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

Specialties Med-Surg

Published

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!

Glucose 794. Low pulse ox while sleeping, takes 02 off. Insulin gtt started. Creepy guy.

LOL, soaked in urine, feces, lives with neice, pacemaker, CP. Pulls out IV, blood everywhere. Smiles. No teeth. Too cute.

ETOH 425, banana bag, foley, family demanding dispo, staring at me.

Where are my charts?

There's so much more, but I ran out of words.

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Specializes in Med-Surg, Long Term Care.

Sunday, 1445-2315 shift:

1.) S/P colon resection, new colostomy, progressing well.

2.) LOL O2-dependent, CHF- Many med questions.

3.) LOL with pneumonia.

4.) Admission: rhabdomyolysis, admitted then transferred to private room--

"R/O C Diff".

5.) LOL: 120 mg IV Lasix at 1630. U.O. 2200: 100 ml. +C Diff, multiple liquid

stools, dying.

6.) Hemodyalisis, non-compliant IDDM, multiple wound care, disimpacted.

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After a good (for M/S) Monday, I came in this AM, and nocs graciously rearranged my assignment, So last day before vacation and a new set of pts.

1. LOL w/ DM and CHF and HTN and Gazillion meds.... D/c'd but not until she got her meds.

2. LOL "pleasantly inappropriate" - back to LTC at end of 12 hrs.

3. another discharge - feels like Friday

4. LOM appy.Surgeon had me rig his J-P's to wall suction. I was the most surprised when it actually worked.

5. LOL dying, 20% EF, in coma, nothing to do but comfort family. (and wish I had more time to spend with them)

6. 7YO with atelectasis. Small one though. Boy, do I hate sticking kids, wish I wasn't so good at it.

Admitted #6, admitting had 2 different acct #'s, naturally I did everthing on wrong acct. What a mess. I'm now on vacation 'til the 24th and I'm so glad for caller I.D.:yelclap: :cheers:

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2 mom/baby couplets who were up all night, 1 pp hemorrhage post transfusion who slept. Lots of breastfeeding, 2 babies weighed, 2 hearing tests. Early discharge teaching done. Badly engorged mom who supplemented r/t "no milk"! One cold baby to warmer. Taught tube-at-breast. New vag delivery admit at 0300 who couldn't pee at needed straight cath at 0700.

Melissa

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prostate CA pt. had to go to OR to have foley placed. returned to floor peeing bloody red. pt pulled foley out. ballon fully intact.(they must have used 100 cc to inflate that ballon.it was huge, could have been a get well ballon) called the urologist, got yelled, i think i went deaf in my right ear.

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Specializes in OB, M/S, HH, Medical Imaging RN.

Orientation to Home Health. Didn't start until 1000. Filled out lots of papers. 1200 Lovely lunch at a restaurant with the DON. 1400-1630 rode with nurse to see 3 patients. 1630 on my way home. Felt so free. Have 2 more orientation days then on my own. Can't wait. Yippee! Hope this feeling continues.

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Dutchgirl, I hope you think of the poor ol' M/S nurses - you know the ones with sore feet and aching backs - once in awhile.:cool:

Seriosly, a change is a good cure for burnout. Best to ya,

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Specializes in OB, M/S, HH, Medical Imaging RN.
Dutchgirl, I hope you think of the poor ol' M/S nurses - you know the ones with sore feet and aching backs - once in awhile.:cool:

Seriosly, a change is a good cure for burnout. Best to ya,

I'll still be doing M/S two days a week. After 30 years its a hard habit to break but I gotta tell you it was so freeing not to have those walls and halls around me. No call lights, no beepers! I'm sure home health nurses have had days too but I want to be tired in a different way for a while. If it works out I will be giving up M/S. Gotta keep my eye on the gas prices also. I'll keep you guys informed!

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4 patients (easy day) one sickle cell crisis, one cva, one psychosis/ uti, one copd. The cva patient was an older lady who had been being cared for at home by her husband of 65 years, he has become unable to care for her anymore, heart breaking....:bluecry1:

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Specializes in OB, M/S, HH, Medical Imaging RN.

In charge, one didn't show, found help, more admits than DC's, new pt in room 3 hours w/o using call light, new nurse never checked to see if she was there, big blow up at the station, I won. Doctor told her, if you don't check your pts you may find one dead. I'm tired. Good Night!

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Specializes in Utilization Management.

Critical transfer to Unit; manipulative, hypoxic arrival from PACU; ER admit w/ Syncope/ poss. TIA/CRF and incomplete orders; ST'er with 80% occlusion to nearly every vessel; lung Ca w/ mets and chest tube. Previous nurse musta had a bad shift, called the Pleurovac a "Pneumovac." Giggle.

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OK here it goes,4 pt;s to start,sent one 40yr.home-lots of teaching done, then,350 lb, mr, nice, cell. bilat. legs,takes two to transfer,never had help,called MD for PT order,which I got,PT eval. her,thinks nursing can ambulate,they won't do {nothing new here} sent another back to the rest home,bath done {by me} first,Parkinsons, very diaphoretic,found awful groin/rectal area,takes time and one other to hold legs apart to clean.had to explain to Nursing Home.never had the pt before! New surg. comes in from PACU,no report from last floor that sent him to OR with a nasty belly,had 3 jps,abcess drainage bag, central line with TPN and lipids,Dem.PCA which was not hooked up,HR was 90 to 160 bpm,called Dr. numerous times.etc.etc. Try and answer others lights,trying to improve our care and service,Disney ya know. Ran by the desk and saw a CNA reading the paper,didn't have time to kill myself. Actually it was a fairly good day,got out about 45min. late. Not to bad. Sorry about the 50 word thing.

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