Describe your last day at work in 50 words or less !? - page 15
Patient had chest pain at beginning shift, 2 hours behind all day, got a heart cath, tech lazy,dinemapp problems, I was sweaty, transfused blood, families OMG!, too many accuchecks, now they're... Read More
Jan 30, '08Co-worker very upset with me but he was wrong. Very rude to me all day. I reported him to the powers that be, just to make my side known, the powers agreed with me 100% and called him into office. Now, he's really mad at me. Oh well fella, put your big boy boxers on and deal with it! We're all adults, or supposed to be!
Jan 30, '08Me & Tech and 5 patients. One lousy stick needing 2 IVs, K+ rider, and fluids. Ho hum. Love those easy shifts.
Jan 30, '08Have a nursing student with me all day. (which is fine). But you know I have to explain everything I do. As soon as I get out of report I have to assess and chart on pt 1 and 2 since they are going to dialysis. Transport also comes at 0800 to get pt 5 for a bronch (gotta do checklist and premedicate). Pt 3 wants pain meds ordered. Pt 4 is a confused LOM with COPD ex. Very anxious and can't breath.. Breathing tx and ativan given. Pt 5 comes back from bronch, family screaming at me so loud about getting her something for pain RIGHT NOW that my DON came out of her office to see what the deal was. I call doc and get IV morphine, they are happy now.
1300 both patients come back from dialysis at same time. Get admission to room 6. CHFer needs IV lasix, NO VEINS. EMS stuck him 2 times, I stuck him 2 times, IV team called and got it. 2 pages of orders, 3 consults, can't get the chart b/c of docs, consulted docs right another whole page of orders.. Gotta get dialysis pts' caught up on meds. Pt 2 N/V/D lomotil and zofran given.. much better now. pt 5 needs more morphine, pt 3 needs more lortab, pt 4 needs more ativan.... pt 6 SQBS is 63, snack given, off to xray where he stays until 1915.
Pt 1's IV goes bad... ESRD pt with NO VEINS.. Stuck him once.. couldn't find anything else.. Got orders to stick his left arm.. old access there with thrill/bruit but they don't use it... Got IV in that arm... Felt bad, wanted student to try but veins were too terrible.... Pt 5 nauseated, give them zofran. Pt 2 has another code brown... help tech clean him and change bed. Argue with pharmacy about some rifampin... Pt 1 goes to xray before i get his 1700 meds out. I finally get to tape report...
Both pt 1 and pt 6 come back from xray at 1915.. Have to give them both meds since they were gone during 1700 med pass...
Let student leave at 7, I stayed until 8 to chart my admission and finish up charting
Feb 2, '08Ok I'll really do it in 50 words or less this time:
Pt #1 BP 220/120 in restraints, crazy, still managing to pull IV out... gets IV apresoline Q6hr, aspirating everything, constantly suctioning secretion out of back of throat... IV went bad, new IV
Pt#2 Right pneumothorax with CT, hypotensive, needs bolus, going from a-flutter to ST to SB all day long.... looks like poo.. doc don't wanna move, made cat 3... on hep drip.. needed new IV
pt#3 Came in from ER with HGB 4.0 Gave 3 units of blood and 1 unit FFP on my shift, had EGD, medicated twice for pain and anxiety, drew multiple labs all day from line...
Pt#4 Got 2 units of PRBCs on my shift, IV went bad, new IV, got lasix, otherwise OKay
Pt#5 Went to dialysis... D/C after dialysis...
Wow.. I've never given 5 units of blood and 1 unit of FFPs in one day, I'm too pooped to poop...
Feb 2, '08Found out dh has cancer, I had a mammo, ultrasound, dexa, and CXR at work, I'm a okay, breast wise, but it's still killing me. Nice to work in an outpatient center and have it all done between patients. The only dept I didn't visit, test wise, was CT/MRI, which is the dept I work in. Other than that it was a fairly routine day at work. I'm in the dumps about dh, he'll have a robotic prostatectomy.Last edit by Tweety on Feb 2, '08 : Reason: language
Feb 2, '08Quote from DutchgirlRNI'm sorry to hear this. Hope all goes well. Take care.Found out dh has cancer, I had a mammo, ultrasound, dexa, and CXR at work, I'm a okay, breast wise, but it's still killing me. Nice to work in an outpatient center and have it all done between patients. The only dept I didn't visit, test wise, was CT/MRI, which is the dept I work in. Other than that it was a fairly routine day at work. I'm in the dumps about dh, he'll have a robotic prostatectomy.
Jul 23, '08Morning delivery of 1 kg baby, 2nd twin IUD. Post-op pt with burst abdomen and Hb 5.4. Elderly man admitted, malaria and Hb 5. More blood transfusions. Two snakebite pts discharged, peritonitis pt admitted with pain. OB pt with PROM in early labor. Starting more IVs. Shift in mission hospital in rural India.
Aug 15, '08Quote from Jessy_RNI love it when I can't understand the initials
I can't wait to start nursing school
dont worry it will come....lol i thought the same thing when i first started school. when i looked at someones H & P everything seemed to be written in a foreign language. now i can skim the page and understand everything.
welcome to nursing
Aug 25, '08only scheduled RN for day shift called out- every other RN refused to come in
Boss having personal issues-yells at me when called; states, "I just can't come in, you are going to have to find someone else"
pt with BP 74/47, gave 2 units PRBCs
pt's toal 9 with: hypoxia, diverticulitis, inability to walk, confusion, chf exac, geripsych pt, chf exac/copd exac
Not to bad, except for the boss drama, I was LIVID.
Aug 25, '08copd/chf: non-compliant (not even nasal cannula on) ef 10-15%, didn't care, BP in the 190's sbp, dbp 100's.
diabetic/chf/cp: no coverage, only ac/hs accuchecks (nor sliding scale).
chf: ef 29% left AMA.
cp: stress test neg MD p*ssed because I called him after family member to try to decide if pt was okay for d/c.
left on time despite all of that.
Aug 26, '08Patient#1 - blood sugar 59 but asymptomatic, retest blood sugar 20 minutes later and it's 268???? Only had 4 oz of OJ????????
Patient #2 - CHF / FVO worsening
Patient # 3 - Comes from PACU obtunded , had to go for crash cart and use the narcan
Patient # 4 - severe down's syndrome, post op and four point restraints, otherwise ok
Patient # 5 - 3 days post op with an INR of 3.9 and new onset of increase pain
Patient # 6 - discharge, stable but has a very very demanding & needy family
I've only been orienting for 3 weeks.