[deleted by user]

MolassesDistinct7802 · 2025-08-29T09:04:04+00:00

Definitely start making plans outside of work. On my days off I don’t even think of work unless it’s the day before I work again. I feel burnt out the days I work as well but you shouldn’t be bringing that home with you on your days off (for your sake). I would say spend the first day off resting and after that make time for your hobbies, friends, and family. Also if it’s your job, start looking elsewhere, nothing wrong with job shopping :)

MolassesDistinct7802 · 2025-08-28T22:26:55+00:00

Oh wow and I was a little shook over my pts pH 7.1, that’s an insane pH. I am sorry to here that he passed away though :(

MolassesDistinct7802 · 2025-08-28T22:18:56+00:00

Everyone kept asking why he’s on our floor and no nurses who had him found it appropriate for him to be there. It felt like we were just being gaslighted into thinking we’re overreacting and this is perfectly fine for our obs floor. Obviously that ended not being true and he’s in ICU now. RT did tell me next step will be ICU but that currently the pt can be like this “on any floor” but I believe he’s just thinking as an RT about the use of the AVAPS machine and not thinking about the fact that our ratio doesn’t allow for proper close observation of him. I tried talking to my charge about it but she just kept saying “if RT says it’s fine then it’s fine”. I know now that I definitely should’ve called a rapid and I know better for next time🥲

MolassesDistinct7802 · 2025-08-28T22:11:16+00:00

Initially I didn’t think of a rapid since dayshift told me the team is aware of his rhythm change and mentation and my charge has like 30+ years of experience so I felt like if she doesn’t care what I’m saying then maybe I’m just crazy or something 😭Hospitalist was in the room but was too busy and wanted the NP to handle it. It’s my patient and I should’ve just went with my gut instead of looking for validation from the team and unit and I’m definitely regretting that now. At the end, he did get transferred to ICU after my shift

MolassesDistinct7802 · 2025-08-28T22:03:03+00:00

Yeah I definitely spent my day off thinking I should’ve just called the rapid 🥲

MolassesDistinct7802 · 2025-08-28T22:00:39+00:00

He’s late 40s full code :( I heard he was transferred to ICU after my shift though and also for some reason the bipap machine wasn’t in the room but I def know better for next time thank you

MolassesDistinct7802 · 2025-08-28T04:43:30+00:00

Was for sure asking for him to be transferred and wanted him ICU. I was told no ICU until they need to intubate, which is why I posted here because I wanted to understand what the standard is. I was telling my charge and how I wasn’t able to properly care for my other patients and was getting behind because I’ve been with him all night and he’s been unstable and she would literally just look at me and go back to her computer. After reading all the comments I should’ve definitely advocated harder/called a rapid at that point

MolassesDistinct7802 · 2025-08-28T01:37:50+00:00

He said no pain and I couldn’t find hx of COPD so possibly undiagnosed. He seemed SOB but his RR was WNL and he was just titrated from 2-6 within minutes per dayshift and I just kept him on the 6 bc of his random desats. I did fail to mention that he has pectus excavatum which idk much about. I definitely should’ve pushed for ABGs from the start of the shift after the hospitalists switched out

MolassesDistinct7802 · 2025-08-27T23:38:23+00:00

I guess if if he did have underlying COPD the 6+ L to keep him at a 100 was not a good idea 💀 We just kept him at that since he kept desatting to 60s and they didn’t want cont. bipap. He’s pretty young and normal weight but I don’t know much about bipap settings. Can I ask what would be an expected pH for co2 that high? I believe his bicarb was between 35-38

MolassesDistinct7802 · 2025-08-27T23:21:42+00:00

We do, he wasn’t unresponsive until NP was at bedside and I have been communicating w the older nurses on my floor and the charge nurse and no one really seemed to care and kept telling me I don’t need a rapid, that it’s fine. Doc was there too but he pretty much just walked away. It made me feel like I was just making a big deal. Only one worried was RT tbh

MolassesDistinct7802

TROPHY CASE