I was called to a RRT (Rapid Response Team) where the nurse caring for the pt stated that they were having CVA Sx. We all arrived and sure enough, one pupil was large, flaccid on the left, slurred speech, and pt went from A & O x3 to totally disoriented.
After the team decided to get her to CT to determine if it was hemorrhagic or not so to treat with TPA, they all walked out of the room. Meanwhile this pt is scared, not knowing where she is, why she is there, and doesn't recognize anybody in her room (all of who are staring at her of course).
So I stayed with her to talk to her and re-orient her to why she was there in the first place, and explained what was going on, and what we were planning on doing for her.
While I stood there talking to her, she got stiff, her eyes rolled to the back of her head, and she started convulsing. I called for the RRT team to get back in there, and they saw her doing this ... SO!!! Because I stayed to comfort her, I also witnessed a seizure which was cauzing CVA Sx!!!
She did not actually have a CVA. And as it turns out, she has had seizures in the past but we did not know that, and they were sooo long ago, she had stopped taking her meds a few years ago too.
I felt like a great nurse that day!