Hi! I just finished a 3 month orientation at the hospital I'm currently at, and have had two official weeks off of orientation so far. Things seem to be going great. For some reason, our nurse/pt ratios have been amazing, and my days have ran very smoothly. I did run into a situation though, and was hoping to get some feedback from some seasoned nurses.
One of my patients was admitted for a DVT in her LLE. She had orders up ad lib and was on bathroom privileges. This made me a little nervous d/t her DVT, but she had been receiving Lovenox, Coumadin, and I think she even had some IV Heparin in the ED.
Regardless, she asked if she could take a shower that afternoon (the shower's about 15 steps from her room). Her plastic surgeon told me to let her shower, and gave me some would dressing instructions. About thirty minutes after her shower, I was in her room doing the dressing changes. Another doctor walked in and asked me if I had told her "the news". I was clueless, and the pt and myself found out that after a CT scan, they found a PE in her lung. WOW! I was shocked and was immediately thinking of the shower and movements that she had been through for the day. Her O2 sats were great, she was breathing fine, and gave me no reason to think otherwise. Before the doc left the room, I asked if there were any precautions to take, and he told me "no, she's okay". I was a little surprised at the team being okay with her up ad lib. Am I over-reacting or did I somehow, by the grace of God, skim by without a code on my hands?