Describe your last day at work in 50 words or less !?

[DutchgirlRN]

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!

[cardsRN]

confused fists of rage

but no haldol here tonight

what a lame ass doc

[cardsRN]

bp drifting low

and a fib need bolus please

no response lame doc

[EmerNurse, BSN, RN]

1 - bs cp off to floor

2 - idiopathic thrombocytopenia - off to floor

3 - bs abd pain - d/c

4 - LOL weak - off to floor

2 - nother bs cp - work it up

3 - dehydrated LOM, hx lung ca c RUL resection - 500cc NS bolus STRAIGHT into his lungs (no passing go at tissues), intubated (but aaox3 - no english) - dopa and levo gtts, bp in toilet - Didn't leave his bedside entire time he was there - HR high as 200, bp low as 60/40 - argh! off to ICU with VS finally stable.

4 - depressed OD sobbing and asking for water while #3 next door being tubed

2 - admit orders for bs cp

3 - nother LOM in CHF - foley and lasix yay

4 - OD "bonded" with me - wants to talk - baker acted (no 1:1 available) - will be ICU bed

2 - off to floor, new one lac needs 12 stitches and police report - someone got him with box cutter

3 - LOM still holding his own

4 - OD stable enough to move to ER room with walls - still calling for me but has another nurse now

2 - d/c post-stitches, police reports

3 - LOM holding own

4 - FR aggressive - take down took 3 cops and 3 emts - showed up tied face down (4 pt) on a backboard. Reeks and out of it. Cocktail 10/4 before we even untie him to turn him over (3 security guys at bedside)

2 - new BS CP, "just wanted to be checked at 5am) after over a week of on/off CP - labs neg

3 - admit orders on LOM

4 - only wrist restraints now, cooperative but loopy, baker acted (nope still no 1:1's available.

Finally day shift. Oncoming nurse says sheet is dirty on aggressive OD in 4. Yep THAT was my priority tonite. Sorry, I can't come in tonite for OT. Sheesh!

(sorry more than 50 but .. bah)

[General E. Speaking, RN, RN]

I can do it in 2...

It sucked.

[grace90, LPN, LVN]

rehab unit lom s/p hip fx hx pros ca dementia, can't pee, coude insert met resistance bleeding:uhoh21: , called urology came in 1 am couldn't insert coude either, bedside cystoscope, urethral dilatation lidojet, finally urology gets in a coude, writes orders in big caps do not remove foley i put sign on foley bag, pt room wall, chart, chart rack and kardex- think they'll get the picture not to take it out? one can only hope!

[oldiebutgoodie, RN]

I can do it in 2...

It sucked.

Mine, too.

Came in, was assigned 2 nursing students, cluster of students hog the charts and computers so can't get any work done.

1. Pt #1 has dialysis, blood orders with dialysis, lab can't draw blood, must get for pt.

2. Pt #2 LOL with clogged g-tube

3. Pt #3 with abdominal pain

4. Pt #4 demential pt with mental status change (huh?)

5. Pt #5 prostate cancer, peeing huge blood clots, CBI running.

Students questioning why we do x, y, z...

Pt. 3 to go for lap choli, must do surgical checklist, etc.

Pt. 5 goes for nephrectomy tubes

Pt 1 off dialysis, wants pain meds

Now, all at the same time...

Pt 1 wants pain meds

Pt 2 to be transferred to nursing home, extensive paperwork needs to be done

Pt 3 returns from lap choli, needs post surgical followup and pain meds

Pt 4 spikes temp of 103.4 and BP of 87/41

Pt 5 returns from nephrectomy tube placement, wants pain meds

Pt 6 is admitted as a direct admit, LOL with "dizziness". Find out she also has substernal chest pressure/pain and pressure/pain in upper left back. Oops! Do EKG, APN calls and says to admit to CTU instead, try to get tech to get tele box and lead (don't want to leave pt), but tech refuses, saying she is busy, even when she is reminded this is a priority due to life/death.

