Phew - am relaxing for a few minutes before my 3rd 12 in a row - in triage. My city decided to take a bit of a dump on us the last two nights, never seen it so insane. So this is just a vent, to prepare my poor self for tonite.
For two nights now, we've had every bed full in the back and a WR full of pts when we came on. Friday night even had a guy in triage with his finger on the counter in a cup! Ahh that bodes well for your shift, doesn't it?
Last night had a guy come in for a "risen" on his thigh. Oozy, icky, nothing dire. VS great. On listing his meds, I see coumadin 6.5mg a DAY. Ok, check off CBC, CMP, PT/PTT on the labs. Busy insane doc (alone on duty!) has a fit, why'd I order a PT/PTT... well duh. Revitalize the guy (and the other 20 in the WR), all's ok. Then the labs come back. Creat 15.6, PT/PTT over the moon, H&H and PLT in the toilet (mind you the guy gave no hx for ANY of this, he's like 35yo, and zippo sx). Now, the doc has a fit that this guy wasn't brought back right away (before labs came back). Erm... when does the psychic part kick in please?? Off to ICU for him.
Bright spot...got to deliver my first baby in a hallway. Pinked up, screamed her little precip head off and off we finished driving her to OB.
One more night....
(thanks for letting me go on and on)