Charge nurse got a call from a nursing home last night about a patient transfer. "She's had some shortness of breath for an hour, and when we checked her pulse ox on 2L was 60%. We're sending her to you by 911. Her vitals are decent; BP 166/89, HR 103, RR 16, temp 100.9, and pulse ox 60%."
Charge nurse remarks that her O2 must have come up from 60% if her vitals are okay now.
"Oh no," says nursing home nurse. "They're still 60%, that's why we're sending her."
Face palm. Again.
Lady had raging pneumonia, sepsis, UTI, and probably things we don't know about, like malaria and/or river blindness. And oh yeah, that RR of 16? Try 46 instead.
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One day I woke up and realized I'm not a baby nurse anymore. I'm not even a young nurse. I'm a real adult who has now been doing this for years, and I'm definitely expected to know what I'm doing at all times. And that's fucking terrifying.
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HIPAA. Trust and believe, these stories are halfway made-up and halfway made up of lots of other stories. I will protect patient privacy like it's my job. Because it is.
Many of the photos showing mundane things are ones I took. As for memes and other google picture search images, I've been horribly bad at photo crediting - I will be attempting to go back through and properly credit things or remove them if I can't. But rest assured, ain't no real patient pictures up here, folks.
While I appreciate those reading the blog, I don't advertise for any website. I can only be responsible for my own opinion, and thus politely decline any offer to "host a post" or otherwise advertise something not written by me...But thanks anyway!
Many of the photos showing mundane things are ones I took. As for memes and other google picture search images, I've been horribly bad at photo crediting - I will be attempting to go back through and properly credit things or remove them if I can't. But rest assured, ain't no real patient pictures up here, folks.
While I appreciate those reading the blog, I don't advertise for any website. I can only be responsible for my own opinion, and thus politely decline any offer to "host a post" or otherwise advertise something not written by me...But thanks anyway!
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4 comments:
Someone obviously needs to give the nursing home a refresher course on oxygen. You CAN in fact go over 2 LNC if the patient is satting 60. We got a transfer the other day who EMS found laying flat in bed with the non rebreather at 2 liters/minute. Um. Fail.
How did they send her, parcel post?
Hello SHRTSTORMTROOPER (and everyone else). I am a nursing student (also love Jesus!) looking for a blog to follow to help get the "inside" scoop on what it's really like to be an RN. I love your posts and comments, especially the one about the tragedy in Japan, and hope I am welcome to participate in this blog. Thanx
Were the rest of those vitals even remotely accurate?
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