Unfortunately my situation didn't end how I wanted it too.
I was working NICU, I had signed on as a primary nurse for a 2 month old who had come in from home in sepsis/resp failure. Sick as snot for weeks, on the HFOV, pressors, iNO, she finally turned a corner and started getting better after a few weeks. She weaned down to a nasal cannula, was working on PO feeding again (she had a gtube d/t a cleft palate but was po feeding some). She had previously been home on oxygen so we were working on getting her back to her baseline.
Then one shift I came in and she was extremely tachycardic, to the 180's while sleeping and over 200's when awake (not crying, just awake). I hounded the Dr's about it and they challked it up to withdrawal (though there were no other symptoms) and they increased her meds. Over the next few shifts I had with her she began a slow slide downhill. She was tachy, then she started sweating for no reason, she became irritable and fussy when she had previously been quite a happy/pleasant baby. Each day I told the doctors there was something not right with her, something was up but they didn't see it. Finally she started desatting so the docs figured we weaned her oxygen too fast and started increasing her back to high flow/vapotherm.
Then I came in on my third or fourth shift of this and she was completely hypoxic, all morning, she wasn't in any apparent resp distress (no increased WOB, no nasal flaring, grunting, anything). We increased her to 10: then 15L. The doctors didn't want to intubate her because her blood gasses were ok, I begged all day for them to do an echo, i thought something had to be up cardiac-wise. Initially they didn't want to because she'd had one on admission that was normal (with a "small" asd) but finally I told the doctor I wasn't going to leave her alone until she ordered an echo.
Well 30 minutes later I had my echo, which revealed severe pulmonary hypertension. We started her back on nitric, loaded her with milrinone and started a drip but it was too late. Over the next 7 days she wound up intubated, sedated and paralyzed yet still having severe hypertensive crisis, bradycardic events and "mini" codes. She died one week after that echo.
To this day it kills me that I couldn't make the doctors see what I was seeing and that I couldn't save her. The day she died she had coded throughout the night and into the morning, her parents were there the entire time and finally just asked us to stop. It broke my heart.
I haven't been in this very long (2years NICU, 1 year peds CICU) but I listen to my hunches, I get other nurses to valididate them with me and I have no problem pestering a doctor until they come and actually LOOK at my patient. I do not want another patient of mine to die because the doctors ignored my concerns.