STAT
Because this shot is so pretty I'm keeping it at the top.
I found a nurse's blog that I read from time to time and I must say, I understood everything she wrote below and even concluded with the same treatment the doctor advised before I read it. I really am learning something in class.
3:45 am: My patient with the triple bypass surgery goes into a rapid atrial fibrillation at 150 beats per minute. Get EKG and vitals STAT.
3:50 am: Call Dr. T. and receive orders to give the patient a cardizem bolus IV. Heart rate still too high in the 150s with oxygen saturation dropping to 89% on 2L of oxygen per nasal canula. I try to administer the cardizem, only to discover that his IV, which worked one hour ago, was blown.
3:55 am: My colleague and I are still trying to start an IV.
4:00 am: My other patient's blood transfusion finishes and her IV machine is beeping annoyingly loud.
4:05 am: I finally get an IV and administer the cardizem.
4:10 am: The heart rate is still in 140s. I want it below 100. I proceed to start a cardizem drip to help reduce the heart rate.
4:15 am: Other patient's IV machine is still beeping.4:20 am: Bypass dude's oxygen saturation is still only 89% on 5L of oxygen. Heart rate is in the 110s. Lungs sound clear. WTF?
4:25 am: Um, can someone please turn off the beeping IV machine?
4:22 am: Wonderful colleague looks at my transfusion lady's orders and gives her lasix, flushes her IV, and turns off the machine.
4:25 am: Page Dr. T., and give update. Bypass dude has orders for lasix and a non-rebreather mask. Carry out orders.
4:30 am: Bypass dude's heart rate jumps into the 160s. Check on patient to find him standing up to pee into a urinal. Proceed to tell patient he shouldn't stand or else his heartrate will go up. Patient states he can't pee unless he's standing up.
4:33 am: Heartrate back into the 100s.
4:40 am: Heartrate up in the 160s again. Patient is standing up to pee again. Damn lasix.4:43 am: Get orders to insert foley catheter into bypass dude so he doesn't have to stand up to pee.
4:45 am: Transfusion lady spikes a fever of 101.2 F. WTF?
4:55 am: Patient #3 aka dude with heparin infusion starts bleeding from an old blood draw site and stains his gown and the bed. WTF?
5:00 am: Patient #4 aka has a blood pressure of 201/104. WTF?????5:01 am: Page Dr. K. for transfusion lady5:02 am: Page Dr. H. for patient # 4
5:03 am: Dr. T. calls me and asks for an update on atrial fibrillation dude.5:04 am: Doctors K. and H. call at the same time with orders.
5:07 am: Draw blood from heparin dude to check his PTT
5:10 am: Bypass dude's oxygen saturation is 99% on non-rebreather mask and heart rate is in the 90s. Whew.
5:14 am: Norvasc given to freakin' high blood pressure lady.5:20 am: Tylenol given to transfusion lady.
5:25 am: Clean up heparin patient, apply pressure dressing to bleeding site.6:00 am: Sit down and breathe.
6:15 am: Hypertensive lady's blood pressure is down to 178/84. Transfusion lady's temp is down to 99.8. Heparin dude has stopped bleeding. Whew.
6:30 am: Atrial fibrillation guy's heart rate converted to a normal sinus rhythm in the 80s. Oxygen saturation is 98% on a partial rebreather mask. Wheewww.6:35 am: Haul ass to audit charts and finish charting, which I normally complete by
4:00 am.
7:10 am: Give report to oncoming nurse, and say "peace out, don't call me if you need an extra nurse tonight."
7:45 am: On the way home, realize that the shift still wasn't that bad. Must be getting better at this nursing thing.
- - - - - - -
Furniture Fiasco
Finally took delivery of our brand new couch & king size bed. Too bad the couch has 2 holes in it, the bed has 1 and they didn't deliver a bed frame. When I called to ask about the frame (before I saw the holes) the smarmy sales guy that sold us this shit half ass apologized and said ohh he didn't know we wanted one of those. Yeah b/c I want to have my brand new king size bed to just sit on my floor. But since we weren't charged for one I said I'd just go up the street from my house and buy one from a mattress store. He proceeds to give me tips on what to look for in a frame. Not only did reference the act of screwing on the bed when we were choosing one he did it again. He was telling me about what to watch for in bed frames and said “well you need to get the wheels that lock. You know why? I’ll tell you why, b/c you know, when, uhm, you and your husband are home at night on the bed and uhh, well you know, it can move around.” And he did it in a whisper voice all drawn out and smutty! I wanted to throw up on my desk. I still want to throw up on my desk.
So two questions remain about this furniture store. #1 How long will the store manager jerk us around before talking to us so I can demand brand new pieces sent (none of this "oh we can just repair it" crap)? and #2 What in the world will be damaged on our china cabinet that is on back order?
