-completed several full sepsis work-ups (IV insertion x2, blood cultures, lactic acid and other lab work, CXR, IVF and IV abx )
-assisted in a stroke code
-Was told by a patient and her family members that I needed to "be nicer". And advised that said family member "worked in customer service" therefore "I know that you could improve your customer service" .
-took care of a cancer patient with ascites requiring bedside paracentesis of 4L fluid, admitted her to the floor but had her as a patient of mine for >9hrs.
- helped tell a 43 year old who thought he had a DVT/blood clot in his leg going up to his scrotum that he has a 12x7mm mass in his pelvis that is likely a malignant tumor
-got threatened by a dementia/alzheimers patient and had my arm death gripped until a bruise formed. Said patient also threatened to "send my cats to attack you and f*** you up"
- assisted in conscious sedation of a gentleman who had pork stuck in his esophagus requiring GI endoscopy procedure to advance the food bolus/fix his distress.
-helped triage a young girl who overdosed on 50+ tablets of benadryl PO when her boyfriend broke up with her. She started off AOX3 but quickly started having anticholinergic symptoms
- brought a patient to the Medical ICU on Bipap who will need to have either a thoracentesis or pigtail catheter to drain fluid from his lung . He hugged me, thanked me and had tears in his eyes when he said goodbye to me. I only was his nurse for 3 hours.
It's not always pretty, it's not always a good shift. Today I almost wanted to cry a million times because I had tough, needy patients that did NOT have realistic expectations of what it is like to be in the emergency department on a busy afternoon. They were not susceptible to being updated by me, only wanted to be seen as soon as possible so mostly just got angry with me /yelled at me until they either got a doctor's attention or decided to leave. Some days really test your patience, and patients always test your patience. But at the end of the day, I love what I do. Every day is a new day and is different. Good luck with your nursing endeavors