so i came in and i had that hectic nite the nite before - i did worry to an extent soemthing was missed or forgotten. i often do this. well i come in and the day shift nurse whos the one who got caught with the lidiocaine drip being hung ona pt and got busted.. well she had the pt the day before. but she transferred the pt up to the front to another nurse hwos skill set leave me wanting. anyway that nurse left me swamped. and the pt.. well her hr was 110 and escalating, she was full of shit literally and confused climbing out of bed, and had the wait for this the curtain in between her legs like ahuge diaper. she only had one iv line and i needed 2. she didnt have any o fof her 6pm meds given and the a drip that needed to be hung and titrated. shes a stepdown adn frnakly i think maybe shudve been an icu.
the same nurse left me with 2 other pts being admitted and she didnt give pain meds to one and the pt had no h/l and the other one was a chest pain to be admitted again - no h/l. im putting out all these fires when i get slammed with 2 back to back critical pts one a preg vag bleed, and the other a chest pain in his 40s. 2 more lines. i had a nsg home pt who fell for the 2nd time thazt day who was d/cd frokm us to the nsg home 3 hrs before and already f**king fell again. and a reg admitted lady who got buddied up with teh other vegetable dip and also had diarrhea. anyway - i was going to fill out a protest form but didnt. i came in this am and heard i had missed this drug b/c of 2 reasons. one it was ordered 4 hrs before my time. 2 it was on paper and all the orders are computer except for like a few drugs this one being one of them. and being slammed with all these pts.
i had the thought if this girl was street smart shed have ripped that f**king order out and thrown it away.
i said that to colleen and she was like well duh. prove it was there...?
anyway, the nurse did hang it right away when the dr questioned her on it.
the dr is new so we dont know what to expect. i dotn know if hell let it go since it was hung right away? or if were just all waiting for the other shoe to drop.
i didnt tell the other day shift nurse as 2 of them missed and then me.. and the one who left me swamped has no f**king sympathy from me b/c frankly this is all bullshit. i shouldnt have to give her 6pm meds at 830pm. so last night i sat down and wrote out my protest form.
7pts one of them a stepdown with all this is just ridiculous and if they call that other nurse let them f**k her b/c im not giving her a heads up when i get slammed every f**king time i take over for her.
im just tired of being responsible when other people are responsible.
all i can do is hope the dr didnt make any mention of i. and then the chart doesnt get audited. the day shift nurse was there for almost 8 hrs after the incident and wasnt spoken to, so she thinks he may have let it go...she said he didnt seem too angry... another nurse said she saw him and he was def angry but this nurse didnt challenge hime and got the drip hung so shes hoping itll be enuff to have it dropped.
im trying to think up my answer other than the business of the whole place, but really i was drowning. i did take a break late in the nite another nurse said go take a break... and i took it as i was readt to fall asleep in sleepytime death missle
im so mad at myself. colleen told me to forget it, but i just cant.
last nite i came in and pete the nurse closed my district and moved me to another. i went took those pts and he came and said give thos pts to so and so and give these pts to another nurse. i take anotrher set and get pulled again. i lookeda t hi like wtf already.. and he says go to... and i say triage. and he says yep go to triage. so i got out there and was with wendy. it was busy at the beginning and then it slowed down. wendy also told me to forget about the drug and not to worry unless they ask about it.
i had a pt with a motorcycle accident and pete and dr b found that enuff to be interesting .. he saw me out there and seemed surprised. i finished triaging the pt and later i saw him and he he said so enjoying your new digs? how you likeing the change of scenary?
i said its ok.. he persisted and i sent a text later to dr b saying why did you miss me? he sent back of course....
i said nah. youre happy that im out of your hair...
so we didnt talk much again last nite...
i guess we will be tonight with dr a's bday for tomorrow and were celebrating tonite. yuck.
meanwhile all the action was in the parking lot last night. a nurses aide - the one who slept with dr a - her car battery was dead - again. she said this is the 5th time shes jumping it. (i was going to say u shud get dr a to pay for this battery but i shut up..) so i explained to her how if she keeps jumping the battery the alternator can go and it might have alrready and shell need an alternator and a battery. she seemed completely like... well not really any answer. blank. so she talked another nurses aide into jumping her. so they did this at like 3am. no lie. except soemthing (i dont know what) went wrong and the cars caught fire. i had brought a pt to the back and i came back out to triage when i walked in on complete chaos that they were screaming and the security guards were running with fire extinguishers. i said trailing behind them call 911. they didnt i guess and fought this fore with a sweatshirt and a fire extinguisher..
they finally all came back and i said so how was the bon fire? did you bring me back any roasted marshmellows? and they were like yeah right... of cours ei looked cuz i was like oh crap its not my car is it? it wasnt and n o one was relieved more than me.. other than other staff who came and looked to their car wasnt next to 2 flaming cars...
unbelieveable is all i can say to all that...
ugh and today is 9/11. and what sreally sucky is that today really reminds me of the actual day. its a tuesday and well its the same weather. and that gives me the creeps.