first i have to say.......you've come a long way baby!!!!!!!!
wow.....new nurse, newly licensed, who is working in what is clearly a high level icu. what a night
. you must have had one heck of an orientation and are one smart, calm cookie.....for that was one very sick patient. sepsis, septic shock/sirs can be one of the deadliest things to patients and difficult for nurses because we are busting our butts off and they slip through our fingers.
to me, you gave this patient the best fighting chance to survive a terrible illness and it was a job well done.
in icu when the patients are so very sick and you have one that circles the drain, as this patient did, you need all the help you can get. it is always a team effort in a good icu when there is a critical patient as complicated as this one. you did an excellent job! and you should be proud.
bobbyzr7 said it reminded him that he is glad he doesn't do that any longer.......it is a personal choice and that is the beauty of nursing that you get to try something new and find your niche. me, on the other hand, who loved the sickest of the sick.........makes me wish i could work again...i miss it so.
they only med you didn't mention, so i don't know if you gave it, would be the anti-histamine, histamine blocker and steroid combo for the sirs (systemic inflammatory response syndrome
). other than that.......you did it all.
i am sorry that the patinet did not have a good outcome and i am sorry to the patients family, my heart and prayers go out to them.......
but from a crusty old bat iccu nurse.........job well done!!!! cheers