I found a nurse's blog that I read from time to time and I must say, I understood everything she wrote below and even concluded with the same treatment the doctor advised before I read it. I really am learning something in class.
3:45 am: My patient with the triple bypass surgery goes into a rapid atrial fibrillation at 150 beats per minute. Get EKG and vitals STAT.
3:50 am: Call Dr. T. and receive orders to give the patient a cardizem bolus IV. Heart rate still too high in the 150s with oxygen saturation dropping to 89% on 2L of oxygen per nasal canula. I try to administer the cardizem, only to discover that his IV, which worked one hour ago, was blown.
3:55 am: My colleague and I are still trying to start an IV.
4:00 am: My other patient's blood transfusion finishes and her IV machine is beeping annoyingly loud.
4:05 am: I finally get an IV and administer the cardizem.
4:10 am: The heart rate is still in 140s. I want it below 100. I proceed to start a cardizem drip to help reduce the heart rate.
4:15 am: Other patient's IV machine is still beeping.4:20 am: Bypass dude's oxygen saturation is still only 89% on 5L of oxygen. Heart rate is in the 110s. Lungs sound clear. WTF?
4:25 am: Um, can someone please turn off the beeping IV machine?
4:22 am: Wonderful colleague looks at my transfusion lady's orders and gives her lasix, flushes her IV, and turns off the machine.
4:25 am: Page Dr. T., and give update. Bypass dude has orders for lasix and a non-rebreather mask. Carry out orders.
4:30 am: Bypass dude's heart rate jumps into the 160s. Check on patient to find him standing up to pee into a urinal. Proceed to tell patient he shouldn't stand or else his heartrate will go up. Patient states he can't pee unless he's standing up.
4:33 am: Heartrate back into the 100s.
4:40 am: Heartrate up in the 160s again. Patient is standing up to pee again. Damn lasix.4:43 am: Get orders to insert foley catheter into bypass dude so he doesn't have to stand up to pee.
4:45 am: Transfusion lady spikes a fever of 101.2 F. WTF?
4:55 am: Patient #3 aka dude with heparin infusion starts bleeding from an old blood draw site and stains his gown and the bed. WTF?
5:00 am: Patient #4 aka has a blood pressure of 201/104. WTF?????5:01 am: Page Dr. K. for transfusion lady5:02 am: Page Dr. H. for patient # 4
5:03 am: Dr. T. calls me and asks for an update on atrial fibrillation dude.5:04 am: Doctors K. and H. call at the same time with orders.
5:07 am: Draw blood from heparin dude to check his PTT
5:10 am: Bypass dude's oxygen saturation is 99% on non-rebreather mask and heart rate is in the 90s. Whew.
5:14 am: Norvasc given to freakin' high blood pressure lady.5:20 am: Tylenol given to transfusion lady.
5:25 am: Clean up heparin patient, apply pressure dressing to bleeding site.6:00 am: Sit down and breathe.
6:15 am: Hypertensive lady's blood pressure is down to 178/84. Transfusion lady's temp is down to 99.8. Heparin dude has stopped bleeding. Whew.
6:30 am: Atrial fibrillation guy's heart rate converted to a normal sinus rhythm in the 80s. Oxygen saturation is 98% on a partial rebreather mask. Wheewww.6:35 am: Haul ass to audit charts and finish charting, which I normally complete by
4:00 am.
7:10 am: Give report to oncoming nurse, and say "peace out, don't call me if you need an extra nurse tonight."
7:45 am: On the way home, realize that the shift still wasn't that bad. Must be getting better at this nursing thing.
- - - - - - -
Furniture Fiasco
Finally took delivery of our brand new couch & king size bed. Too bad the couch has 2 holes in it, the bed has 1 and they didn't deliver a bed frame. When I called to ask about the frame (before I saw the holes) the smarmy sales guy that sold us this shit half ass apologized and said ohh he didn't know we wanted one of those. Yeah b/c I want to have my brand new king size bed to just sit on my floor. But since we weren't charged for one I said I'd just go up the street from my house and buy one from a mattress store. He proceeds to give me tips on what to look for in a frame. Not only did reference the act of screwing on the bed when we were choosing one he did it again. He was telling me about what to watch for in bed frames and said “well you need to get the wheels that lock. You know why? I’ll tell you why, b/c you know, when, uhm, you and your husband are home at night on the bed and uhh, well you know, it can move around.” And he did it in a whisper voice all drawn out and smutty! I wanted to throw up on my desk. I still want to throw up on my desk.
So two questions remain about this furniture store. #1 How long will the store manager jerk us around before talking to us so I can demand brand new pieces sent (none of this "oh we can just repair it" crap)? and #2 What in the world will be damaged on our china cabinet that is on back order?
up for sale by melmar at 2:00 PM
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