There is so much of nursing that goes unnoticed. What nurses do every day. The battles we fight on behalf of patients and their families that likely are never known by those we care for.
I also like first person accounts because they allow writers to "live in someone else's shoes" for a moment and might make writing from that person's position much more authentic.
Part I will be today and Part II will conclude on Wednesday.
Welcome, Lisa!
I am so happy to share this story, as this is one of my favorite moments as a nurse.
I typically worked the Baylor shift of 7pm to 7am at one of
the local hospitals. Even though the story I am telling you happened about 7
years ago some of the details are still so very fresh in my mind. I have always
believed there are no such things as coincidences. And this story truly
emphasizes that.
I had arrived to the floor, received my change of shift
report and was settling in for the night.
Shortly, thereafter we got a call that a young 29 year old
woman was being admitted to the floor. I had no empty beds and my co-worker was
a male nurse. This young woman was brought up to the floor with an admitting
diagnosis of urinary tract infection and possible respiratory alkalosis.
Immediately, the diagnosis just seemed off to me. When the
woman arrived I also noticed she was from India, she felt very uncomfortable
with the male nurse so I asked him to switch off with me and I would take the
admission. I really didn’t understand why she was being admitted to my floor. We
were the IICU, intermediate intensive care unit. We essentially took the
overflow from the ICU, with the only exception that we didn’t taker arterial
lines. We did everything else, from vents, to trach’s, to PICC lines, and
countless drips, and we rarely got anyone under the age of 50.
At first glance the woman really didn’t seem that ill. I was
rather confused by her admission to my unit. After a few questions, I returned
to enter her information into the computer system. I had barely sat down and
the bell was ringing. I got up and headed towards the room. I had never seen
anything like it. She was ashen, diaphoretic, and trying to make her way to the
bathroom due to nausea. As I reached over to help her up she felt like she was
on fire. I told her to sit still. I had just checked her temperature not 15
minutes prior and it had been slightly elevated around 99.8. But this time when
I checked it, it was over 103. I was shocked and terrified for this poor woman.
I helped her up to the bathroom and helped her get changed
and settled her back into bed. I took a look at all the new orders, returned
with some Tylenol for her and began looking at the history. Something in my gut
was telling me we were missing something. I read and reread her admission
paperwork trying to find a clue. I called the hospitalist on call and related
my story. He essentially blew me off and said I needed to contact the
pulmonologist. Before I had a chance to call, she was ringing the bell again,
and this time she looked even worse. Her body was writhing all over the bed,
almost convulsing and she had no control over it. I looked at her and asked a
simple question.
“Have you traveled outside of the country in the last few
months?”
Her reply was “yes”, she and her daughter had just returned
from India 2 weeks prior.
I looked at her, and
asked, “How old is your daughter?”
The reply, “She is only 2 years old.”
Hope you'll join us for Part II on Wednesday to see what this patients mysterious illness is. What might your guess be?
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Lisa was born Lise
Amanda Forest on November 19, 1966 in Ontario. She has 2 children, and 1
grandchild. She currently, lives in SC. Lisa speaks French and English. She
graduated from College and worked as a flight attendant for a Montreal based
airline. Lisa is a world traveler, having been to South America, Caribbean, and
all over Europe; Lisa has been employed as an RN for the last 18 years. Lisa has
moonlighted as a realtor and interior designer. Now she’s a writer and her
debut novel Oracle is in editing. You can visit Lisa at her blog www.lisaforest.blogspot.com.
Wowzer! You've got me hooked. Can't wait until Wednesday to find out what happens!
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