Coming onto the floor we had 31 patients and 9 nurses. Begining my shift I had three patients and my fourth was coming from an outside hospital that had an estimated time of arrival of approx at 2000 (8PM).
From the initial three patient that I got, one was a admission that occured approx 1600(4PM) that required million amount of admission paperwork that was not performed by the previous registry nurse, go figure.
Second patient patient arrived at 1900(7PM) from recover of ERCP that had complication of bleeding. Patient required frequent monitoring of blood levels (Hemoglobulin and Hemocrit) every 6 hours.
My third patient was a three hundred pound husky man with a wound vac to his leg and walks with a cane (risk for falls any time his walking), his wound is actively bleeding/leaking from a skin graft wound from his left upper thigh that requires frequent monitoring and changing of the linen due to bleeding. Skin graft requires frequent monitoring for color, texture, odor, pulse, and dressing changes every four hours.
My fourth admission than arrived approx 2000 (8PM). Didnt know what to expect, but as a nurse we have to be ready for whatever comes into the front doors. This patient was a lung transplant from an outside hospital who was experience renal failure, symptomes of shortness of breath was progressively getting worst. When kidney fail, fluid is not excreted and backs up, when fluid backs up causing the patient to drown in its own body fluid. Also when admitted all evening meds were not given at the outside hospital, he was a hard stick meaning it took forever to find a vein to place in IV, patient was complaining of pain, and the information from the outside hospital did not show accurate current medication list that he was taking at home, luckily he was admitted recently so we access the data base and got him on the right drugs and got his breathing and medication in control.
This night just went pretty fast.
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