Gotta vent

  1. As usualy I have 2 patients and geteing a third from the ER. 2 Stable, one a big mi and the other resp distress, mi is a herion addict, resp distress is mr and schiz, i never gte the "normal" patients. Anywho report taken by day shift is another rest distress, 350 lbs, thye supposedly stuck him 15-20 times for a line and couldn't get one it. I made the tupid assumption that they put a cvp in, wrong!!! ANyhwo i get him settled, he's a&o gets off the cart into bed, pox 64%, put him on a 100% nrb sats up to 100%, change to nasal bipap that he wears at home, and get a 20 ga in one stick, I would of called the er to rub it in but my noght gets worse ( or better, i like being extremly busy wiht crashing patients). ANy who i do a gas and it sucked somnting like 7.29, 89, 125, 19, and he's real lethargic. "Bill" (intern on call) I'm calling anesthesia and were tubing him now" Intern goes in the room and arouses him and changed to a full face mask instesad of the nasal and he shooded anesthesia away. Doa gas an hour later and it's worse somthing like 7.19, 100, 155, 34. while this is happeneing next room is coding, she didn't make it, not mine thankfully. This guy is barley arousable by smaking his big ole belly, not following command... "were tubing him NOW, I really dont care what you say, anesthesia resident is back and *****y, she's a big whinner, and her fitrst question is "how uis his k+", who cares, he can't breath, tube him, half an hour later "I think you need to call the attending" and sends some one for the fiber optic, still cant get him Attendin one gets there after switching place with the resident cuz she just startd a transplant case, she works him for an hour, intubated thje stomach once, attending two happen to come in for a nother case, he tubes the stomach, than the trach, but we dropped the ng down the et tube in the stomach, funniest looking thing. This was all before midnight! We stabile him and sedate mhim 30 of fentanyl, 30 of versed and they want vecuronium, we all 3 aint compatable, tell the rez this, and i need a cvp, well i got one , at 4 AM!!!!!!!!!!!! Luckily my other 2 patients weres stable, and the nurse who had the code that didn't make it took the resp disress for me and ve diverted any hits to the SICU!!! ANyway damn good think i was able to get that one line in, !!!! That really annoyed me that they didn't put ione in! Thanks for listening

    Oh yeah we called surgery to do an emergncy trach just in case, so the whole time they're waiting buouncing up and down like a 5 year old on christmas eve, waiting to put on in, I think they were a little bummed they didn't get to do it.
    •  
  2. 13 Comments

  3. by   sjoe
    Just another day in the life....
    What can I say? "It will get better"?
    Best wishes, regardless.
  4. by   LasVegasRN
    And so goes, the days of our lives. :chuckle Ain't nursing grand?
  5. by   fedupnurse
    Are you sure you don't work where I work?? Are you POSITIVE? The CRNA wanted to know the K in case he/she was going to give succs. Can't give it with a high K. I am looking to work in a non-teaching facility. These residents are just killing me anymore.
  6. by   OBNURSEHEATHER
    I'll drink a beer for ya tonight Kewl. Sorry about the crappy night :kiss

    Heather
  7. by   SmilingBluEyes
    Hats off to all nurses, especially ICU/CCU, ER and med-surg, who see stuff like this all the time. I am in awe of all of you.
  8. by   psychonurse
    That sounds like a typical night in the ICU that I use to work in....it was like that for 5 years. That may have been one of the reasons that I left hospital nursing and went to correctional nursing.....it is a real zoo there.
  9. by   P_RN
    That's GOT to be the anesthesiologist who put a tunneled baclofen epidural line in backwards and then tried to slip the connector into the "wrong end." Yelled at the patient too.
  10. by   misti_z
    Soory such a bad night Kewl.

    Sounds like you did a good job! Get some sleep. :kiss
  11. by   BadBird
    Sounds like a typical night in the ICU, fun isn't it.
  12. by   Furball
    My Gawd Kewl...you just drove me to my bottle of brandy...>clink< here's to a job well done....
  13. by   ERNurse752
    If you didn't live so darn far away, I'd meet you for shots after work!
  14. by   Jenny P
    I'm so glad that my hospital (although a "teaching" hospital) doesn't have interns! It's tough enough dealing with residents at this time of year!

    Sorry your night was so bad, Kewl, but at least your pts. lived through your shift (maybe in spite of the docs??). It's a classic case of the nurse saving the pts' lives. But we never get to tell anyone except nurses, do we?? Get some more sleep, and I hope you know now that you belong in critical care (I remember how frustrated you were when you starte there)!

close