Published Oct 23, 2010
hawkfdc
159 Posts
Wow, what a day yesterday. I typically try to pull most of my visits to M, T, W, Th and have an easy day on Friday with just a few visits. But my husband and daughter both ended up with the flu on Thursday so I stayed closer to home and moved my visits to Friday. I had already scheduled an appointment for Friday morning so after that I had 9 visits and then a Start. ANd in amongst all that was a staff meeting that I conference called into about staffing for the holidays. So I finished my my 9 visits and went to my Start of Care and found the patients rigid, arms drawn up, mouth clenched. He was already severely handicapped so I wasn't real sure if this was his baseline. Deep breath in and here we go-could not get a blood pressure, tachycardic, tachypnec, diaphoretic. Dad says he gave him PO Haldol, check the drug book and there in red what do I find-Neuroleptic Malignant Syndrome. Surely you jest, check the symptoms, um yeah, spot on match. Called EMS, shipped off the the ED.
If that was the right undiagnosised call, chalk one up for the field nurses! I'm going to swing by the ED shortly to see what happened to him.
HannahLeah
39 Posts
UGH. This sounds perfectly awful. It does, however, make me thankful for my "boring" much less stressful duties.
So, How many hours will it take you to complete 9 visits, a staff meeting and an admit gone bad (and scary)? How many of those hours are "on the clock"? Just curious.
KateRN1
1,191 Posts
Not as bad as yours, but 15 referrals on Friday afternoon that all have to be staffed on the weekend and no on-call nurse.
I finally got on the road about 11 am, done by 6 pm. Depending on what I have to do, I'm usually done by 3 each day.
CFitzRN, ADN
386 Posts
FIFTEEN referrals??? On Friday pm? All needing staffing for the weekend? ::thud::