Had a great one last night (not my patient, but helped the other nurse with him!).
K...pt had three JP's, an NG, IV, foley, O2 via NC and was starting to become confused since the AM. Thought it was due to the pain meds, so the Day RN cut them down and still had great pain control, and pt was less loopy. Evening-Noc RN I guess didn't get the message and gave pt a full load of pain meds...then the excitement began!
First, within just a few minutes while the pts nurse was next door helping a pt with emesis, pt pulled out foley, pulled off JP bulbs, pulled out IV, pulled out NG and took off oxygen. (she was JUST in the room!). Then proceeded to dress in nomal clothes and walk down the hall. Confused the pt walked into another room, started undressing to get back into bed. Lo and behold there was another patient in the bed asking what the heck was going on. The Woman in that room called us and we were there in seconds flat...and believe you me she was terrified to see that pt...a younger MALE naked in her room about to jump into her bed!!!!!!!!!!!!
The guy said he thought when he woke up that he was in the wrong room and wanted to sleep with his wife, so he went to her room. I guess since the lady was three rooms down and the only room with a woman in it that worked in his world. I felt so bad for the lady...I would have been screaming obsenities if that had happened to me but she was calm, yet very frightened.
We got the pt back to their room, tried to attach him to things but he would pull them right out saying things in word salad. "My brain is in the pink cooler over there with the tiger on it". or "I don't mind snakes, but these snakes are too noisy for me and my dog to sleep in our yellow comforter tonight on Mars!" Okkkkkkkkkkayyyyyyy!
Well couldn't get a thing back on him for sure, called the MD which was really of no help, and got orders for a sitter at least to keep him in his room and clothed. No more pain meds till AM and then they will fix the damage done, put things back in, and try to get to the bottom of this.
One nurse and I guessed it right on...no one bothered to notice he was an alcoholic and a meth user...he was going through withdrawls and wasn't on a CIWA scale (a scale we use to rate withdrawl symptoms and orders to treat with ativan dependant on score).
Oh well...we got it straight
...LOL! (he was a new admit from the AM and I guess the ER didn't quite give us all the info we needed (certainly NOT a first from our particular ER!!!).