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!
8 pts, 2 of those receiving blood (which needed started at beginning of shift), 4 of those going to surg early am, 7 of those had been new admits within 1 hour prior to shift change and no orders taken off at all and all 8 pt had NOW orders written b/t 1500-1700. I had one trying to die, and the other 7 (5 of which were abdominal pain, suspect flu) thought they should be priority because they were not feeling great, one told me that they were multi millionaire (true) and should be given VIP tx. Felt like telling him to go hire private nurse if he wanted VIP tx! Got my last assessment done 2 hours before end of shift. My one word to sum it up?
AHHHHHHHHHHHHHHHHHHH!!!!!!!!!!
Audited charts-one read like this from a floor nurse
"R was being very ugly c me. I told him he can't be ugly with me b/c i'm his nurse. He kept being ugly with me and said "I'm a grown man, I can do what I want." I gave him 1mg Ativan P.O.---NxNeeds2GoBack2School.
seriously, this is what she had charted!!! :yeahthat: She had SEEEEEEEEEEEEEEVERAL just as bad if not worse. Had to report it to the DON. Not sure of the outcome yet...
~*Our greatest fear is not that we are inadequete. Our greatest fear is that we are powerful beyond all measure. That is is our light, not our darkness, that frightens us most*~
I think this describes it perfectly:
:banghead:
:banghead:
Yup, that totally describes the shift I just got out of- 29 yo abdominal pain with fentanyl patch 175 mcg is STILL in pain begs for phenergan... 85 yo hip fx INR 2.9 1 unit plasma ordered, no urine, bolus, plasma reaction, more bolus, hope my other 7 patients are okay, 80 yo crani patient unresponsive, stat CAT scan of head ordered- CAT scan ready, no orderly to transport, float nurses all "on break" :angryfire or "too busy" (since when is one too busy for a stat order?), tell LPN "let's go, we'll take her ourselves", halfway down elevator we realize we don't know how to get to CAT scan since new ER opened, bad directions x2, supervisor finally helped us, no acute changes, 1st shift mad that hip fx lady got bolused and plasma'd what else is new, supervisor who never talks to 3rd shift glares at nights when he walks in, but of course nights sleeps all night...
Post op LTKA, one fragile IV-juggled constavac, PCA, IVPB
Post op RTKA, constavac reinfusionx3, nausea with morphine-on-call doc in surg, phenergan knocked out p zofran didn't work, held oxy 40, scoped for foley then low UO, Pox keeps dropping
Post op LTKA, freaky family thinks she is my only post op for the day, no UO p 3000 IV-doc doesn't care, reinforced dsg
Life is fun at Ortho Camp, can't wait for OB today!
grace90, LPN, LVN
763 Posts
nightshift 5 primaries with 2 covers, ortho/neuro/surgical: total knee ready to dc, lap chole lots of pain, arm fx ORIF pain controlled, aide rude to pts, large necrotic leg wound open q shift wet to dry pt tolerates dressing change well- what a trooper, 1st night post op bariatric gastric bypass lots of pain won't push PCA button, critical labs on cover pts, I left on time!
I've definitely had much worse shifts!