So our usually calm, quiet, and sedate M/S unit is a good place to work. Only real issues tend to be over-narcotic or drug reaction or a fall. Today: Afib RVR/Febrile pre-op/new onset AMS; bedside thoracentesis; accidental chest tube removal; air embolism; and a crumping as we speak....5 different patients all within 45 minutes. wow. I am still trying to debrief. everyone made it though. Still not quite sure how....but we did it! Hooray for med-surg!