I'm an LPN with a Homecare company that I love. I've been a nurse for 6 years and this is the first company where I feel belonging to. I do visits (vs shift) for recently hospital discharged or acute flare up adult patients. A lot of hips, knees, CHF, A-Fib and wounds.
I'm pretty good at the skills portion of my job and still have a lot to learn with the patient education part. I've been in dementia ltc and then 4 years home health psych. So education about CHF and the like are not my forte.
Okay. At 4pm today I walked into a patients house prepared for the visit. I had seen him yesterday so today would be similar. He had an infected wound which led to antibiotics through a PICC. Got everything set up while he took his sweet time drinking coffee while I waited. Finally got him in place. I flushed him, primed my line, and hung the bag. Then I did his intense and awesome wound. Drew my labs via VP, an LPN in my state can't draw through the PICC. Unhooked bag, flushed both lumens. All I had to do was change the dressing. I had my field set up and began removing his old. The tegaderm got tangled up with the bio patch. I used my scissors to give it a nick enough to tear my finger into the tegaderm and remove. Only as I was pulling away my pt "jumped" as he had been falling asleep. It was a split second event. I went on about my way. Almost done and I realized I had cut the PICC.
I didn't cut it in half, a hairline nick you had to search for. But enough.
Well two hours, countless phone calls, an RN coming out, and arrangements to go to hospital tomorrow, later....it was over.
I haven't charted. I can't just yet. All tonight is about wine. And crime show reruns. And more wine.