3.03.2006

No Lifting >5 lbs.: Working with Injury

i really didn't know how to but i managed...like a good soldier, i went to the battle. especially now that i actually found my keys on time.

1806 - on my way to work

1826 - parking garage

1829 - clocked in

1840 - report taken [chatted with co-workers. went to copier to copy my own nursing form.]

1845 - started vital signs and assessments. flushed all iv ports. [patient 1 = arf/acute encephalopathy/afib; patient 2 = pneumonia/chest pain/nsr; patient 3 = aortic dissection/ng tube feed/afib]

1925 - started charting.

2005 - pain meds given to patient 1 along with 2100 meds. fsg = 446. md paged. Waiting for calabash

2020 - orders received. faxed to pharmacy. Waiting for meds

2025 - meds given to patient 1.

2030 - iv & po meds given to patient 2 & 3. [five r's!]

2045 - checking charts for orders, labs, transcriptions, scheduled meds

2115 - nursing rounds [toileting issues, snacks, answering questions of relatives and patients]

2216 - [patient 4] er admit arrives. assessment done. allergies, weight & height documented. fsg taken. Immediate needs given (water, food, socks etc) charge nurse in room to take history & list of medications

2225 - fsg of patient 1 taken = 333. md made aware. insulin iv ordered. faxed to pharmacy. given to patient 1

2240 - pain pill given to patient 2. checked patient 3 iv fluids. snack given to patient 1

2330 - picked up one more patient from leaving nurse [patient 5]. take report. started vital signs and focused assessments.

0010 - fsg of patient 3 & 1 taken. insulin given

0030 - forganized chart and entered orders for patient 4. called md for latest fsg of patient 1. catch up with charting then start 24 hour chart check

0200 - lunch

0230 - patient 3 to bedside commode with help of male monitor tech. my splint is still in place and at this time, everything is hurting on me]

0315 - family of patient 1 at nurses station. pt getting more agitated and confused. Trying to get out of bed.

0330 - charge rn and monitor tech settle pt in bed. anti anxiety meds given po. vital signs taken. litened and re-assured family.

0350 - started vital signs & focused assessments.

0430 - pain pill for patient 4 given. iv fluids changed on patient 3.

0445 - on patient 1 room. re-assuring family. checking patient 1 needs. Snack given.

0515 - fsg taken for patients 1, 3, 4 and 5. documented

0543 - meds given to patient 4. insulin coverage given to others as needed

0620 - start emptying foleys of patients 1, 3, 4 and 5. documented intake and output.

0645 - report given to voice mail system

0650 - patient 1 iv out. changed. pain meds given to patient 1 and 3. md inquires about patient 1

0710 - on my way to home [yipee! 5 nights off!]

it wast such a bad night. although i was really hurting. with all the signing and other stuff. i didn't need to lift anythig but constant movement was not also helping my wrist. maybe i should call employee health today.

Posted by nixinne :: 13:30 :: 0 comments

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