My most critical patient

Published

Today i had a new first.

after taking hand over talking to my bank supprt worker i had 6 pt 2 of which i felt may need med review of which one had left lower quad pain.

All was good at 9 am meds done etc, until i recheck the bp of abode pain pt and sbp was 66 and rr 26 with unreadable sats and not able to feel a radial pulse.

my patient was treated as peri arrest, i have never had someone so sick i'm 5 months an RN on a rehab ward. whats worse when i left 2 hours late the medics still hadn't a diagnsis fllwing blods xray ecg but were treating as HAP. I'm so glad my colleagues helped me out as when it kicked off i didn't know what to do, as i felt i may be in the way.

I ran on adrenaline and caffine. i was told multiple times i did well, although more experienced hands seemed to be doing more.

next time i was told by the SHO(resident) i can call a crash(code blue) if bp is 66 and i will.

oh pt didn't crash and moved to heart care as no level 2 bed available, but is now dnar

I've used UK medical terms and tried t make is USA friendly.

Specializes in Respiratory medicine. Research..

Sounds like you did a fab job. I think if you keep to the ABCDE approach with any patient that you come across, especially those that you are concerned about then you cant really go wrong. Well done you. Great experience for you to have within the start of your career :yeah:

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