As nurses, our lives will always be busy, but that doesn't mean we can't update you guys on what's happening with us. Speaking of updates, Peter is still a nurse in California, and I finally picked up a shift here in Illinois through an agency. It feels a little weird to get back on the job, not going to lie. But it's all good, and I am stoked to be back on board!
For my first shift, I was assigned to the ICU. After two months of not working, the patient was in V-tach when I received the report. I also noticed that this hospital I'm currently assigned to doesn't have a supply room. Instead, they had open spaces down the center of the unit where you could grab your supplies. On top of that, charting was slightly different here as they use Cerner for documentation.
Another thing I noticed during my shift was the communication. It was frustrating to go back and forth on the procedures that needed to be done for my patient. My patient was very sick. He came in with sepsis. had a CVA and was rule out for endocarditis. We can't do a TEE either, but after a while, he converted and went back to V-tach, so we needed to troubleshoot him. I talked to a cardiologist who ordered to cardiovert the patient and start lidocaine. But when I told Intensivist what the order was, he told me he doesn't do cardioversion and walked away.
As nurses, we are always the "middle man" for everything, but if you are unsure what to do, it always helps to address the situation and see what is best for the patient. Watch the full debriefing video in this episode to learn more about what happened next!
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