Finally get Pt 6 transferred, but receiving nurse calls bitching because there are no orders (that's right, doc never wrote any, why not call him??)

Go home, feel inadequate, remember all kinds of things forgot to chart on the way home.

It sucked. A few more days like this and I'm outta here.

Oldiebutgoodie

[General E. Speaking, RN, RN]

Pt 1: Katrina hurricane COPDer still waiting for FEMA check. lost everything- wants to go back to LA. beginnings of Alz, accusing housekeeping of stealing dirty underwear. Flooded bathroom while in shower.

Pt 2: 300 lb cellulitis DM. nice, likes to chat. used to be a nurse.

Pt 3: 35 yo frequent flyer DM. abd pain. calls for IVP MS04 and Phen Q4hr on the dot.

Pt 4: Pleasant AMS DM with short term memory loss. Bed alarm going off all day. Keeps asking same questions over and over.

Pt 5: Fx arm DM pt. s/p fall. Need to teach family how to give insulin. no family in to visit

started out hectic but out on time.

[LydiaNN]

Oral surgery would've been preferable.

You know that dream you have where you get to work and discover you're naked? That would be preferable.

My day was not good. At all. Am I at 50 words yet? I sure do hope the rest of you have a good day tomorrow!

[porterwoman]

The highlight--

Eight of us sang happy birthday to a tiny little woman who turned 103.

The rest? Forget about it!!!

[fromtheheartRN]

Fifty or less? Impossible (my keyboard not allowing me to use forward slash)

1) ETOH 6mg ativan Q2h not touching DTs. 4 IV infilt. Two pulled out. Wrist restraints applied. PICC team too busy. CIWA Q1H now.

2) Nice man need to ready for cath lab-abnml echo. DM.

3) Freq flyer prev fired me yr ago for not giving pain meds upon walking into unit straight from md office-no orders yet-would not let me get a BP. Apparently she does not remember me. Asking for 4mg dilaudid Q4 (watches clock) and phenergan Q6. Zoned out. Sneaking caramel corn and water when supposed to be NPO for US. Spilled chocolate ice cream (I canceled US) all over the front of her night shirt from home. UGH!

4) CHF-COPD-DM UNMOTIVATED. S-P pacer Day 5. Refuses SNF (will not be able to get her daily glass of Bourbon). Unsafe to go home. Refuses PT. Whines when I make her stay in chair for meals. Hates the food. Refuses the food. Diarrhea and incontinent of urine after Bumex. Nice family though.

5) VERY nice female CP S-P stent and S-P repair for dissected stent resulting in AMI. Husband recent deceased (on our unit). VERY nice family-knows everyone on floor. Increased O2 needs PAO2 = 50.

5 pm- tech taken from me to be unit sec.

Posey applied to #1.

#1 to CCU because of need for ativan gtt. Decided at 645 pm. Report to CCU RN at 715. Night charge (Pain in orifice) demands that we transfer him NOW! (though stable). Night RN has not come to me for updates yet (shift change between 7-730). Night RN decides she is going with transport (though NOT necessary-Pt is stable and gtt not started yet).

I am fighting a cold-should not have gone to work (but we are SO SHORT!). Wearing a mask all day to protect my patients and staff.

8 pm-giving report to the TWO night shift RNs (one taking 4-other taking one of mine-does something seem OFF here to you???)

9 pm Walking through the door to my most excellent husband-best friend

I expect to be asked to come in for DT on my days off. Not only no, but H-NO!

[General E. Speaking, RN, RN]

8 pm-giving report to the TWO night shift RNs (one taking 4-other taking one of mine-does something seem OFF here to you???)

sounds like my hospital- having 6 patients on days (counting turnovers really more like 8) and giving night shift 4

[fromtheheartRN]

Yeah, me too. I had 6 on Saturday. DC'd 4 (two were SNF's). Two new admits -so really 8 total. Ended with three and took my tech to be a sitter with one of the new ones. (see prev post Pt #1).