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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!
only one tech for 28 pts. doing own vs. pt goes into st 140 c/o cp and transferred to pcu. total care trauma head injury pt with trach. sx all day. pt going for craniotomy family dilema there. new p.o. amp. p.o vs. every one else behind at 730 pm so stayed to help them. finally done at 830. glad it was over.
2 nurses short, supervisor doing charge, i'm only other RN trying to give 3 units blood to one, 2 to another, all the pushes, plus six pts, one DNR/death for another nurse, 4 admits, I refused to take one. supervisor upset, used her as a reference for new job, hope she's not mad at me, acuity high, dialysis calling for pt, resp in room, lab in room, pt late, dialysis mad, charted on another nurses pt so we could leave at a reasonable time (i did help take care of the pt, just not primary care), two with diarrhea, no aide, charting till 9AM
and you want me to come in tonight?? haha :rotfl:
more than 50 words, sorry
Last day at work: April 27, 2005 -- worked a regular school day as a substitute nurse at a developmentally challenged school for children ages 3 through 18. Administered medications and tube feeds as scheduled, took a few temperatures, laughed with the kids, hugged the kids, documentation completed, enjoyed the staff, the school principal, and went home a happy camper. Absolutely loved the staff and the kids! I wanted their permanent nurse's job...that's how nice "she" has it. :) :balloons:
6 patients- TIA vs. CVA, discharged her eventually
sweet lady with hyponatremia
AMS with low H/H, gave 2 units PRBCs
CP R/O, discharged at the end of the shift
Older male adm for weight loss/anemia, working him up for Ca
and a ER admission, 91/F with AMS and failure to thrive, permanently fixed in a sitting fetal position and has been for the last three years. I still have no idea what she looked like. . .very sad, made her a hospice patient.
AND. . .as always, not enough techs from 7-3p, and from 3-7p, one older tech with a venous stasis ulcer who can barely walk, covering the whole floor.
PCA'd 8 hrs on rehab floor. Most max assist with 2-4 persons. Half confused/dysphasic/aphasic (sp?). Exhausted.
4 hrs on my unit, had 5 pts and charged. Gastritis pt, NPO wants food. FNS didn't bring tray for pt., staff arguing about it. Incident report. ESRD pt, DNR, to Hospice in am, spent time with spouse at bedside.
Out on time. Good day. Slept well.
(almost made it under 50 words)
pt finishing 2units PRBC....DIC? ITP? DRs keep saying "medical mystery"...4 units FFP....petechiae/ascites....more&more tests, poor guy
pt just dx with lung ca mets to liver; wants no aggressive tx....sweetest pt ever....pt & family want to go home....DRs want MRI
pt just pulled out IV & bleeding everywhere; upset DR won't give stronger pain med, but I can admin tyl supp....YIKES
pt being d/c'd, but wife doesn't want him home....chronic hx of ETOH; polypharm use....
Oops, didn't make it in
unknown99, BSN, RN
933 Posts
Pulmonary emboli as soon as the lady is transferred to our unit at 1630 because the other unit she was on had left her sitting in a w/c since 0830!!!
Doctor in; wrote ten gazillion orders-- unit clerk out sick!!
Man receiving blood pulled apart tubing; blood everywhere!
Finally 2330 and time to go home; night nurse fails to show!!!!