Eating lunch over a trash
Scarfing what i think is food down, over a trash can
Room 1 - Stable, needs to be contrasted for CT
Room 2- Is hungry and wants a blanket
he is here for chest pain
3 time this week
3 normal ekg
shit is it time for his third nitro already?
ouch should have chewed that last bite.
They ordered that asshole IV dilaudid!?
If anyone needs dilaudid its me.
Don't they know he's here every week for chest pain
Draws med, I can't believe this
Puts med in pocket, gets blanket
"Excuse me nurse"
"Hey did you ever send up a list of that pt belongings that was admited an hour ago"
"EXCUSE ME NURSE"
What is she talking about, my DVT lady? Yeah im sure I did
"I thought I did"
"Well I dont have it"
"NURSE!! NURSE!! I KNOW YOU HEAR ME! NURSE!"
"Im sorry I can have..."
ugh this isnt my patient this better be important
"yes mam im sorry about that what can i do for you"
"I AM FREEZING CAN I HAVE THAT BLANKET YOU HAVE, AND I WANT A PILLOW!"
"Uh sure...we dont have any pillows down here at the moment though"
"WHATEVER, DUMB BITCH MAYBE IF YOU WERENT BUSY CONVERSATING YOU COULD GET SOME DAMN PILLOWS, THESE BEDS AREN'T COMFORTABLE"
"If I see one mam Ill grab it"
uhhh....grabs new blanket 3mg dilaudid in pocket ..check...sandwhich in hand. Next stop junkie in rm 2
"hello sir Ive got some pain medication to help with the chest pain"
Pt grabs sandwhich and proceeds to eat while I push 3mg IV dilaudid....he must be in a hell of a lot of pain
"HOW MANY IS THAT"
"THATS IT?, THATS NOT GONNA WORK FOR ME, I NEED MORE THAN THAT MY PAIN IS REALLY BAD, GET THAT DOCTOR I WANNA TALK TO HIM"
"Ill talk to him sir"
"YEAH YOU NEED TO TELL HIM THATS NOT ENOUGH IF I DONT GET MORE ILL PASS OUT, YOU DONT KNOW HOW ((chomp)) BAD THIS PAIN IS MAM"
"ok let me find out"
places blanket on bed
"YOU DIDNT HAVE TO THROW THAT AT ME"
oh god shut the fu....
BEEP BEEP BEEP BEEP ATTENTION PENN EMERGENCY ROOM MEDIC 24 IN ROUTE WITH A 76 YEAR OLD FEMALE CODE BLUE I REPEAT MEDIC 24 IN ROUTE WITH A 76 YEAR OLD FEMALE CODE BLUE ETA 3 MINUTES
grab code cart
"WHAT ROOM ARE WE GOING TO"?
"one is open" "I just discharged nine" "six is the biggest lets go there ill pull my kid with the abcess out"
"WERE GOING IN SIX LETS MOVE"\
code cart check respiratory cart check stool check Zoll check Doppler check Glucometer check Foley, femerol line kit, IV boxes, compression board....
"SOMEONE PUT THE BOARD UNDER THE SHEET"
"respiratory to the er STAT with a vent, respiratory to the er stat with a vent"
ultrasound machine, EKG machine check check, Prime saline, che
"THIS IS ROSE SMITH FOUND BY GRANDAUGHTER ON FLOOR OF HER HOME
76YRS OLD PMH TIA CARDIAC CATH PACEMAKER, HYPERTENSION,
HYSTORECTOMY,CATARCT SURGERY, AND LUMPECTOMY"
"HOW MUCH YOU THINK SHE WEIGHS"?
"STAND OUT HERE"
she would be a hard stick ....concentrate I can get a 20g in her left ac if im dead on.
