Shift Change in a Flash

The following is a Guest Post via Dawn Condee

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In early 2011, I have taken an assignment in Las Vegas, at one of the “better” facilities.

ffp - fresh frozen plasmaI was working a medical/surgical/ortho/tele floor and I was working day shift, which I hate. I normally work step down but a girl has to work!! One particular week myself and a night shifter had been passing the same set of patients back and forth when during report he tells me he gave a patient five units of FFP’s. This particular patient was scheduled for a broncoscopy at 9 am because of serious lung issues. Along with the lung issues were heart issues. I asked the nurse when he started the ffp he said something along the lines of ” after I got the order after four am labs.” At this point it’s 7:25 am and I asked “omg you gave them all at once? How much lasix did he get?” The nurse looked at me strangely and asked why he would have given him lasix.

Well, you know that feeling you get when your morning is about to go spiraling down the drain quickly?

I jumped up and went into the room to see the patient standing in the bathroom doorway grabbing on to door jams with both hands with a look of terror on his face as he says “what is wrong with me?” I am sure many of you guess what I assess in about 30 seconds as I rush over to him. I can hear audible crackles, without a stethoscope, he is very short of breath and pink foam is erupting from his mouth and nose. I get him back into bed and immediately call a rapid response. Within fifteen minutes I dropped a foley, pushed a hearty dose of lasix, started a drip and transferring him to ICU. Meanwhile the night shift nurse, who still had report to give me on two patients wrote out report and went home!

About The Author:

I have been a nurse since 2005. I have either traveled or worked local agency six of those years while also working staff at times. I currently live in Michigan with my other half and am raisin my two year old grandson. I started out in medical/surgical and worked my way up to step down. Hopin someday to get into ICu. I love micro managing my patients and knowing all the lil details about them.

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TheGypsyNurse

As a travel nursing educator, Candy aka Gypsy Nurse, RN has worked in healthcare for nearly 20 years, working up the ranks from CNA to LPN to RN. For the past nine years, she’s worked as a travel nurse, allowing her to practice and live in 15 states throughout the U.S. She regularly shares advice for those interested in travel nurse jobs on her website at: www.thegypsynurse.com.

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One Response to Shift Change in a Flash

  1. Heather Jamieson says:

    My definition of dinner is the 30 seconds between when it’s hot and when I get called back to the floor on an emergency.

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