Published
Feel free to add your own, thought this might be kinda fun. I feel so sorry when I see the looks on the oncoming nurses' faces when I give report and hand-off on patients and they realize what kind of day it's going to be.
I probably had one of those looks when I got report that I had one patient in a Posey Bed with a sitter who needed frequent PRN Ativan. The next patient was a total care on Ketogenic diet which means crushing lots and lots of bedtime meds and giving things like 0.67 tablet of this, and 0.35 tablet of that, and needing to watch carefully, do labs and replace electrolytes as needed. And then am told by charge nurse that my next patient is in the ED, they are waiting for another Posey bed and a sitter to become available before sending them up, and family will not be at bedside.
I survived the night, as always. But felt so sorry for oncoming nurse.
-Their mother/father/sister/etc. has been at the bedside since the patient got here and they're REALLY anxious. Like, really.
-We've been alternating milk-and-molasses and kayexalate enemas for the past day or so, but we haven't had a result yet...
-When I told them they'd need to get out of bed this shift, they looked at me like I asked them to go skydiving!
-They fired their attending MD
...and I'm sure I'll think of many more
We have 4 indicators at my work walking in
1. Ambulances/cops in the bay
2. ED safety light. Anything but green, oh man...
3. People in the family waiting area visiting with the chaplain/social worker
4. Hall beds and length of the huddle.
If you have >or=2 you are hosed and better just run away.
Intentional
27 Posts
"Got your coffee? Good"
"So I'm waiting for a few docs to call back..."
Constant alarming during report