I figured this would be an interesting topic to start - since there are a lot of different nurses here working in different departments; and I'm quite sure each and everyone of us has had a shift/time where everything has gone completely wrong or there was complete and utter chaos!
I'll go ahead and start with my own personal story which happened just last night (which is actually my inspiration for starting this thread).
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As some of you know, I'm a CCRN and work in the ICU of a pretty large hospital. On an average night, we have about 6-15 nurses and one NP-C (not counting a tech or two) in the ICU at all times. Last night (more like this morning) I experienced somewhat of a 'nightmare' type shift that I never wished I'd have to experience before.
I thought it would be a slower night to begin with, since the board was quiet and there were no incoming/outgoing patients. All of the patients were vented, med rounds had taken place and we were all just pretty much hanging out at the nurses station. One of our patients around 1:15am coded (blue). 4 members of the code team responded. A matter of seconds after that another patient coded right across the hall from that one! Another 4 nurses down, as well as the NP-C. Now keep in mind that last night we had exactly 10 nurses not counting myself... a total of 11 + NP-C + 1 tech. In any case, lets continue...
About 2 minutes into both of the codes yet a THIRD patient coded! Now this seems unrealistic but I only preach the truth! Me and the rest of the nurses responded as well as one of the techs since we were short handed. During this code, I got a glance out the window and noticed that there was an incoming patient coming in that we didn't even know about!
I pretty much fell out from here - it was me, 1 other nurse and one tech working on the patient with the doctor on the way. I had the tech take over compressions, while the other nurse continued ACLS. Finally, the doctor arrived and assisted with that as well. While the incoming patient was coming in... yes believe it or not CODED! We had him hooked up to a mobile H.M. Now here is where I truly lost it. My heart sank and I began to become overwhelmed! I froze up and just stood there before the 2 nurses that were bringing him up got him into an open room (now keep in mind, we didn't even know this patient was coming!).
I couldn't take it anymore! I had the two nurses start BLS while I pushed crash meds and paged his doctor. Once I paged his doctor, I had the CA make an announcement over the PA for all avaliable ACLS certified nurses to report to the ICU right away. Within about 1 minutes, we had 4 nurses up there helping with the rest of the coded patients. Two went in with the code I was working on, and one came with the new incoming patient.
Unfortunately, two of the patients didn't make it and the other two recovered within 4-5 minutes into the code. I wondered whether or not the delay in getting more avaliable hands-on-deck had anything to do with this, but I highly doubt it. All of these patients were far off and didn't have much time left to begin with.
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So there's my story! Now lets here yours . . .