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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!
Third 12 hour shift in a row - third day with new grad orientee (her 4th week).
Fun stories from a patient and his family. Lots of laughter.
Scared patient feeling better - counts coming in - his face reflects this.
Mood overall upbeat!
Jerk PA made a fool of himself - taught the new grad to ignore him.
Now on three wekk vacation!
sickle cell girl getting blood through the jugular who would only talk to friends, got up and pulled the iv out of her jugular, thank goodness the opsite dressing put pressure on the jugular. two in restraints climbing oob. niece trying to get private info from aunts charts. 5 cooperative patients.
melissa
sickle cell girl getting blood through the jugular who would only talk to friends, got up and pulled the iv out of her jugular, thank goodness the opsite dressing put pressure on the jugular. two in restraints climbing oob. niece trying to get private info from aunts charts.5 cooperative patients.
melissa
massive cva with receptive aphasia and brittle diabetic who needs insulin orders called in, also on coumadin therapy; man going through etoh withdrawal-sas scores sky high; frequent flyer diabetic who needed wound vac applied and a gazillion dressing changes to leg ulcers, esrd dialysis patient with a a wound vac whose pressures were unstable all day. Julie
R/o PE having resp diffiuculty; s/p BKA having resp difficulty; ca pt OD'd on fentanyl, gave narcan x2; DVT confused on heparin gtt almost fell out of bed, then pulled IV, blood everywhere, can't get IV, start lovenox;narcan pt's labs back, his troponin critical; another pt fell, 2 admits.
The new resident never met me before, but soon learned to recognize the sound of my voice over the pager. :chuckle :chuckle
Sweet grandma confused from phenergan adverse reaction; A/OX3; still attempt OOB; posey, BUE restraints.... and she was the easy one.
DM feet stinking; insulin drip; hourly accucheck; sugar flucuating; on vent; multi abx; propofol; 3%; TF; total intake volume to equal 100ml/hr (rriiiiight).
And I'm going back for more tonight............. Am I crazy???
Reported off to night shift:
BED 1:Afib finally slowed down after 3 cardizem boluses/Dig IV/ Lopressor x 3 IV/po Lopressor & Cardizem gtt. Also on Heparin.
BED 2: MAT rate down to 150 from 200s on Cardizem protocol/K 2.8./BP a little low.
BED 3:AMS s/p head trauma/ wife wants to sue pt's workplace so careful on documentation.
BED 4: Complete AV block but shockingly tolerating okay with normal BP/ pacer pads on pt just in case.
BED 5: Ornery little old man being d/c'ed but we're trying to stall him as he insists he will be driving himself home after IV narcotics.
HALL BED: Near syncope with no veins who's already had blood recollected twice due to hemolyzed specs and whose IV has just infiltrated.
HALL BED 2: No clue, they wheeled them over 2 minutes before shift change.
Gotta love the ER!
BGgirl
109 Posts
Had a surgical patient who was supposed to be dc'd the next day go into a-fib multiple times. Luckily he had an AICD but was in a lot of pain and was very anxious d/t getting shocked multiple times. Had to sent the patient to CVICU after fixing his arrhythmia.