Float Nurse

Oh Danny boy, the pipes, the pipes are calling From glen to glen, and down the mountain side The summer's gone, and all the flowers are dying 'Tis you, 'tis you must go and I must bide. Danny Boy A 94 year old admitted with chest pain. 0206:  Called to room because patient was feeling nauseated.  Patient found to be diaphoretic,  nauseated, and anxious.   Holding chest.   Became unresponsive and pulseless.   Code Blue called. 0210:  CPR initiated.   Placed on monitor.   Normal saline started. 0211:  Defibrillated at 200 joules.   Post-shock rhythm ventricular tachycardia.   CPR resumed 0213:   Epinephrine 1mg IV given.   CPR in progress.   Positive pressure ventilations adequate. 0215:  Defribrillated 300 joules.    CPR resumed.    Ventilations becoming more difficult.  Abdomen distended.  Attempted NG insertion ...

Life is pleasant. Death is peaceful. It's the transition that's troublesome. Wise Phrase by Isaac Asimov 1016 PM:  A 27 year old female is dumped out of a car in the entrance to the ER.  The car drives off.  She is unresponsive with agonal breathing.   She is placed on a stretcher and rushed to the trauma room.  During her assessment she is noted to have a white powdery substance around her nostrils.   Her pupils are constricted and nonreactive.  Her skin is hot and dry.  The peripheral pulses are weak with delayed capillary refill.   Positive pressure ventilations are started and she is placed on the monitor.   1022 PM:  An IV is established and blood specimens are obtained.    Spontaneous respirations and her pulse is now absent.   CPR is initiated and Epinephrine 1mg IV is given 1026 PM:  CPR continues with positive pressure ventilations.  IV fluid bo...

Nothing beside remains.  Round the decay Of that colossal Wreck, boundless and bare The lone and level sands stretch far away. Ozymandias   By Percy Shelley  A 69 year old admitted with chest pain. 0908 CPR rhythm  CPR in progress with positive pressure ventilation 0910 Defibrillaton at 200 J Ventricular fibrillation on monitor Defibrillate at 200 J Post shock rhythm idioventricular rhythm No pulse Resume CPR 0914 Defibrillation at 300 joules Epinephrine 1mg IV given CPR in progress Rhythm check ventricular fibrillation 2nd shock at 300 joules Post shock rhythm idioventricular rhythm No pulse, continuing CPR 0918 Vasopressin 40 units IV given Continuing CPR Intubation with 8.0 oral ET tube Tube placement confirmed with positive end tidal CO 2 and auscultation Rhythm check: ventricular fibrillation Defibrillation at 360 J Pulseless idioventricular rhythm, resumed CPR 0925 Epinephrine 1mg IV...

Because I could not stop for Death— He kindly stopped for me— The Carriage held but just Ourselves— And Immortality Because I Could Not Stop for Death- Emily Dickinson 1500:  A 50 year old female who collapsed at a local retail store was brought in by EMS.   CPR was initiated at the scene.   She was found to be in pulseless ventricular tachycardia and she was defibrillated twice and received an initial dose of epinephrine.   No family members or friends were available to relate her medical history.   She has no prior hospitalization so no medical previous medical records are available. 1514:  CPR is in progress as EMS wheels her into the trauma room. 1515:  She is transferred from the EMS stretcher to the ER stretcher.  CPR is stopped for an initial rhythm check. Initial rhythm:  AV dissociation 1517: A pulse is present but she has no visible respiratory effort so positive pressure vent...