You know the shift is gonna be a hot mess when ...

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You know your shift will be a hot mess when your patient is on a PEEP of 25, Fio2 100, PaO2 50, febrile @ 40 degrees Celsius, maxed pressors, white count

Glad I had a cup of joe.

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"You know your shift will be a hot mess when..."

Specializes in CVICU CCRN.
The other night (while safely in the ICU) I heard a code called to MRI. My blood ran cold. :nailbiting:

We generally don't get MRIs on unstable pts where I work -- stuff that truly can't wait is usually visible on CT -- but as you know, **** can happen fast.

*raises hand*

My very first code was in MRI. Talk about a crap show. Elderly patient, direct admit, no family contacted yet, no advance directive located yet. Ugly ugly mess. í ¼í½»

No, didn't end well.

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When the guard from the local jail (who you know has been sitting with an inmate/patient upstairs) comes by the station asking if you've seen a man in orange pants come by there.

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When the guard from the local jail (who you know has been sitting with an inmate/patient upstairs) comes by the station asking if you've seen a man in orange pants come by there.

Really?? How did that one turn out?

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We looked in all the rooms, all through the hospital, maintenance checked outside, it wasn't really a big deal that night...

The next day the guy turns himself back in, they bring him back to the ED, we check him out, ask him where the tele unit is that he had been wearing when he left, decide that he doesn't need to be admitted, and send him back to the jail.

Sidenote; tele unit was in the bushes beside the road, it was retrieved and sent back to the storage cabinets where it belongs. :)

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When the nurse you are relieving is more excited to see you than usually cause they are ready to haul butt out of there and when they end their report sarcastically saying "Good luck!"

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I come in to start report and the first thing they say is "The ambulance had to come 4 times today!!" (Not as intense as some of your stories, but as the shift leader of a ~45 bed ALF/MC it's not good either 😉)

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Specializes in Cardiothoracic, Peds CVICU.

When your dnr pt is on a morphine and amio drip 😩😩😩😩

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Specializes in Critical Care, Med-Surg, Psych, Geri, LTC, Tele,.
Worse yet- start day full, 8 scheduled surgeries, but 8 discharges too. Happy marry go beds!

Merry Go Beds!!!! Love it!!!

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Lemme add some from my LTC days:

You see the "frequent faller" on your hall in a geri-chair by the nurse's station with a big bruise on her forehead.

Three CNAs called out and the three that are left for 105 residents are fighting over the assignments

The paperwork for the admit that came at 1100 still isn't finished - at 1500 - and there is a stack of charts on the desk with new orders flagged in them.

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BLOCK her personal number.

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Your shift will be a hot mess when 3 nurses are clinging to your WOW to give you report on 14(!!) emergency patients and virtually nothing is done for ANY of them. This happened to me last Tuesday and I almost quit my job on the spot.

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Specializes in ED.
BLOCK her personal number.

Or they use their spouse's cell phone.......

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