It ain't all roses out there. You know it, I know it. Share 'em here. I'll start. 70 something year old patient admitted for 'altered mental status'. Restraint order obtained by the nurse before me but not initiated. He has his mitts on, but is now trying to jump out of bed (very spry). Verbal reasoning is futile and get's combative. I push his call light to summon help and he begins swinging at me. I block his blows then he starts kicking at me. So, here I am holding his ankles with one hand, ducking and weaving his fist blows with the other and when help arrives they just stand there and look. "Need any help?" DUH! We finally get him properly restrained and sedated but not without further struggles. The next day, guess who I'm assigned to? Yup. (continuity of care you know) His head is a bit clearer now (probably septic and the ABX have started working), but he's telling stories of past hospitalizations where he's knocked nurses to the ground by hitting them with his tele box. He knew quite well what he was doing at the time, and he's now laughing about it. After 15 years of this stuff ... I'm done. I'm moving on. What's your story?
Quote from sockov
You had all 4 of these patients in the ICU you work in!?!?
Were you, by chance, referring to my post? (as I think I'm the only one who has mentioned 4 patients so far...)
Nope, I don't work in the ICU! I work on just your plain ol' med/onco floor, hence why the 4 patient load. Our ICU nurses get just 1-2 patients each.
My nightmare for today:
Not so much craziness and chaos, but one of the worst things in nursing, I think, is to watch a patient suffer. Near the end of the shift, one of the nurses asked for some help. His patient (diagnosis: Lung Ca) was struggling to breathe, O2 sats 70-75% on a non-rebreather. He was going cyanotic, too. I had taken care of him not too long ago so we still remember each other, and I know we're not supposed to have favourites, but he was one of mine. I sat with him, held his hand, got him a cool cloth, and basically talked him through it. He looked at me and asked, "Am I going to die?" I didn't know what to say.
Last edit by Aeterna on Aug 30, '12