Monday, January 10, 2005
Bad day,
The guy I had the bad feeling about yesterday coded and died on me today, I said it at least 3 times this morning, the doctors even came and saw him but they pretty much did nothing and he stopped breathing just after I had MET(medical emergency team) called him. The resident came racing into the room and was shouting about stupid stuff and got all of us off to a bad start, then the emergency trolley wasn't set up properly so we couldn't find things, they defibrillated him and we got him back, the doctor went and talked to the family and because his prognosis was so poor for this man, he had leukaemia, his Hb was 64 which is very low (usually 110-140). Hb is haemoglobin which is what carries oxygen around the body among other things. He had acute renal failure on top of his chronic renal failure... he was just very unwell, his prognosis was that he would live for a few more months at most. So the family decided to stop resuscitation and let him go. I was okay, until his wife hugged me as they were about to leave, nearly cracked it then.
After I realised the meds and stuff for my other 9 patients were late and messed up. (I was sharing my patients with a trainee enrolled nurse...well.. 4 of them at least). But the TEN's can't administer meds alone and this one was new, so he didn't administer any. He managed to make 2 beds for the 4 of his guys, I had to do the dressings and IV's for everyone in his room. I dunno if he is slack or just feels to new to know what to do.
I had one young girl (18-20's) who thought she was the only patient alive, I put her on a pan and when she had finished I said don't move, so she did and the urine splashed all over the sheet, so then I had to get her up and she keeps complaining on and on about how this is the dirtiest she has felt since she came to the hospital and how much her arm hurt, I stopped her finally with, hold on, look I am trying to do my best for you, so just give me a few minutes and we will have you sorted out. She proceeded to complain about how her arm was so painful every time I came into the room from then on (she had a PCA and was using it and blathering on the phone pretty much ALL the time I was in the room attending to other patients).
What I WANTED to say was, freaking oath bitch, you are NOT my only patient, YOU have jut spilled urine over your bed which I have cleaned up, if you hadn't moved when I freaking told you NOT to then this wouldn't have happened would it?, and I have washed you once in fact twice because you have bitched about it so much, it is only one arm that is broken, so get over it, I do not have the time nor the energy to waste on your whiny attitude when I have people who are dying in the next room. Next time you can freaking walk to the toilet, your legs aren't painted on so you can do it yourself.
So much for being a nice nurse eh?
I feel so bad because there was one woman I just couldn't get to to wash, she is end stage cancer and was pretty much unconscious throughout the shift, but that didn't make me feel any better about not looking after her.
So I guess I am a shit nurse too.
And with that thought I will leave you.
Have had my cry for the night and I feel better for it.
Laters
The guy I had the bad feeling about yesterday coded and died on me today, I said it at least 3 times this morning, the doctors even came and saw him but they pretty much did nothing and he stopped breathing just after I had MET(medical emergency team) called him. The resident came racing into the room and was shouting about stupid stuff and got all of us off to a bad start, then the emergency trolley wasn't set up properly so we couldn't find things, they defibrillated him and we got him back, the doctor went and talked to the family and because his prognosis was so poor for this man, he had leukaemia, his Hb was 64 which is very low (usually 110-140). Hb is haemoglobin which is what carries oxygen around the body among other things. He had acute renal failure on top of his chronic renal failure... he was just very unwell, his prognosis was that he would live for a few more months at most. So the family decided to stop resuscitation and let him go. I was okay, until his wife hugged me as they were about to leave, nearly cracked it then.
After I realised the meds and stuff for my other 9 patients were late and messed up. (I was sharing my patients with a trainee enrolled nurse...well.. 4 of them at least). But the TEN's can't administer meds alone and this one was new, so he didn't administer any. He managed to make 2 beds for the 4 of his guys, I had to do the dressings and IV's for everyone in his room. I dunno if he is slack or just feels to new to know what to do.
I had one young girl (18-20's) who thought she was the only patient alive, I put her on a pan and when she had finished I said don't move, so she did and the urine splashed all over the sheet, so then I had to get her up and she keeps complaining on and on about how this is the dirtiest she has felt since she came to the hospital and how much her arm hurt, I stopped her finally with, hold on, look I am trying to do my best for you, so just give me a few minutes and we will have you sorted out. She proceeded to complain about how her arm was so painful every time I came into the room from then on (she had a PCA and was using it and blathering on the phone pretty much ALL the time I was in the room attending to other patients).
What I WANTED to say was, freaking oath bitch, you are NOT my only patient, YOU have jut spilled urine over your bed which I have cleaned up, if you hadn't moved when I freaking told you NOT to then this wouldn't have happened would it?, and I have washed you once in fact twice because you have bitched about it so much, it is only one arm that is broken, so get over it, I do not have the time nor the energy to waste on your whiny attitude when I have people who are dying in the next room. Next time you can freaking walk to the toilet, your legs aren't painted on so you can do it yourself.
So much for being a nice nurse eh?
I feel so bad because there was one woman I just couldn't get to to wash, she is end stage cancer and was pretty much unconscious throughout the shift, but that didn't make me feel any better about not looking after her.
So I guess I am a shit nurse too.
And with that thought I will leave you.
Have had my cry for the night and I feel better for it.
Laters
12:48 AM
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Writing since January 2003!
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BJ T now was S
Born in April on the 21st!
Australian but living in the USA.
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