I had a very difficult night at work...it started with floating to surgical...not so bad in itself, but first I had to bump the ICU RN that was already getting report. She wasn't too happy about that, but she got to go back to her home deptment. Then i'm going along, getting things done, and there was a whole bunch of orders on one patient that needed finishing up. OK,,, that's fine too. I had just gotten all the meds given and was hanging the TPN in one room when I'm told-here's an admit! At this point it is a little after 9pm and I hadn't had a break. That's ok...still plenty of time. But no...I am doing the admit and am told I have to go back to ACU at 11pm. This means the whole group that I spent time getting to know and the admit, all have to be given to another RN. Then I go back up to ACU and take on a whole new group. So I must give report on the ones I have, and then get my new ones, meanwhile, the off going RN is waiting to go home.
So now I'm on ACU, the patients are asking for pain meds, and I'm making rounds on the new ones...it takes time to get organized, and I've had to do this twice now. Of course...NO BREAK! OK, so I'm settling in again, and got my assessments done, and the NAC pokes her head out of a room and says Mary I need help now! UH OH! The patient in the room had vomited blood all over the floor...NOT GOOD!!!! This person had Esophageal Varices banded awhile ago, so vomiting blood is really not a good thing!!! He also had bloody stool...
Well, I called the on-call provider and luckily, she is one who is very helpful and collaborative with the staff RN's. We had a whole boatload of new orders, and I'm one on one with this guy...even though I have 3 other patients, 2 of whom are on bed alarms because they can't remember to call for help and are fall risks. I had the charge RN, the NAC, and one other RN who came back to help, but I'm running!!! The patient who vomited the blood had to have a NS bolus, Vitamin K iv, and a Protonix drip all started right away, and also several labs drawn. He had a PICC line, so I could get those labs drawn as quickly as they were put in. Then, we found his Hgb was dropping a point every hour, so started FFP's and PRBC's. We were going to transfer him to ICU...the patient refused! His blood pressure was dropping and he needed more than we could give him, but he stated he did not want to be in ICU and be intubated again...don't know that it would have gotten to that point, but who knows? Well, the lovely on call provider came in and talked to the patient about being a DNR because at that point he was a full code. He agreed to recieve blood products and other meds, but no ICU and intubation.
All night...no breaks...12 hours. There's alot of details, and I must say, without the charge helping with the blood and documentation for that, I might still be there!!!
I called off sick tonight...I couldn't do it again...I might be getting to old for all of this!!!
Wednesday, October 23, 2013
Monday, August 5, 2013
Hi All! Been awhile! Here's a couple things I've been doing:
|These are my first 2 blocks of the new exchange I joined called POTC-Patchwork of the Crosses. They are timeconsuming blocks, but I love the results! Hopefully more later!|
Saturday, June 8, 2013
Here's what my family has been doing this week! My son Matt married his soulmate Ashley!!! It was the most beautiful wedding I have ever been to...course I could be slightly biased! LOL! Quilting got put on hold for awhile!
This is them in front of the Bozarth Mansion where the ceremony and reception were held with Matt's other pride and joy... the Cobra Mustang!
Wednesday, May 15, 2013
Monday, April 15, 2013
As in wow it has been a long time since I posted! Gosh where is this year going? Well, I am making some progress, but it seems very slow. I finished my Carol Doak BOM and love it, although if I had to do it over, I might have chosen a much less busy background fabric. But here it is and the backing is made, just waiting to finish some other things befor it goes on the frame....might be awhile!
Below is my current DWM project. This is from Bonnie Hunter's book-Adventures with Leaders and Enders. Since mid-year last year, this has been my L&E project. Early this year the blocks graduated to being a full-fledged project, and I finished them yesterday. I laid out the blocks and sashing, chose border fabrics, and now am putting the center together today. I still have about 300 border units to put together, so part of this project will still be an L&E for awhile. I love making quilts this way! It's amazing what can be done just a few pieces at a time.
So that's my current project...or one of them! I have a couple others, and have more to start, but this is my focus for today!
Link up here for more Design Wall Monday posts with Judy's blog!
Monday, January 21, 2013
I'm off to get a new iron today...might quit working last night, then it's ES Day!'
See other DWM posts at Judy's blog here
Have a great day!
Tuesday, January 8, 2013
Below is my January BOM block from Carol Doak-another amazing designer. This quilt is set to be done in April. It was a mystery and BOM. Can't wait to see the finished product!