I work in a jack of all trades ICU for them most part....somewhat small town with our own CV surgeon, as well our ICU takes all neuro etc everything CRRP etc.
An how I titled this thread, at what point with you patient assignments etc has everything you are doing started to make you feel uneasy/things were a little dangerous?
My first patient on a vent Neo maxxed out and titrating dopamine up, she has no pressure virtually.....also vent mode pressure controlled with 15 PEEP and 100% FIO2, still satting 87-88% ABGs look like crap, pulmonology comes in and decides she just has to go to CT now (we bagged her at 100%, sats were dropping in the 70s all the way and during CT). Problem is im bolusing NS with the 2 pressors maxxed out in a L AC line, so we are getting a PICC placed and the doc wants to know why these antibiotics arent finished yet
...... This lady was S/P hip fracture, no surgical intervention yet, she recieved so much pain medicine on the floor she aspirated and is now has ARDS. Her family is composed of 4+ physicians who make it a point to call me every hour, pimping me on her status. Also her cardiologist is a super close friend on the family, and is being overambitious trying to change vent settings etc and really p*ssing off pulmonology
My second patient, active bleeding esophageal varicies, has thrown up about 600 ml of blood in the last 2 hours, im hanging her second unit of blood and X2 FFP.
My third patient, just getting back from surgery, S/P upper and mid R lobe lobectomy, Q1hr chest tube and Urine out put. Has a L radial artline, is VERY confused trying to pull everything out.
On top of this no patient care techs, I ran my a$$ off all night. Didn't get to chart till 3 am....oh good times :/