— Daniell Koepke (via psych-facts)
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Yesterday was one of the “first times” in my career as a nurse. After working for three years, I have witnessed someone die. Although she is not my patient, I was called from the other station for help.
It was the start of my shift, like literally the start. My duty for the day was to audit nursing care plans for all patients. Yes all. As I was about to start, I looked at the clock and took note that it was 7:30 am. Just after shift report, I sat down on my work station and logged in our network. Suddenly I received a phone call from the east nursing station. One nurse asked me if a patient is using glucagon in the nursing station where I am at. I asked why and the nurse replied that the patient’s blood sugar was only 7 mg/dL. Yes, seven. I remember I gave somebody before a glucose shot because of a blood sugar lower than 30. I remember I took it from the emergency drug kit. I didn’t call back. I ran towards the other nursing station.
When I got to the east side, I didn’t know the situation was really serious now. I saw a lot of running and panicking. I went inside the medication room, I saw the charge nurse inside and she opened the E-Kit. For some reason, I didn’t know why she passed the glucagon shot to me, well she’s the charge nurse. First thing that came into my mind was to step up. I don’t know why she wanted me to give the shot. I did not refuse because it was already a matter of life and death. While preparing the glucagon shot, CNAs were running towards me and saying to hurry up. Well, they weren’t helping. One nurse already called 911. I saw the other nurse push the crash cart in the patient’s. When I came in to the patient’s room, the day shift nurse was already doing CPR. No pulse was audible and palpable. I immediately gave the glucagon shot on her right deltoid. CPR was still being done, and after a minute the CBG result of the patient became 36 mg/dL. 911 paramedics were fast and they came in already. They hooked up the heart monitor and the patient didn’t have any pulse. We noticed that her arms aren’t fully lying down on her bed. It was a bit flexed, around 15 degrees. She was already stiff, and her eyes were just open. They called the time of death of the patient.
I didn’t know exactly what happened. It was just after endorsement and I was from the other nursing station. It happened so fast. She died around 7:45 am. A lot of deaths have already happened in my work place but thank God none of them were in my shift. This is the first death that I have encountered.
I called one nurse and two CNAs to help me do post-mortem care. She was already stiff. I tried to close her eyelids but I kept on opening. I just put a tape on to it so it would close and hold it temporarily. Her jaw was already stiff and her mouth was open a bit. We did bed bath on her and changed her clothes. We found something remarkable while doing post-mortem care. She had a rosary around her left arm. I didn’t know what that means, but I just hope that she prayed before she passed away (if she knew it was already her time). We removed all of her contraptions and cover her under a blanket.
It was a sad day for us because she was one of the nicest patients in our facility. There was nothing wrong with her during her last few days. I even talked to her the day before she died. She was one of the quiet patients but so nice to talk to. Sadly, I didn’t save a life yesterday.
I keep forgetting what the differences are in the over the counter pain relievers, so I made a handy chart.
Tylenol arthritis was actually effective for treating migraines for me. For several years I could only take Tylenol for pain relief because I had been prescribed a medication that was highly toxic to the kidneys.
(via Beatrice the Biologist)
Yesterday during our first nurses’ meeting for the year 2014, our director officially announced that I am the infection control nurse for our institution. I have been waiting for this position ever since they told me about it. I know its a lot more responsibility because I oversee not only the patients but also the whole staff and other departments as well. I still haven’t gotten any concrete data or specific plan for this position but I am excited. Time to get back again and drown myself with those microbiology books I had when I was in college. I think this time, its going to be more exciting to go to work. I see this as a challenge, and I will accept it. I will do my very best to prevent the spread of infection in our institution, or maybe contain it to a very minimum level if ever it occurs. Lets do this!