I really hate it when the ED brings me a pt. on levo, takes them off the pump, doesn't tell me, and leaves the room, and then I take a pressure and the BP is TANKED, and I'm like CRAP! THE LEVO isn't even hanging! I have been a nurse for like 5 minutes, and this has happened to me 3 TIMES!!!!!
Or when the ED chartS they gave Vanco at a certain time, but when I mull it over a little later, when I get my bearings, and I realize that Vanco should have been still hanging when they arrived, and then I call pharmacy, and they tell me Vanco was NEVER dispensed for this patient.
I don't want to turn this into an ER gripe session. I'm just venting.
Or when fellow nurses who CLEARLY have MUCH easier assigments, or ONE PATIENT sit around and ******** while I run around frantically with a newly admitted, unstable patient. (This doesn't often happen)
Docs that don't order labs for patients that REALLY need them. And then I have to choose between getting the info we all need to care for the patient properly, and doing things that kinda out of my scope of practice. Someone who had blood transfused the day before & was on K-phos doesn't get a CBC, BMP & phos, or ANY other labs to boot? Really?
Docs that aren't on board with protocols, that don't care, and want to do their own thing. Eg: sepsis protocols. Protocol says I use a Vigileo, and I have to report, and chart CVPs, SVV's CO's, CI's, and no one uses those numbers to guide the patients care, or gives a rats a$$?
Day shifters that think we don't do anything at night.
Our nurse aides which are totally useless. Not nurse aides in general, just the ones on our unit.
Orders that take me a half hour to decipher.
When the doctors STEAL my bedside charts.
Not beginning report until 0715 because people are late.
Not getting to go home on time because someone didn't show up, and I have to come back that night. This happened to me twice in the last 2 weeks.
Nurses that forget it's 24 hours of care.
Nurses that forget what it's like to be a new grad!
ok, I feel better now. And with all of these negatives I just mentioned, I remembered a bunch of positives
Jul 25, '11
Quote from ICUenthusiast
That said, there's a cheaper sedating agent that's easier to get called Precedex. It's great for a lot of sedating but it hasn't caught on yet with the majority it seems..
This is off topic a little, but i think precedex is much more expensive than propofol. Some hospitals make the doc jump through many hoops to get it. Also, be warned- it can tank a bp quicker than you can say jack sprat. I spent the better part of a night shift managing a pt's adverse reaction to precedex. Other than that, its totally magic- works by a entirely different mechanism than propofol or benzos.
Last edit by czyja on Jul 25, '11
: Reason: Spell check does not understand propofol