one. new transfer from IMU with a PCA and TPN/Lipids with an abdominal wet to dry dressing and two JP drains.
two. another PPN/Lipids pt with sepsis getting IV pain meds Q4H. i needed three different IVs - one for PPN/Lipids, one for Zosyn, and one for Vanco. One IV blew so a new one had to be started.
three. Herpes Zoster pt who was really bratty with a raising blood pressure.
four. diabetic with osteomyelitis receiving Vanco and Zosyn.
five. trauma pt requiring pain medicine.
and try doing all of this without a CNA to help with ADLs and vital signs. such a long long night. again, couldn’t have done it without my amazing co-workers. i’m very lucky to have them.
now, time to sleep because i’m back on tonight for another long one. and then! four days off (yay!).