It's mid-morning Wednesday & my work week is complete. I like working Sun, Mon & Tues - gives me the rest of the week to do as I please.
I had a very good week - no real problems. In fact, I think I was the only one on my floor not running around all crazed the first couple of hours at shift change. I had 5 patients my first night, then 4 the next two nights. That's another thing I like working 3 days in a row - often times your patients will be there for awhile & getting report is short & sweet. As soon as report is finished, I do my assessments & then come back & start charting. Next I get my meds that need to be passed between 8 & 10 pm. By 11 pm, I'm all caught up on my charting & paperwork - ready to give report to the clinical leader & then spend the rest of the evening checking on my patients, looking up results in the computer or simply relaxing. I realize that it's not always going to be an easy week like this, that's what makes me appreciate it. Last night I spent a couple of hours making up a new report sheet. How exciting!
My first patient was a 72 yr old male that had gone to his doctor's office first because of chest pain. The doctor told him he needed to go to the hospital for a carotid study. Turns out his carotid arteries are 50 to 70% blocked & he'll probably be having surgery either today or tomorrow. He had an arteriogram done last night & I'm sure he was so very tired of me continuously assessing the puncture site & his pulses as well as his vital signs.
My next patient was an older woman admitted with left DVT. A greenfield filter was put in place & I'm not really sure why she was still in the hospital. Her H&H were low so she was given 2 units of packed RBC's. Nothing was ordered for today. Turns out she goes to the same doctor I do which is probably the doctor most feared by the nurses because I hear she can be rather rude both in person & on the phone. I have not had to deal with her personally from a nurse's perspective, but she's always been a good doctor to me. Should be interesting when/if I ever have to call her in the middle of the night.
My third pt was an older man that had come from the ICU. I can't remember exactly why he was admitted, but he was a grumpy fellow. Luckily he was discharged before I went in last night.
My fourth pt was a 40 yr old male that came in because he had tripped & fallen while fishing & hurt his leg. When he was in the ER, he also told them that the day before he had chest pain. He had a heart attack in the past (drug related) & has a family history of death via cardiac disease. This guy loved to talk! I think I know his entire life story by now. He was inspiring though, he went from being a drug addicted criminal to "being saved" & now spreads the word of hope to others.
I had another patient on Sunday night - a 64-yr old woman that came in with chest pain. Turns out her husband died a month ago & she has not been able to sleep much at all. She is very anxious & emotional. She was having difficulty breathing, so I called her Dr. to get an order for a breathing treatment. He was giving me medication orders & as he was ordering Xopenox, my clinical leader was whispering to me that only pulmonologists can order that medication. So I inform the Dr. of this & tell him that the pharmacy will automatically change it to Albuterol & Atrovent. He starts ranting & raving about how no one is allowed to change his order, asks me who made up this stupid rule & proceeds to say that if anyone changes his order - he'll come down there & make them change it back. I wanted to laugh. He sounded like a 2 yr old having a tantrum. I played it off well though, basically telling him I understood but just wanted to let him know that pharmacy would change it. He ended up ordering the Albuterol & Atrovent after all. I got respiratory up there right away to give her a treatment & she kept thanking me over & over. I didn't have her as a patient the next night, but the nurse that did have her started telling me a story about the husband that passed away. It turns out that I watched him during a code blue back in April. I'm sure I probably wrote about it on here - he came in fora simple cholecystectomy (gallbladder surgery) & he passed away later that evening. :(
And my newest pt that I got last night (I sound like I'm talking about something I bought at a store!)...another older male in with chest pain & difficulty breathing. His cardiac enzymes were negative & he has an echocardiogram scheduled for today - so not really sure what is going on with him.
All in all, it was an easy-going week. The big picture is starting to make a little more sense day by day. I have the opportunity to work overtime this week as well as the rest of the month, but I haven't decided yet. I am looking forward to enjoying a day off & relaxing. As my one patients kept saying to me for the past 3 nights - "God bless you!" Bye!