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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!
94 yo AMS who screamed when touched. Located on Peds side- MS overflow. Scaring poor pedi pt's.
89 yo bedridden AMS s/p laparotomy, new colosotomy (which exploded-big mess), JP's, mag/K+ runs, TPN, lipids, IV AB, SC, feeding tube turned off by night nurse- clogged, difficulty getting Dobhoff down
54 yo non-compliant DM/ESRD on PD (no policy for PD @ hosp) trop of 0.47, K+ 2.9- couldn't tolerate IV K+, BUN 50, calling constantly for IV pain meds & to have her legs rubbed, transfered out (finally)
78 yo Asian speaking pt w/ difficult family, abd pain- no PRN pain meds, family pissed @ MD so taken out on me
condesending @sshole doc on call for half the floor
Went in on the surgical side of the critical care, moved out the open heart i recovered the day before. assisted in pulling a intra aortic balloon pump, had 1 pt. till i moved him out @ approx 1530. assisted another nurse with his new open heart, then got to go home early. went shopping and bought me a new ceil blue uniform! i love my job!!!
No electric, no a/c! HOT~ 1 new A-fibber (hung Cardizem), fire drill, 1 gets blood & has reaction & treatment, 1 needed K+ rider (got it), 1 needed pain med X3 (done), 3 q2h stroke checks via flashlight, several HA's (re: heat?), 1 new admit cellulitis (owie). No break, natch.
(PS I had the best assignment. GAH!)
8 pts, one ER admit
pt 1. total hip post op day 2. marked right side weakness, stat CT reveals brain mass
pt 2. gastric banding (easy)
pt 3. total hip but also has sickle cell. very hard to keep pain under control- even w a PCA
pt 4. another banding
pt 5. gallstones..renal history
pt 6. pancreatitis goes into ARF also beginning of DT's.....
pt 7 . admit- pancreatitis
pt 8. r/o PN, sepsis...lymphoma? WBC's 90.5
pt 9. myleloma, dialysis, pancytopenia
then when i finally take a 5 minute break, a hour b4 shift ends, CODE BLUE! pt doesnt seem to be pulling thru, let wife in half way thru,she's at his side, and we get a heartrate...wowwweee! almost let em tears go!
didnt leave till 2 hours after shift ends...I love my job!
=)
7p-11p Medical-Telemetry 5 pt, decreased LOC keofeed keeps beeping, noncompliant DKA insulin drip 40 units/hr call doc sugar at 318 decrease to 20, who gave him Sprite- you're npo buddy, crack addict cellulitis refuses meds wants pain meds, DKA low potassium, keofeed still beeping, stroke pt confused, insulin drip down to 190, i haven't sat down or charted, i'm dehydrated
11p-7a Rehab unit aaaaaaaah feel guilty other floors run butts off, I can finally do my 7p-11p charting, other nurse crying short-staff because she has 4 pt her DNR is not stable duh, bite tongue til blood cuz med-surg nurses daily have many more with higher acuity, not out til 8 am because other nurse gave 40 minute report, squelch urge to throttle, lazy people bug me :wakeneo:
chrispicritah
34 Posts
i went to work, 3-11, it was my day off and i didn't check. they sent me to the oncology ward and at 4 they floated me to medicine. i asked them if they realized it was my day off, they said "we are glad you came"...i worked the whole shift, don't remember any of the pts but i had five of them. by 10:30 i was throwing up in the bathroom, i left at 11:45 and did not feel well anymore. monday i was sick again and tuesday i put in for a 30 day LOA. my doctor gave me a Rx for sleeping pills and a referral to mental health. he feels that i am stressed out.
it is time to retire.
crispicritah
this is a :deadhorse for me.