"ID SAY WEIGHTS APPROX 110"
"EPI GOING IN"
"5MG EPI IN"
"1MG ATROPINE IN"
"ARE WE IN THE ESOPHAGUS"
"ARE YOU GETTING EQUAL BREATH SOUNDS"
"HANG THE DOPAMINE"
"I NEED A PUMP"
"IM NOT HEARING ANYTHING"
"WERE GONNA HAVE TO REINTUBATE"
"O2 STATS ARE DROPPING"
"NOTHING RESUME COMPRESSIONS"
o god whats that smell...something spilling on my leg
"TURN HER HEAD SHES GONNA ASPIRATE"
o great vomit
"SWEETIE YOU CAN'T COME IN HERE"
"THATS MY GRANDMOM PLEASE SAVE HER"
"IS THERE ANY NURSES ON THE FLOOR GET THE GRANDAUGHTER OUT"
"O2 IS AT 74%"
"CAN SOMEONE HOLE CRIC PRESSURE IM HAVING TROUBLE SEEING"
"DUE FOR ANOTHER EPI ATROPINE"
"WANT A BICARB TOO"?
"5 OF EPI IN NOW"
"BICARB GOING IN"
"O2 IS AT 64%"
"WERE IN V-TACH LETS SHOCK"
"RAISE THE CHARGE EVERYBODY CLEAR"
door clicks open "I DONT CARE IF SOMEONES DYING DONT YOU GUYS HAVE ENOUGH STAFF TO CARE FOR EVERYONE I HAVE A HEADACHE AND YOU ARE MAKING SO MUCH NO door closes
I can't get this goddamn foley in for shit!
"ANOTHER EPI GOING IN"
"I CANT TUBE HER I CANT SEE"
"22 AT THE LIP, EQUAL BREATH SOUNDS"
common give me urine return dammit
ugh got it finally
"O2 STATS RISING"
"WATCH THE VOMIT ON THE FLOOR"
"DID ANYONE SEND LABS"
"IM GONNA GO FIVE MORE MINUTES IF I GOT NOTHING ON THE MONITOR WERE CALLING IT"
"LAST EPI GOING IN"
talking ceases, the alarms are going crazy no one noticed until right now, all you hear besides alarming is the rythmic clicking of the ventilator and the heavy breathing of the nurse administering cpr...we wait. 5 mins we stand there and wait to see if she finds the strength to fight, or if shes given up, I watch the steady up and down movement on the monitior made by the compressions looking hard to see anything beyond the artifical circulation preformed by the nurse....was that....maybe.....icant tell....2 mins left, a sniffle, someone clears there throat. The nurse on the chest is sweating and beat red giving all her energy to be this womans heart
a few seconds go by, an occasional blip of a PAC,
another minute goes by
"TIME OF DEATH 13:24"
I exit the room
her grandaughter is screaming bloody murder
shes right in my ear so it catches my attention fo
OH SHIT RM IS PROB READY FOR CT
"WHERE HAVE YOU BEEN DID YOU EVER ASK FOR MORE PAIN MEDICATION FOR ME"?
"im just waiting on a reply from the doctor sir"
"Hey you wanna go out for some resiratory therapy"
"haha, yes I still have 11 hours to go til i get to leave this place, you have a lighter"?
"alright lets make this quick I got one to go to Cat Scan"
pretty much how it is in the E.R. from the time you clock in until 15 mins after the time you were supposed to clock out.....So next time you find yourself in an emergency room and your nurse er technician or doctor seems a little disheveled or cranky, cut them a break, everyday they are scratched clawed cursed out spit on hassled put under immense amounts of responsiblitly and stress, they could be saving a life and while running down the hallway with a vital med, at least one person will ask for an apple juice, or to, go outside and smoke, or curse her/him out for not listening to what they are yelling after them. These people are heros day after day they bring back a life, or deal with the questions of why they couldnt, they deliver emercency babies....and wrestle overdoses twice there size, they comfort the metally ill, and keep calm with the mentally draining, They have perfected swallowing food whole, and trained there bladders to hold pee in them for 12+ hours, they learned how to ignore that there toes are numb from standing all day, and that there hands are chapped from washing. The best part is, is that they do it for you and me, anyone that walks through there doors, homeless, smelly, buggy, 700lbs, AIDS, MERSA and TB infected. Any shape size color race or creed. Thanks to anyone who is an Emergency room staff member, someone notices your hardwork dedication and undying care for all.