Posting

Sorry, have not posted in a while. I just took on the new trauma coordinator position and in finials at school. I will be back to posting soon.

Dumbass

Okay, I am very proud of you for placing that ET-Tube, hell it only took 20 minutes and you made me don full gowns. However, when your nurse tells you that she has a bad feeling about this patient, then you might want to believe her. When the nurse tell you that she is not going to hang dip until a BP is obtained, you need to pay attention because something is going bad! When the nurse tells you that rhythm has changed, know what the hell she is talking about. When the nurse tells you to check for the pulse while she is grabbing a Doppler, something has gone very bad. When you hear the nurse say, "ahh Shit here we go," as she pops the cart and tells someone to start compressions, things are beyond bad! While the nurse is pushing epi, don't ask what the hell I am doing. I am doing my job and was while you were not paying attention and bragging to the other residents about how well your intubation went. So, don't act so surprised when you were told that the women was coding dumb ass! As a side note, the variance that you wrote up on me that stated:

1. nurse failed to follow medication orders (Diprivan). Need BP prior to hanging
2. Nurse push medications with out medication order (epi). Basic ACLS
3. nurse ordered medical test without order (EKG and post tube placement XR).Protocal
4. nurse was verbally abusive (referred to me as a dumb ass). you were being a dumb ass!

My boss found it quite amusing and forwarded it to your attending,who is the same attending that brings me coffee every morning. I am sure that you will if you have not already be called a dumb ass more than once today:)

Today's Funnies

Radio Reports:

68 year old male C/O HA, coming in code 3, pt is V-Tach on monitor, heart rate 98

103 female from XXXX nursing home, last known well time 8 hours ago, found pulse-less, full code in progress....Once presented in the ER, pt was a DNR

Nursing opps:

Over heard nurse tell a pt "Just drop them, bend over, and let me give it to ya," apparently, pt had high levels of ETOH and after 20 minutes of being hit on the nurse just got frustrated with wasting her time.

New nurse attempted to insert rectal tube prior to inserting.... we stopped her

Ranting a bit

You know that it is time to take a few days and relax when you have a very bad run of patients and all you want to do is complain. Here is a small sample of the last few weeks:

1 child shoot in the head while the mother was committing a crime.

1 child brought in at 3 weeks old with SIDS, 6 hours to get the mother to the point that I could take the child and turn over to coroner.

Pys patient asking me for her purse because people are out to kill her, when asked why the purse she tell me to get her gun!.Ended up taking a 22 ca hand gun fully loaded, 1 in chamber, and cocked back out of purse. After clearing the gun and handing it off, she stated that she was going to kill me.

After some narcan someone ended up with projectile vomit in face and down scrub top.

At the end of a 20 hour shift, ended up spending 2 hour attempting to keep a airway open of a very obsess women, with no neck to be found, that had just had a total neck done. Her neck was so large and swollen that we could not get her tubed and was unable to place a cric. I guess when a person weighs over 700lbs they are going to be hard, but hell, I do not have to go to the gym today after that fight.

And the is a number of other just bad cases that make a nurse just want to throw up their arms and walk out.

So why do we do what we do???? Could question.

I work in the ED because for every bad case there are 10 that I can help, just need to take a break sometimes. Planning on sitting on a friends front porch, sweet tea, deer chili, and watching all of our kids play in the fields. Will go back to reality on Monday