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confessionsofapicunurse · 4 years

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I'm dealing with occupational health for the first time. I got a concussion on the job. How did this happen? Oh, I just got head butted by a patient. But wait, you may be asking yourself, "Aren't you a pediatric nurse?" Yes, yes I am. He apparently got the bright idea to mix hand sanitizer with kool aid, got drunk off his ass, & earned himself an ICU admission. He was so out of it & combative, that he barely even noticed when he almost knocked me out. Kids, man. They never cease to surprise me.

#nursblr #nurblr #nursing #picu #pediatric nursing #pediatrics #icu nursing #emergency nursing #icu #emergency nurse #occupational health #teenagers #freaking teenagers man

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confessionsofapicunurse · 4 years

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I had an auto vs pedestrian come in the other night. 10 years old. Intentional, as the driver was evading police & looking to cause a distraction. I was charge, so I went dowm to the ED to assist & miraculously, this girl was still conscious on arrival, although clearly in horrible shape. I held her hand as I pushed etomidate & succ for intubation, and worked alongside our ED team to stabilize her enough for CT & after surgery, she came to us in the PICU. Head shaved, missing parts of her skull, drains in place, as imaging had shown a horrific TBI. As soon as she came up & we knew the extent of her injuries, I knew what the outcome would be, but we still worked for days, trying to prevent the inevitable. The night before we withdrew, I charged again & I relieved her bedside nurse for lunch. Her mother was curled up on the couch, having finally cried herself to sleep & I just sat there at her bedside watching over her for a bit. And I held her hand for a little while. Just like when I held her hand as I put her to sleep, but this time, I knew she wouldn't get to wake up.

#nursblr #nurblr #nursing #picu #pediatric nursing #icu nursing #emergency nursing #icu #emergency nurse #pediatrics #I am just feeling emotional

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confessionsofapicunurse · 4 years

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#nursblr #nurblr #nursing #picu #pediatric nursing #icu nursing #emergency nursing #icu #emergency nurse #pediatrics

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confessionsofapicunurse · 4 years

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#nursblr #nurblr #nursing #picu #pediatric nursing #icu nursing #emergency nursing #icu #emergency nurse #pediatrics #scrub caps #scrubs #scrub cap

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confessionsofapicunurse · 4 years

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My reaction when my infantile leukemic patient's father tells me that all of her current problems are caused by her two vaccines, and if he had his way, he would let her be "healed by the earth"

#nursblr #nurblr #nursing #picu #pediatric nursing #cancer #vaccine #conspiracytheoriesandchill #icu #icu nursing #emergency nurse

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confessionsofapicunurse · 4 years

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When any patient starts spouting religious nonsense (whatever the religion) and screaming and singing at me at 3am

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confessionsofapicunurse · 4 years

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The other night, I was charge in our pediatric ICU when I get called to the floor for a rapid. Run upstairs to see a teenager on the floor of the bathroom, seizing. Direct one of the nurses to go pull some ativan as m/s charge & bedside nurse are already mid vitals, administering oxygen, protecting head, etc. I look to the resident & say, "Hey Dr. V, how much Ativan do you want?" She responds with, "Administer 0.1 mg per kg." A quick look at the chart reveals that this kid is 75 kgs. I tell her this & just give her a minute to think this through. By the time I get the ativan in my hands, my intensivist has made it upstairs, but I give the resident another try; "Dr. V, how much ativan do you want? She is 75 kilos." Again, she says she wants, 0.1 mg/kg. My intensivist & I just stare for half a second, my intensivist says, "Yeah, just start with 2 mg."

Good grief woman, I'm already squatting over the toilet to push this med, do you want me to start bagging her in this position too?? Pick up what I am putting down because there is no way in hell that I am giving a 13 year old almost 8 mg of ativan for seizure activity. Happy August, y'all.