just checking in, I know i've had lots of DM's about stuff and I just haven't had time to do anything so sorry about that. Aiming to be back in 2 weeks :).
I only have 2 weeks left on children's intensive care clinical placement. 7 weeks actually went by so quickly, plus I'm really enjoying it so maybe that's why but yeah once I'm done I don't have clinicals again till may so I'll catch and do all the things then! Hope ya'll are good :)
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The worst part about the ICU is that you get to a point where you're on a first-name basis with family.
Frederick was at bedside every day, sitting beside his wife. When he wasn't, they were on speakerphone, her work of breathing worse each day. We explained to the family that she was really really sick, and they understood that the prognosis was poor.
But when it came time to decide about intubation, they couldn't bring themselves to withdraw care... so we intubated, knowing there was no way that she would ever come off the vent.
It was after 10pm when the nurse came over to us.
"Room 7 won't make it through the night. Maybe you should call family."
My senior looked at me, and asked, "You wanna call the husband?"
"Frederick? No."
"It's important to learn how to have these conversations, you know," he said, somewhat gently.
"I know. And I have them plenty. But you asked me if I want to call him and tell him his wife is dying, and I don't. But I can, if you want me to."
He nodded and dialed the number from our 'Next of Kin' list. "Mr. Smith, I wanted to..."
Not even half an hour later, the monitor by my computer started beeping furiously. Her blood pressure, which had been dangerously low already, tanked. I ran to Room 7 as nurses from surrounding rooms crowded into the little space, code cart already in place.
She had no pulse. The ICU team really did have an intuition for this sort of thing.
We went through the motions of the code, not for a moment believing that we would get her back. But we did. A short-lived miracle... but maybe it would give Frederick just enough time to come back.
The second time her heart stopped, my senior asked me to let the family know that we had done everything we could. I stepped outside, the sounds of the active code behind me, and explained that there was nothing to be done.
"So this is it?" he asked matter-of-factly.
I nodded. "I'm very sorry, Mr. Smith." He thanked me as I walked back into the room just in time to hear the pronouncement.
"Time of death: 10:39 PM."
Gloves came off. Supplies were discarded. The code cart was wheeled unceremoniously out of the room. One of the nurses placed a fresh sheet over the patient, tucking it gently around her.
As I headed back to my workstation, a heart-wrenching sob pierced the hallway. Frederick - a stoic, quiet man who had spent countless hours with wife, ever so hopeful - was sobbing into his knuckles.
I felt the tears well into my own eyes, swallowed hard, and looked up to see the surgery resident coming towards me, no doubt seeing my watery eyes but making no comment.
"Are you taking care of...?"
And the rest of the night went on.
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Special shout-out because September is also NICU awareness month. 💚
My sweet baby is happy and healthy thanks to some incredible NICU nurses watching over her. These folks are absolute treasures and they deserve more love.
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Today my patient crashed and burned. He went from awake to unresponsive, with a very low BP, actively bleeding, and unable to breathe on his own. I did so many things to keep him alive, including being covered in his blood and donor blood, until they could take him to surgery to stop the bleed. I took him off the ventilator several hours later and he grabbed my hand and kissed it (his baseline mental capacity is the same as a 10 year old). His sister and brother thanked me profusely for saving his life. I’m bone tired, I haven’t eaten since yesterday, and fuck I’d do it all again in a heartbeat.
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Gooseless’s Pokemon Teams By Generation!
Yes, I know no one asked for this but I, am in fact, very tired and very bored so, welcome to learn about Gooseless day! Here are my favourite pokémon or at least my favourites at the time of making this of each region, on regional teams.
***I do have an affinity for Dark and Ghost types particularly, even though that is not that apparent in these teams. Those types are my favourites, they’re my babies, these are just my teams.***
- <3 Gooseless
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Gen 1:
Gen 2:
Gen 3:
Gen 4:
Gen 5:
Gen 6:
Gen 7:
Gen 8:
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Elderly Nursing Care at Home in East Delhi – Global Intensive Care LLP
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Top NDIS providers in Melbourne
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Intensive Care Legal Nurse Expert - K Waite Legal Nurse Consulting
As a Certified Legal Nurse Consultant, Kathi is passionate about helping both Plaintiff and Defense Attorneys understand the intricacies of the healthcare industry and the complexities of the medical record. RNs are the front-line providers of care to the patient 24 hours a day. Visit https://kwaitelegalnurseconsulting.com/about/
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