trying to calm down,
I can barely light my cig. A hand reaches over in the dark, and lights it for me.
It was a super young EMT, also kinda trembling. He said, "Wow, that was my first code. I walked into living room, and saw that child seizing, and in wanted to say, "CALL 911 !" and then, i realized, i AM 911!"
and i agreed,
"I walked into that code, and wanted to say, 'CALL IV TEAM!" and then, i realized, i AM iv team!!"
oh, we both chuckled in understanding.
this post might sound like i am bragging, but, i readily admit, *I* am not that amazing at IVs, nope! this was a fluke for ME to get those IVs in. Very next day, i blew an IV that a student nurse could hit from across the room with a dart, ha. Those days happen, too.
but this day, was one of my most amazing
("shocking" might be better word..)
moments in nursing, really.