What is your first hint that it is gonna be a rough shift - page 3
Have you ever walked onto the floor and just had that strange uncomfortable feeling right off the bat that is is gonna be "one of those nights (or days)". Seriously, , this happened to me just... Read More
Jun 21, '09Occupation: ICU, RN/BSN Specialty: ICU, telemetry ; From: US ; Joined: Sep '06; Posts: 2,115; Likes: 8,405First hint?
When you get to the station to pick up report, and: you have 1 CNA, because the other one called out, 3 nurses because the other 2 called out, and only one US, because the other one called out, which means you can either have someone watch telemetry OR answer the callbell/phones.
You're the only one on the shift who's been in a code on a shift -- this automatically summons the code gods.
The day shift charge nurse has assigned you all the patients circling the drain, looks at you and says, "you're going to be the most experienced nurse on the floor tonight, don't let the babies kill anyone."
Jun 21, '09Specialty: 6 year(s) of experience in cardiothoracic surgery ; Joined: Apr '09; Posts: 271; Likes: 389When you look at the assignment sheet and see half of the staff requested to not be assigned to the patient in room 3312. You then look at your assignment and realize you are assigned to room 3312.
Jun 21, '09Joined: Jul '07; Posts: 2,594; Likes: 5,054When I am happy on my way to work and think "it's going to be a great night!"
Jun 21, '09Occupation: Psych Nurse Specialty: 1 year(s) of experience in Psychiatric Nursing ; Joined: Jul '08; Posts: 217; Likes: 169when i look at the names on the report and realize that at least 4 of the patients have required emergency medication/seclusion/restraints in the past... and i am way understaffed. i start to wonder if anyone would notice if i just wandered back to my car .... :innerconf
Jun 21, '09Joined: Jan '06; Posts: 447; Likes: 369Quote from ohmeowzer RNOk I'm sorry for laughing but that's funny.when i walk onto the floor and 4 metro police officers are spraying pepper spray at a pt .
Jun 21, '09Occupation: servant to the felines... Specialty: ICU ; Joined: Jan '08; Posts: 414; Likes: 733When you sit down for group report, and half the patients on the sheet have "confused" written in the comment section.
When there's no offgoing nurses sitting in the station ready to give report - that means they're all in a room somewhere, still too busy to come out & give report.
When you walk by your pt's room, and there are three pumps running, with all four channels on each pump in use.
When you look up the history for your new admission, and see multiple psych diagnoses, along with chronic back pain and fibromyalgia.
When you don't have to look up the history for your new admission, because they are a frequent flyer and everyone on the unit knows their history by heart.
Jun 21, '09Occupation: ICU, RN/BSN Specialty: ICU, telemetry ; From: US ; Joined: Sep '06; Posts: 2,115; Likes: 8,405When you have an admission who's in for "pain/nausea after D&C at another facility" d/t miscarriage.....despite the fact that you were her nurse when she had a hysterectomy 1 year ago. Let me just roll a drum of demerol into your room and give you a straw....
Jun 21, '09Specialty: Critical Care ; Joined: May '04; Posts: 163; Likes: 260You walk into work and have a critical patient crashing/ desaturating, and at the time you are about to start report on that patient, you receive a new ICU admit that is vented, thrashing, blood pressure in the 70's, and it's a fellow RN . . .
Jun 21, '09Occupation: Hospice RN Specialty: Hospice ; From: US ; Joined: Jul '05; Posts: 1,399; Likes: 1,829All SEVEN of your assigned patients are incontinent.
And the day shift nurse says to you on her way out "have fun with that...."
Jun 21, '09Occupation: LPN in long term/rehab Specialty: 25 year(s) of experience in geriatrics,med/surg,vents ; Joined: Jan '07; Posts: 204; Likes: 233Quote from nerdtonurse?When you have an admission who's in for "pain/nausea after D&C at another facility" d/t miscarriage.....despite the fact that you were her nurse when she had a hysterectomy 1 year ago. Let me just roll a drum of demerol into your room and give you a straw....
OK I feel your pain,but that really made me laugh
Jun 21, '09Occupation: Re-retired Specialty: 42 year(s) of experience in NICU, Infection Control ; From: CA, US ; Joined: Dec '00; Posts: 12,419; Likes: 3,760You see the tertiary hospital's meat wagon parked outside and when you go into the unit, you find out the baby that's being transferred out is #11 pt. on a 10 bed unit.
Before the team leaves 2 hours later, the place has been totally trashed, the Nurse Managers are feeding babies, and the Supervisors have called like 6x asking if the sick kid is gone yet or do they have to call DHS b/o being overcensus.
Oh. And there's another 28 wkr in L&D!
Jun 22, '09Specialty: 6 year(s) of experience in cardiothoracic surgery ; Joined: Apr '09; Posts: 271; Likes: 389When you walk past the tele moniters on your way into work and see a patient with HR 170's, and hope it isn't your patient, but of course it is your patient.
When your unit is the only one with beds and the ER is starting to get busy.
When you open the refrigerator to put your lunch away, and see all of the lunches of the previous shift still in the refrigerator uneaten.
When you get report from PACU on a post-op and they start by saying, "He may need a sitter."
Jun 22, '09Occupation: RN Specialty: 5 year(s) of experience in M/S, Travel Nursing, Pulmonary ; From: US ; Joined: Dec '08; Posts: 3,088; Likes: 6,707What is your first hint that it is going to be a rough shift?
I didnt get called off.