So, tonight was my first night alone at my new flexi RN LTC job. The night was smooth and uneventful. Through the first 11 hours, that is. dealing with a few confused patients, and then the lights started bombing the aides. I'm standing at the med cart, drawing up some heparin for a PICC, when the CNA comes down the hall and says "Lorenzo, could you come in here?" I say, "sure, give me a minute." Then she says, "H isn't responding to me...." BOOOM! I think I broke the speed of sound booking down that hall.
Walk in to find resident non-verbal...was very verbal earlier in the shift(almost too much)...and has obvious facial paralysis to R side and making "muh-muh-muh" noises....no previous hx of stroke...but that's what I'm thinking. send the CNA out to get the other nurse, other aide, and to call 911. kept reassuring the pt, checked pulse ox (97 on 2L), heart rate in 70s, and lungs sound fine. Heart sounds regular. was diabetic, checked a sugar-87.
Other nurse got papers filled out and copied, I called family and doctor, and pt went to the hospital....but this is the FIRST time I've had something happen to a pt on my shift....and I'm a little freaked. Any advice?
Besides that, then finishing morning med pass acting like nothing was wrong....was kinda tough. I'm hoping the pt is ok.
