gonna earn my way to gold card by the end of the year
came in the other day and has not had a single physician or nurse give him O2.
proud to say i caught that and took initiative to give it to him myself. it was even in the orders and NOBODY bothered to do it. my instructor wasn’t even there.
nigga has sickle cell CRISIS and is satting 90% on ROOM FUCKING AIR. AND THERE WASN’T A NASAL CANNULA HOOKED UP. we just learned this in med-surg. for sickle cell pts it’s all about hydration, pain management, and adequate oxygen delivery. the pathophysio says it all. they’re in a hypoxic state, so how do you fix that? O2! (and hydration of course)
and not a single PHYSICIAN or rn bothered to give him that. and yeah maybe he was satting fine before i saw him or when he saw his healthcare team, but O2 should always always always be ready bedside for sickle cell pts. and if not hooked up, at least packaged up @ bedside and ready to be hooked up.
for future reference, when you first walk into the room to do your environmental-safety check, make sure O2 is already hooked up when caring for sickle cell pts. even if they’re O2 sat is fine.
wake up 8ish
head straight to panera in cerritos to finish up paperwork and study for pharm quiz
grub
medsurg from 12:30-3:30
study
pharm from 4-6
happy hour drinks with the nursing crew again maybe? been craving jeremiah red.
hang out with my boys maybe late night happy hour.
study?
deng..
HAHA I’m fortunate enough to think so! The little guy would be bragging about me to all his friends at school saying, “Dude, I met myself at 21 years old! He’s so cool and awesome!”
Yeps.
(Source: skulls-and-death)
3.375 mg of Zosyn. It felt pretty awesome. Every step of the way through actually doing it was awesome, from mixing the contents into 50 mL D5½NS to programming the IV pump to do its thang. Even back-priming the piggy back tubing was awesome. Today was a good day. I suppose you can say having a patient get an early discharge (from yesterday) was a blessing in disguise.
It’s kinda neat to think only RN’s (not LVN’s) and MD’s can hang IV meds. I made sure I bragged about it to papa when he got home. xD
