tag:blogger.com,1999:blog-7495327656501821802.post3722163602864045187..comments2023-09-26T03:43:42.961-07:00Comments on Adventures of Hood Nurse: Hood Hospital 2, Electric Boogaloo: Closehoodnursehttp://www.blogger.com/profile/15467790713937519943noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-7495327656501821802.post-68367677594209497312012-06-24T17:29:17.438-07:002012-06-24T17:29:17.438-07:00It is pretty scary. I remember several years ago g...It is pretty scary. I remember several years ago getting an admit on a tele floor that the report from ED stated he had been doing some breathing like cheyne stokes. He was talking although drowsy when he got there. Tele wasn't ordered on him for some reason but when I talked to the charge nurse about him she said I could put him on pulse ox and it showed up for the monitor tech. I hooked it up and the patient was a/o talking and asking questions. Monitor tech bitched about having another patient on her board since he was "fine and sating 100%". 20 minutes later I looked up at her monitor that she was ignoring while she visited and noticed his sats were 0%. Went in to check the monitor and found him gray with agonal breathing and called the code. It still haunts me that if we had done something different he might have lived.battynursehttps://www.blogger.com/profile/02240029154165501340noreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-61253528554976053572012-06-21T11:03:59.497-07:002012-06-21T11:03:59.497-07:00Triage still scares me silly even though I do it a...Triage still scares me silly even though I do it all the time. You can never ever get complacent there. When they invent xray vision for triage nurses, things will be much better for everyone.NNRhttp://notratched.netnoreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-8054476264832718702012-06-21T06:15:25.545-07:002012-06-21T06:15:25.545-07:00Key concept here was that: (1) He'd probably n...Key concept here was that: (1) He'd probably never been there before or the last time he was there, it was for something that required surgery or admission and (2) He was nice and polite. <br /><br />Those two things are ominous signs nowadays, especially if over age 60.Nurse Khttps://www.blogger.com/profile/06408755992926959084noreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-31178130902231936102012-06-20T10:25:32.907-07:002012-06-20T10:25:32.907-07:00It's always the nice ones who are actually dyi...It's always the nice ones who are actually dying.Danahttps://www.blogger.com/profile/02422033405836436980noreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-74749392249210500042012-06-20T08:47:50.905-07:002012-06-20T08:47:50.905-07:00Triage will definitely humble you. I too think I h...Triage will definitely humble you. I too think I have a pretty well honed spidey sense, but every once in a while we all get that kick in the ass that reminds you how dangerous it can be. Example #1: early 50s male complains of acute exacerbation of chronic back pain from an old mvc injury and just wants triage rn to check his BP because he also has a headache...something just doesn't seem right...one very long argument and an EKG later and we're treating our ER doc for an acute MI. He's fine and back at work giving us hell daily. Example #2: older well loved floor nurse presents to ER complaining of sciatica gets an X-ray which of course shows nothing acute so we treat her pain and send her on her merry way because what nurse doesn't have a sciatica issue..three days and as many visits later and ER doc decides to do a ct...turns out she had malignant cancer not sciatica at all. Moral of the story...never get complacent and if you do it's time to roll on out of the ER.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-41954822303441799672012-06-20T06:11:44.102-07:002012-06-20T06:11:44.102-07:00I took care of a guy a few years back. Kinda roug...I took care of a guy a few years back. Kinda rough, vague back pain, no risk factors, no trauma, seemed to be drug seeking at several ERs- refused PT etc, just wanted pills. Did get X-rays in the ERs but no CT. My hospital did one pretty much to make him go away. Yeah. Spiral ascending aorta tear. When they cracked his chest a coronary artery had just detached. He was 30 something.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7495327656501821802.post-58808439139702117262012-06-20T01:25:12.962-07:002012-06-20T01:25:12.962-07:00We had a 50ish guy on the floor last year- ON THE ...We had a 50ish guy on the floor last year- ON THE FLOOR mind you that was one of these cases. Had been there for a couple of days for unexplained syncope. Normally the docs would have sent him home by now, but there was something that just wasn't right. On the second day he went into afib with no history- you know, that type of thing.<br /><br />On the third day they ended up doing a CT. Turns out that he had been in a car accident 2 days before he came into the hospital. Incomplete aortic dissection with a sllllooowww leak. Not sure when it started leaking or how he was still stable 5 days after the accident.<br /><br />Needless to say, we got him to the OR, pronto. He lived. One of the luckiest outcomes that I have ever seen.Anonymousnoreply@blogger.com