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Patient had chest pain at beginning shift, 2 hours behind all day, got a heart cath, tech lazy,dinemapp problems, I was sweaty, transfused blood, families OMG!, too many accuchecks, now they're locking the refrigerator where insulin is, where's key? IV's infiltrated, pager not working, 6 patients, I love my job!
Post op LTKA, one fragile IV-juggled constavac, PCA, IVPBPost op RTKA, constavac reinfusionx3, nausea with morphine-on-call doc in surg, phenergan knocked out p zofran didn't work, held oxy 40, scoped for foley then low UO, Pox keeps dropping
Post op LTKA, freaky family thinks she is my only post op for the day, no UO p 3000 IV-doc doesn't care, reinforced dsg
Life is fun at Ortho Camp, can't wait for OB today!
sounds like a nightmare!
Floated to bone marrow transplant floor, 2 pts, IVIG gtt- VS every 15 minutes for 2 hours then every half hour. Other pt had platelet infusion, rigors, HR 160s, SOB, high fever, my first time experience with rigors- was scary. No break, ate 2 protein bars for my "meal" while charting, wondered how much longer I can handle this.
Hmmm...let's see.
6 patients, one quiet, one drug seeker with attitudinal girlfriend, one hypermanic, one full code non responsive, two confused. IV's, PCAs accuchecks and TPN. Computers crashed. 2 codes on floor and fire alarm all at same time! One less hour to get it all done. My feet hurt.
10.4 INR won't take blood, nose bleed q15 min dressing changes, and lots of K Psych pt on top of it. trach pt - family comes in - gives water - pt choking -now the fun begins. 400 lb pt - 5 person assist to turn - nec fas contact precautions w/rectal tube- yeah! Two lovely TAH's pain meds only great pts. What a Day!!!! Back again tomorrow!!!!!!!!!!!!!!!!!!
3 nurses short @ shift change. ended up w/ 6 pt's.
*confused Reverend in restraints
*350lb mentally ill pt s/p ankle fx (fell off a ladder)
*35yo hx of MI and CVA- stopped ENT from doing a bedside I&D of *tonsil abscess cause INR was 9.2
*ARF legally blind pt that only spoke Arabic- no family around
*70 yo pt s/p CVA on Hep. gtt.
*walkie talkie
Construction snafu: elevators broke- food trays hauled up via stairs. no suction in whole hospital- scrambling for portable units, on emergency power- had to plug everything into red plugs
over 50 words...sorry!
General E. Speaking, RN, RN
1 Article; 1,337 Posts
89 yo breast CA w/ bone mets-horrible pain
88 yo AMS, feeder, inc
39 yo s/p abd abscess I&D took 18" Iodoform to pack
45 yo n/v/d DM, crappy veins and low BS
68 yo NH pt w/ brain CA- diarrhea X 1wk- Cdiff+