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Had A Good Night Tonight
Had A Good Night Tonight
Friday, I know I am back to work. Thought I would give myself a treat, eat at a restaurant or something. Maybe go to the pub. Eat responsibly, drink wisely. Get to the bar, not much interesting, maybe fish and chips and a lite beer.
Well the beer was good the food was great but by 5pm I am feeling a little queasy. Too late to call off, must go into work. This sucks, really don't like to go into work feeling crap.
Get into work, your off to another floor, they need you there. Inside I scream to myself, I am sick, this is just not going to be good. Remain calm, you can do it, I say to myself. I am mildly relieved there are a couple of familiar faces there.
Hit the floor, first crisis. Patient crashing. Blood Pressure diving during hemodialysis. Distraught family all around. The patient can't catch a breath, must upgrade their breathing to a non-rebreather i.e. 100% oxygen. Still not doing flash. The doctor arrives. Mumbles a few orders, that I really need to clarify as this sounds like a scene out of Clear & Present Danger. The dialysis nurse is great and does some major interpretation, and between us we fumble through the orders.
Basically, continue what we're doing, and try to keep the blood pressure up. I relay this to my supervisor, sure that the patient is really going to need a bed in ICU. She agrees and sets about making that possible. The family are worried, one asks if the patient is in a coma. I reply no, she is just relaxed from some of the medication I had given her. We get her moved. When she is in the ICU, everything comes to a head and she codes. However the doctor is there and they were able to bring her through. End of crisis one.
I can finally tend to my other patients. I get all their meds done, and start doing some major catch up charting. Then another patients heart slows down way too slow. The patient's nurse goes into to eyeball the patient. Not doing good. Code two on the way.
Where's the code button. I don't know, don't work here. Oh there it is, right behind the patient. The patient not only has a slow heart but also crappy lungs. She needs a ventilator. Her blood pressure an't that good either. She's off to ICU.
What a night. Got a real reputation now. The floor I was on, had no codes last year and in one night had two. Through good management the team got both patients through the night. We did pretty well considering.
I started to feel a bit better after the first code, but by the second I was razer sharp. Now as I sit down and right this, I feel pretty elated. One of the guys in one of the ICU's showed me a note from a grateful relative. It makes me feel good to make a small difference for some.
8/27/2005 11:37 am
No doubt -- a quick responder and a take charge guy. We need more of you in this world.|
A friend's ex-wife, who couldn't find the hospital when their middle son slammed the door on the younger son's fingers and I was forced to take them to the hospital, is studying to be a nurse's aid! I told my friend, if I ever saw his ex-wife hovering over me, I'm going to scream "Get me another nurse, quick!!" Having her as a nurse would be scary enough, if she can't even find the hospital.
I am grateful that there are people like you in the hospitals!!
8/27/2005 1:08 pm
There were a lot of other people involved as well and without their input I don't know what the result would have been.|