You know the shift is gonna be a hot mess when ... - page 4

You know your shift will be a hot mess when your patient is on a PEEP of 25, Fio2 100, PaO2 50, febrile @ 40 degrees Celsius, maxed pressors, white count < 100, and bleeding from every orifice. ... Read More

  1. by   blondy2061h
    You know your thread is gonna be a hot mess when Hannah starts posting in it.
  2. by   Cricket183
    When you walk in to your inpatient oncology unit (normal patient ratio 1:4-5 depending on acuity) and find out one of your patients is a 1:1 and you are not an ICU. Patient was young, beautiful inside & out and had a rare form of leukemia. Family (mom a RN, dad part of hospital admin) has requested you as the primary nurse. (Ended up working 8 days straight until the patient was no longer 1:1.) Great family but very scary situation.
  3. by   futuresctRN
    When the charge nurse literally comes up to you and says "It's a sh*t show, sorry."
  4. by   NursesRmofun
    Quote from Caffeine_IV
    The census is low and there are at least 8 surgeries scheduled and you aren't staffed appropriately

    When you do bedside rounds and 3 out of 5 patients are confused/fall risks with no family

    When "person who shall not be named" is the charge nurse for your shift

    When "other person" is the CNA assigned to your patients

    When you get report on a patient who doesn't look great and they say "They've been like that all day".....those tend to go bad

    When you start getting report and get called overhead because the assignment needs to be re-done..somebody put "Shannon" on the schedule but she's on vacation
    These made me laugh a little....so true
  5. by   NursesRmofun
    The nurse you are relieving is furiously trying to "finish" some things.

    There were several admits at change of shift with lots of stuff undone as of report time.

    Patient has H&H teetering on transfusion time and you just got there and have 5 more patients that are also no cake walk.

    You just got a patient and they are already close to critical and you are not in ICU and have other patients that are also not doing great.

    The nurse before you is hurrying report like she needs to leave now "for some reason"....like she knows something is about to happen.
    Last edit by NursesRmofun on Sep 4, '16 : Reason: Corrections
  6. by   FurBabyMom
    1. You realize you're on call - and look to see which of the residents/attendings you are on call with. Welcome to the "black cloud" club. AKA you're getting called in at some point in time this call shift.

    2. You walk in, haven't changed or clocked in and they're already talking about bumping the first case in rooms to accommodate an emergency coming from ICU.

    3. You walk into two emergencies on the same service line, of the same etiology, at the same time.

    4. The other trauma centers / tertiary referral centers in your region are on diversion. YAY. Not. Buckle up, welcome to a rough day.

    5. The trauma pager goes off with "Mass casualty standby: plane crash, casualties unknown, ETA unknown". So, um, about that, which airport is it at (or was the flight intended for) and what size plane? 'Cause a 2-6 seater or crop duster is a different story than, say, a 747?
  7. by   Nature_walker
    When you walk and see 6 public safety officers in the nursing station and they start apologizing for you upcoming shift....
  8. by   Rose_Queen
    Quote from FurBabyMom
    1. You realize you're on call - and look to see which of the residents/attendings you are on call with. Welcome to the "black cloud" club. AKA you're getting called in at some point in time this call shift.
    Not necessarily. I mean, you have to be able to leave first for them to call you in...

    2. You walk in, haven't changed or clocked in and they're already talking about bumping the first case in rooms to accommodate an emergency coming from ICU.
    Or they see you and tell you to go somewhere and do something because you came in a few minutes early and the call team (who got called to come in at what would actually be the normal start time) isn't there yet. Bedside ICU chest cracking, anyone?

    3. You walk into two emergencies on the same service line, of the same etiology, at the same time.
    Do we work at the same place? I'm having some flashbacks here.

    4. The other trauma centers / tertiary referral centers in your region are on diversion. YAY. Not. Buckle up, welcome to a rough day.
    At least you have other centers in your region. We don't, and the one time we had to divert all ER and possible OR patients elsewhere, they either overwhelmed the rinky dink hospitals or had to be lifeflighted several hours away.

    5. The trauma pager goes off with "Mass casualty standby: plane crash, casualties unknown, ETA unknown". So, um, about that, which airport is it at (or was the flight intended for) and what size plane? 'Cause a 2-6 seater or crop duster is a different story than, say, a 747?
    Wait, you mean we actually need more resources if it's a 747? C'mon, now, a plane crash is a plane crash. Not.
  9. by   EllaBella1
    When you walk in and the nurse you gave report to 12 hours earlier/are getting report back from looks at you and says "Oh my god I am so happy to see you."
  10. by   NICUNurseEliz
    You know it's going to be a rough day when you walk into your pod and someone hands you a mask and surgical cap for bedside surgery starting right then on your patient who perfed one hour prior.

    (On the pediatrics floor) when you walk in and someone says, "we're not sure where your patient is. We think maybe he ran down the stairs.. Security is looking for him now." Excellent. Let me know when you find him.

    When you walk in to your patient's BP being 10/5, have one PIV (which is starting to look a little ugly with dopamine running through it), no art line, and the surgeon is struggling to get a jugular line in. Oh, and the blood bank is calling to tell you that your 7 blood products are ready for transfusion.
  11. by   Creamsoda
    Quote from CardiacDork
    You know your shift will be a hot mess when your patient is on a PEEP of 25, Fio2 100, PaO2 50, febrile @ 40 degrees Celsius, maxed pressors, white count < 100, and bleeding from every orifice.

    Glad I had a cup of joe.


    Who wants to continue?

    "You know your shift will be a hot mess when..."

    Well at least you know they probably wont live that long into your shift....incoming hot mess admission afterwards!
  12. by   CardiacDork
    Quote from NICUNurseEliz
    You know it's going to be a rough day when you walk into your pod and someone hands you a mask and surgical cap for bedside surgery starting right then on your patient who perfed one hour prior.

    Totally know what this feels like. Bedside abnormal surgery as I'm walking in and the surgeons operating are the residents I knew as baby first years and second years now as 3rd and 4th years hoping for the best!
  13. by   CardiacDork
    Quote from Creamsoda
    Well at least you know they probably wont live that long into your shift....incoming hot mess admission afterwards!

    That is true. When I have a patient that I know is not going to make it .... that we know is circling the drain ... Family will either withdraw or they'll die shortly. The good thing is that it takes a long time to get all the death paper work filled out by the MDs, the Chief Nurses, and so forth. Then the funeral home has to come so that always gives me like 1 to 2 hours to catch a break, some food and check on my 2nd patient.

close