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!
Pt 1 pneumonia, not too bad, pt 2 ISSUES, bad attitude, doc just stopped CAPD, transfer to ICU.. I don't have time, make time. Now behind, pt 3 back from surgury, too much pain 10/10. New admit with Lamy, just when I thought I was catching up. Pt 4, 2 incontinent BMs, does it look like I have time to clean that up? lol HELP!
~Crystal
3 rn's, 20 pts, 1 excellent but sleepy patient care assistant
#1- 22F- GB stones, high liver enzymes, waiting for surgery, BP better
#2- 44M- rectal/perineal abscess, did he cheek vicodin? :angryfire
#3- 49F- breast redux OR 2 days ago, 2 JP's, no pain :)
#4- 70F- hip replacement 3 days ago, moves well, okay with vicodin :)
#5- 81F- hip fx OR last night, low H/H, low K+, a fib, HTN, IV labetalol, renal insufficiency, dilantin levels unstable, seizure, get another level, critical calcium, internal med on call won't call me back, these older sick hip fx pts never do well , she's still a full code :stone :uhoh21:
#6- 20F- open appy, lots of pain, Vic ES, high temp, cough and deep breath
I love nursing!
24 pts, 3 RN's, 1 LPN, 2 CNA's, and it was MONDAY
1. Pancreatitis on PCA. 57 male
2. Altered LOC. 87 female.
3. Hypokalemia, hyponatremia. 89 female
4. Hospice with brain mets. 89 male
5. Hospice with recent CVA, 79 female
6. Abd, pain, constipation, 10 male
Discharged 2,4,5
Admits
1. Medication reaction with dilusional behavior, 47 female
2. GI bleed, CHF, should have been in CCU, 81 female
3. S/p total knee, 62 female
What a day. I think I'm getting to old for this. My feet and back are killing me.
#1- 52F- ER abd pain 3 days ago, found pelvic tumor 8.5 cm, unexpected TAH BSO, passed gas middle of night! :) :) :) but anxious and sad:crying2:
#2- 79F- rotator cuff repair, denies pain, A&O x3, cardiologist's mother
#3- 23M- prisoner, 2 guards- one's too friendly, stabbed while "brushing teeth", pneumo and chest tube
#4- 47F- sinus surgery yesterday, no nausea, no pain, no bleeding- unusual
#5- 32F- 2 days ago incisional hernia repair won't cough won't walk won't move give me pain meds, breathe deep would ya?! :uhoh3: 85% room air want pneumonia? MOVE! call me sarge!
#6- 49M- lung CA, 2 days ago wedge resection, chest tube, lots of pain
#7- 61M- 3 day ago hip replacement, vicodin, doing okay, won't wear cpap
M51 20 hrs s/p repair L1 burst fracture - PCA not quite enough - tries to refuse Lortab & Valium - scared he'll "become a junkie" - reassured he won't turn into Keith Richards - sees the light - feels much better in 1 hr
M71 s/p 2nd crani in 4 days - won't wake up - on both Tegretol & Cerebryx - oops - dc Tegretol - wakes up - attempts biting me during oral care
(sorry - it's 65 words!!)
I work in Paradise compared to some of you................
Floated to telemetry unit from my usual ortho/neuro/surgical
27F- pyelonephritis, pneumonia, desat 75%/RA 92%/2L C&DB C&DB C&DB!!!
70M- COPD SOB 94/RA NAD
70M- prisoner CP NAD guard sleeping:angryfire
94F- CHF SOB crackles orthopnea
cover 80F- CP- chronic pain internal med stopped pain meds :angryfire
cover 83F- CVA- vasovagal on toilet LOC/neuro change :uhoh21:
#1- Direct admit LOL: Exacerbation COPD.
#2- POD #2, prostatectomy: progressing well.
#3- POD #2, total vag hyster with bladder sling: better urine output and pain management today.
#4- POD #5, sigmoid resection, NPO-- good bowel sounds and flatus. Wants FOOD!
#5- 40-ish male, renal calculi. Severe pain x 1.
#6- S/P Septoplasty. Changing own drip pads!
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It's interesting to try to reduce 9-plus hours of running like a crazed pinball machine into just 50 words. The above is just the bare-bones of a 3-11 shift where I didn't have time to sit down and chart on a computer until after 10:30 and left after midnight. It's also been interesting on our mixed med-surg unit that I've had so many post-op patients lately. Seems like I've cared for mostly medical patients for a while, and with all the nursing homes and retirement communities in my area, it often feels more like a long-term-care facility than a med-SURG unit. It's been nice for a change to have the surgical patients and to witness their progress over a few days.
Ashera, LPN
179 Posts
342# total assist F, MRSA, VRE - on 3 abx's hung almost continuously - admt for infection in total hip post op - wound vac running continuously - now with necrotic fat tissue in hip - 4 person turn, heavy yeast under breasts and in all folds - caustic, combative, asking for chocolate milk all day....
hospice, 59 M - end stage abd cx, ascites, high mso4 needs, needs a cadd
82, M, bp 90/38 - post turp heavy frank bleed, bladder irrig cont...
78, M, R-bka - pre-surg for L aka - grabbed my name badge, fondled my breast and planted a smelly mouth kiss in a flash/second - had to take the time to verbalize appropriate boundaries.....
70, F, pneumonia, refusing all hygiene attempts by aide, confused, mean