1793stopper

CT read massive bilateral PE. prior to the scan she was diagnosed with anemia and chronic blood loss. Therefore I didn't think about not moving to wheelchair.

Thank you for such kind words, truly helped. My problem is that I care about every detail when it comes to my pts therefore I ask a lot of questions and I can see how others get annoyed of that. But that doesn't get to me.

Her initial diagnosis was Anemia because her h/h was 7/21. She was diagnosed with bilateral massive PE after CT was done. Thats another reason we attempted to transport her in a wheelchair because she was not diagnosed with PE.

Hi everyone, I am a nurse with one year of experience About a month ago I had my first code blue. Its really hard not to blame myself. Heres a short version of what happened. 50 y.o with hx of chronic bleeding and anemia. Was admitted to the ED for c/p, sob,n/v. BP 110s. D-Dimer was done at 1400 results were >10K. No additional test were ordered after that. Finally at 1830 ER calls me for report to transfer the pt to my floor. I skimmed the chart, saw that she had blood infusing and that an ASAP chest CT with contrast was ordered at 1830. I question them why dont you take her to CT first then bring her to me. ER nurse tells me its contraindicated bc of the blood infusing. another thing i asked if there are any pertinent lab results i should be aware of, she says no. she didn't tell me of the d-dimer! I say ok, bring the pt up. Pt comes stable. Blood finished infusing, then i saw her d-dimer so i tell the charge we need to take her to CT. She helps me move her to wheelchair. pt becomes symptomatic. I call a rapid response. Her BP tanked, started her on pressors, still its not helping. The Dr during rapid makes the call to take her to CT. After CT was finished she crashes on the table and dies. After this I was traumatized and in depression. Now I feel so incompetent as if I failed as a nurse. I would just want a fresh perspective from someone whose not working with me. Should i quit that unit? because at this point I dont know how I feel. Thank you so much for reading all this.