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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!
bed 1: hyponatremia, AMS, posey'd fluid rest, family giving water non compliant
bed 2: PN
bed 3: pseudo obstruction, PE s/p colostomy now, pt coughed abd site leaking and fever 103.3, cvp removed and no IV acess at the moment
bed 4: L ext cellulitis
bed 5: s/p ORIF hip, AMS
bed 6: train wreck. chest tube removed yest, colostomy, wound vac to perirectal area( due to gangrenous scrotum last month), foley, failure to thrive, going for a greenfield due to dvt's
bed 7: lung lesion
bed 8: HIV+. hep +, anemia, fever
bed 9: DT's
bed 10: DT's
gotta love it!
Today was the first day that was so bad I almost cried. Pt came out of the ICU unstable and the rest of the shift went to s***. I honestly felt that my license (that I don't even have yet) was in jeopardy.
Sorry you had a bad day. Unfortuneately there will be plenty more to come but you'll adjust and end up loving every minute of it. Cheers!
This isn't my last day as nursing but my last day as a blood drawer.! Good stuff! Still miss the hospital and the people I work with.
Busy saturday morning 5am-1:30pm. So busy no lunch! Got a break and my co-worker spilt her flamming hot coffee on me. Wasn't intentional. My last draw was the most memorable though. I drew a little 13 year old girl. She was very tough and required 2 sticks. Her mom ended up passing out:uhoh3: . I was speechless. I didn't think I did that bad. So I told the nurse and the little girl and her mom were in the same er room with 2 beds in there. Hehe.
Well take care all
KENT
11-7 surgical floor, 19 pts 3 RNs 1 sleepy aide
1- 60+ M crani colon CA brain lung mets :stone
2- 54 F ankle fx untreated HTN hx cardiac cath low sats
3- 52F breast CA mastectomy revision push cough and deep breath
4- 37M infected total knee cute english accent :chuckle
5- 47F groin abscess belly wound infection likes pain meds
6- 51F gastric bypass 2nd pod doing well :)
7- 65M colon resection dc'd yesterday readmit bowel obstruction
got out only 15 minutes late! not bad! :)
First night on nights. I wasn't able to sleep during the day yesterday. Exhausted - not sure if I'm cut out for nights!
Hey, Jen! It took me a year to get adjusted to nights. I've been on it for 16 months now. I had a lot of sleepless days first. Try to darken your bedroom as much as possible, such as with tin foil on windows, this helps. I also have a fan going, to provide white noise, that drowns out the sounds around me. Avoid drinking caffeine the last 2-3 hours of your shift. Taking a hot bath or shower before going to bed sometimes helps too! Hang in there!
RN-PA, RN
626 Posts
Barely out of report and hand-irrigating 3-way Foley with CBI for many clots; repeat numerous times over next 8 hours; call doc 3 times for orders. Replace cath with another #24FR cath. Still clotting frequently. CT scan results = probably cancer, OR in a.m. Five other patients receive minimal care.