The Shift from Hell
Featured Replies
This topic is now closed to further replies.
Currently Reading 0
- No registered users viewing this page.
A better way to browse. Learn more.
A full-screen app on your home screen with push notifications, badges and more.
Well, here it is September and I've been kvetching about low census and getting called off (including on Labor Day when I could've gotten time-and-a-half).......all of which was made up for in one 8-hour shift yesterday. I mean, we got SLAMMED. Eleven surgeries, ten admissions (4 of which I did myself) and two transfers from the ICU, all on the 3-11 shift. I didn't sit down all evening except for a 15-minute supper break, but that was the least of my worries. One of my admits was a total care pt. with new-onset seizures who was supposed to have VS every hour, and another was a woman with blood sugars in the 400s who needed fingersticks every hour for 6 hrs (should've been in the ICU w/insulin drip if you ask me).
Then one of my patients was a 1:1 (LOL with urosepsis) whose urine suddenly turned to frank blood and large clots, and I was supposed to irrigate her Foley catheter every hour!! No CNA to help with any of this, so a lot of it didn't get done. And I wasn't the only one who had a hard night......everyone else was running just as fast as I was, and on top of all of it we just started using a new computer system (MediTech) and it crashed, leaving us
unable to order labs or do anything else for almost 2 hours.
Finally, just as I was coming to the end of the shift, my post-ictal pt., whose VS I hadn't had time to check in several hours, dropped his BP from 120/70 to 80/38, and still another admission came in (ETOH and Ambien OD) who couldn't find her butt with two hands, but kept going outside to smoke. I felt awful that the
vitals hadn't been done, but there was no way on earth I could've gone any faster or done any more than I was already doing. We usually are staffed better than this, but last night we could have had half the nursing staff on the floor and we STILL wouldn't have had enough bodies.
That's easily the worst shift I've had in the 6 months I've been back at the hospital, and one I won't forget any time soon. The kind of shift that leaves one wondering why in the world they paid
good money to learn how to be a nurse in the first place, and at the same time terrified of losing their license for something they did or didn't do in their rush to get things done.
So.......what were some of YOUR most memorable shifts from hell?