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Far be it from me, as a n00bie, to step in and tell you (yes, you) how things should be done. BUT there is a difference between making sure your shit is done and - no, these are people's lives you're dealing with. Making sure your patients are stable? YOUR FIRST PRIORITY. Don't get all snippy with me for not restocking your med cart and/or not leaving you easy patients and take it out on the patients. Jesus. A BP of 80/45 for a patient with a standing order of 8 mg of dilaudid q4 hours? NOT A GOOD THING.
Yes, I had an utterly utterly shitty night. I sent the above referenced patient to the MICU a little after midnight after sticking him on oxygen and giving him more than four liters of open flow normal saline (when the PCA went to take his belongings up my formerly alert and oriented patient was non-responsive and being intubated), had two admissions (the first a febrile patient with one of those demanding annoying families - yeah, lady, fine, your husband has a fever of 102 but he's alert and oriented and bitchy WHILE THIS GUY IS ALMOST DYING YOU ARRGH! - and the second with an admittance BP of 200/100), two other patients with elevated BPs, one patient with a fingerstick of 430, a blood transfusion, and a goddamn patridge in a pear tree. I only made it through with help from another nurse on my shift, who was kind enough to write out some of my books and pick up a couple of my orders. Because of her I never quite got to the point where I wanted to stand in front of my med cart and break down, but there were times my friends. Oh yes, there were times.
Now I go to grab a nap before heading out for dinner at Ollies and the evening showing of OotP at IMAX. Thank Jebus for two days off.
And yeah, some bitch stole my Post-Its. Bitch.
Yes, I had an utterly utterly shitty night. I sent the above referenced patient to the MICU a little after midnight after sticking him on oxygen and giving him more than four liters of open flow normal saline (when the PCA went to take his belongings up my formerly alert and oriented patient was non-responsive and being intubated), had two admissions (the first a febrile patient with one of those demanding annoying families - yeah, lady, fine, your husband has a fever of 102 but he's alert and oriented and bitchy WHILE THIS GUY IS ALMOST DYING YOU ARRGH! - and the second with an admittance BP of 200/100), two other patients with elevated BPs, one patient with a fingerstick of 430, a blood transfusion, and a goddamn patridge in a pear tree. I only made it through with help from another nurse on my shift, who was kind enough to write out some of my books and pick up a couple of my orders. Because of her I never quite got to the point where I wanted to stand in front of my med cart and break down, but there were times my friends. Oh yes, there were times.
Now I go to grab a nap before heading out for dinner at Ollies and the evening showing of OotP at IMAX. Thank Jebus for two days off.
And yeah, some bitch stole my Post-Its. Bitch.