Ugh-worst thing I've ever done to a patient...

Published

:bluecry1:So last night I had the WORST experience that I've had since I started working in hospitals 8 years ago, and I just need to get it out to people that will understand.

Last night a nurse called out for help as she had just pulled a central line from the pt's IJ and he went asystolic. So we called the code and everyone went into action. When I walked in she was trying to hold pressure on his neck with one hand and do compressions with the other hand so I got ready to do compressions. When she stopped I checked a pulse-still asystole on the monitor and no pulse. So I start doing compressions-first compression I feel one rib break, and on the second I feel two more ribs break and (here's the worst part) the patient makes eye contact with me and hollers out "OW!" :no: It scared the living day lights out of me, but when I stopped compressions (reflexively) he was without a pulse again and started to loose consciousness.

So I ended up doing about a minute and a half of chest compressions on a guy who was awake (when I would stop he would go out, then I'd start and he would wake back up)! It was absolutely the worst thing I have ever done to someone, and I truly can't imagine anything worse. I felt like crying I felt so bad. I know it was to save his life, but still.....I just can't get over how horrible it was to have him watching me, in pain, while I broke more ribs.

And of course to top it off he was one of the sweetest patients we've had on our floor in a long time. (After he woke up he was thanking us for doing our job when I was asking if he was having pain.) And I thought us shocking someone while he was awake enough to feel was bad....but this totally topped that experience!

Sorry to share such a downer story, but this is somewhat therapeutic for me and I'm not sure anyone else will understand this besides fellow nurses....

Specializes in CVICU, Burns, Trauma, BMT, Infection control.
when i first read her post, it sounded to me like he vagaled while the nurse was holding pressure on the jugular.

hmmm.....could be.

How emotionally painful! I empathize for you. Be proud for being such a compassionate caregiver.

Specializes in Cath lab, EP lab, CTICU.
Whats an RCA injection?

RCA = Right Coronary Artery. Coronary arteries are visualized by injecting radio-opaque contrast or "dye" under x-ray.

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