You Know the patient is going bad when...

[Nurseboy1]

You know the patient is going bad when their PA pressure is higher than their blood pressure (Pt quickly coded and died)

Feel free to add and keep the list going!

[november17, ASN, RN]

The patient doesn't wake up to you doing a trapezius squeeze.

The vulcan neck pinch??

Uhm, when you walk in their room and they are desatted to 75% on a partial rebreather 20 minutes after a respiratory treatment. You encourage them to C&DB for 5 minutes but they can't get a deep enough breath to even cough. Then you put the little tabs on and it's a full rebreather, and they only go up to 84%. meanwhile they're shivering and their lips are turning blue (had this happen not too long ago...on a full code patient...).

[november17, ASN, RN]

They get worse and worse and worse for days.

Then one morning you walk in, and the RN tells you, "Oh my gosh, he's looking so much better today!"

That's when I wheel the code cart over next to the room.

You can say that again. Those were the exact words of the RN that reported off to me on the abovementioned patient. Not even 2 hours later, BAM. To top it off, I called this resident that was on the case, and the resident said, "Well, just keep an eye on him and call me if he gets any worse." While I was on the phone with the resident the patient's son came out and said, "Uhhh...my dad's complaining about chest pain." The resident said, "Get an EKG and a BNP. Call me if they're abnormal." I was like, "DOC you realize this guy is a full code, right??" The resident was up there within 5 minutes. That got his attention...

residents

This is the same resident that came through one day on a patient with an output of 100 in 24 hours, bun/creatinine rising, on bedrest, and ordered to begin bladder training for the patient...noted, "ARF resolving"... yea hahaha.

[UM Review RN, ASN, RN]

The patient insists that he/she HAS to get up to have a BM NOW, and you have a very bad feeling about it, but really cannot see any good reason why not....

You help the patient to stand up and they just about make it to the commode when the eyes roll back and the patient turns to spaghetti. :uhoh21:

[Okami_CCRN, BSN, RN]

*Actually Happened*

Nurse: I have your solumedrol for you.

Patient: Okay.

Nurse: Almost Done.

Patient: Is that that steroid im allergic to?

Nurse: WHAT!!!!

Patient: I Can't breath!!!

Patient desatted to the point where we couldnt get a reading and all you hear is CALL A CODE!

[RNontheroad]

When they have blood coming from thier eyes and ears....never good.

[Miami NightNurse]

When walk in the room and hear Stridor. It's code time.

[SandraCVRN]

how about getting report from or and the first sentence out of the nurse's mouth is "we don't know how this guy is still alive"

guilty

[Trauma1RN]

*Actually Happened*

Nurse: I have your solumedrol for you.

Patient: Okay.

Nurse: Almost Done.

Patient: Is that that steroid im allergic to?

Nurse: WHAT!!!!

Patient: I Can't breath!!!

Patient desatted to the point where we couldnt get a reading and all you hear is CALL A CODE!

Thats terrible!

[Okami_CCRN, BSN, RN]

well it was not the nurses fault, the patient never informed us or the doctor of any allergies to medications. I even asked her in spanish during the admission and she said no, then all of the sudden she mentions it as the nurse is almost finished pusing it.

[XB9S, BSN, MSN, EdD, RN, APN]

When walk in the room and hear Stridor. It's code time.

I work with a thyroid surgeon, I hate stridors in my post ops

[ayla2004, ASN, RN]

when a patient becomes unresponsive, mouth breathing in little puffs

started on comfort care(was a DNAR) died that night

[JazzyRN]

When you trying to get a IV in a baby thats a hard stick, have poked them a couple times and haven't gotten a cry or a movement in response from them...