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!

[PageRespiratory!]

Hey, ya'll quit talking about me...........

>

Don't blame ya, I'd be doing the same.

[Otessa, BSN, 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.

:redbeathe:heartbeat:nurse: This has happened more times than I an count!!

I call it the 'calm before the storm'---never been wrong--unfortunately:(

[Ruby Vee, BSN]

the nursing assistant comes running out of the room and starts frantically flipping through the kardex. when you ask what's wrong, she asks "which patient in room 2 is a dnar?" (answer: not the one who wasn't breathing.)

when the med student looks at the rhythm and says "are those pvcs?" and they are -- lots and lots of them all in a row!

[BearyPrivate]

When the patient has a coccyx decub the size of a football and your cleaning the site while the cna is holding pt over, the cna says he just turned white as a sheet, then you hear it his last gurgled breath.

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

When the agency nurse in ICU says to you "my head injured patients blood pressure a little high, and he's got a bit of a brady now. But at least he has stopped trying to pull his lines out, I think I'll just let him sleep it off " :banghead:

That was about 10 years ago, that nurse never returned to my unit

[RedZeppelinRN]

your pt says, "oh ****" with their face turning 10 shades of gray.

leslie

Oh, Leslie!

You are too funny.

Red

[Nurseboy1]

when the med student looks at the rhythm and says "are those pvcs?" and they are -- lots and lots of them all in a row!

:lol2:

ruby, you truly crack me up. i always look forward to your posts in the humorous threads.

[MEME123]

:redbeathe:heartbeat:nurse: This has happened more times than I an count!!

I call it the 'calm before the storm'---never been wrong--unfortunately:(

Or ''The last hurrah''

[MedicalLPN, LPN]

When you go in the pt's room and the first thought in your head is "Hmm... she don't look good."

One of my co-workers told me she always knows when I have someone going bad because I yell up at the nurses' station and say "Girls I'm gonna need your help." haha never realized I said that

When you get a "stable" direct admit from neighboring hospital and EMS says it was an "uneventful ride" P.S. upon admission pt was unresponsive had a HR of 180 B/P of 64/36 T: 103.5 and an 02 sat of 60% on non-rebreather, Rapid Response get up here!

[Trauma1RN]

When you help float a swan in your patient and the first time you shoot an output the cardiac index is 1.3, SVRI is 3,300, and the MVO2 is 41%.

Came in the following morning and the "bereavement bagels" were in the break room, I didn't even have to ask who they were for.

[Indy, LPN, LVN]

When anyone, but especially respiratory, asks me if the patient is a full code. And if I have to do a double take, then immediately get the urge to shove a peanut butter samwich and a coke in my face as fast as possible, then we're about to have a bad time. Things like status asthmaticus and impending respiratory failure just make me incredibly hungry.

[aeauooo]

I remember hearing a cardiologist tell a patient, "Everything is going to be okay," then turn around and mumble "Liar, liar, pants on fire."

When the cath lab team brought the patient back to the unit everyone standing at the room could tell he was dead the moment they got off the elevator. "The monitor leads must have come off during transport, but he had a rhythm."

We got the leads back on him and he was asystolic.

No one dies in the cath lab.