Maybe that should be my new nickname? Anyway its been a while (but damn it........no one else writes anymore either, what's the deal).
I worked a week ago Sun-tues. Sunday was a piece of pie Mon and Tues tested me to no end..............Apparently I didn't have the stuff those two nights and was completely overwhelmed with a geriatric pt who had to be restrained, was hallucinating o and drugged more than a normal adult does in order ot have him under control. God was that a never ending battle with the doc. He's new and I'm not a big fan, but hell he probably doesn't like me neither, such is life. Tuesday was a nightmare. I walk in and get B zone, which I respectfullly refe to as the bitch or bastard zone, whichever you prefer cause its be guaranteed to be just that. The nurse I'm taking over for begins by giving me a shoulder massage and says "you're gonna need this". I wanted to run the other freaking way. Took over for a pt who is anorexic hasn't eaten in somewhere between a week and a MONTH, only ingested alcohol for that long. The pt arrived covered in feces, as a result of being on the floor in the house for who knows how long. Had multiple bed sores, all over......Some of which were actively bleeding. The other site is tubes coming out of every orifice possible, with the exception of the mouth, cause somehow the pt was breathing on their own. Catheter in place for urine - which was dark dark dark brown, an NG tube in the nose draining something, I'm willing to bet gastrointestinal bleeding, and a central line in the femoral artery for meds, blood, fluid etc. Way more tubes than I like dealing with. Specially since I've never worked with a central line before. O, and not to mention the pt was receiving packed Red Blood Cells fast as we could get them in because the values were so critical. I'm talking CCU (Critical Care patient)..........majorly. Now I've said it before and I'll say it again - CCU Nurse I am not, nor do I want to be. Its way to freaking stressful. So needless to say I have to be infusing blood (which partially involves vitals q5-q15 mins for the first part), and using a central line for IV fluids, blood transfusion, blood draws, med administration........Shall I go on? No, I wont cause I've just got to say it was a whole lot of new things for me all in one night. I'm all for learning more, but in stride, I don't like that kind of stress. O and down the hall from this I had the other schizophrenic patient who was literally full of shit - was manually disimpacted by the MD - with a pile of shit bigger than my head.......Or at least close to it. Now imagine the smells in my two rooms. Its a damn miracle I didn't vomit myself that night!!
After hell came 6 days at the beach with my little man and Kelly. We had a blast. Trisha even came down for the weekend and that was nice also. Nothing remarkable to discuss though.
I am on tonight for 6 12's in a row......Apparently I asked for that after requesting a week off to go to the beach! Anyway, I'm holding my breath that NONE of these 6 days is as bad as last weeks events. Cause I don't know for real if I can take anymore just yet!
I'll resurface next week sometime......Maybe if I'm alive that is!!
Thursday, August 17, 2006
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