Hi everyone,
I thought I'd share a story with you about how important it is to be checking pt. obs often. I had a pt. who was day 2 post vascular surgery. He was performing very well that being said. I checked his CXR and was clear. Checked his bloods on iSoft and there wasn't anything there for the day, the day before was clear. I went into his room checked his obs which were stable so I proceeded with Rx. Everything went great, was able to Amb him 2xA with PF 30m in the corridor and back to his room for DBX's and LL ex's. Session went well. Nurse asked me 20 min later to help him to the shower so I did and everything was great. 15 min later the same nurse finds me and asks me to get him back to bed with her. We are halfway back to his bed with the PF when he starts to look not so well. His legs start to go wobbly so I got my leg in under his bottock so that he was sitting on my knee. His head went back and he lost consciousness. At this point the nurse hit the code and before I knew it there was over 10 people in the room yelling orders. I got him safely onto the ground and got out of the way!
In the end he was fine and had a vaso-vagal collapse. He ended up having a Hb level of 60! The numbers hadn't been put up on iSoft yet however so was of no fault of mine. He ened up getting a blood transfusion and everything was good in the end. Just wanted to let you know how important iSoft can be in patients post surgically.
Brent
2 comments:
Hey Brent, thanks for bringing this point up. It has really helped me see the importance of doing the medical checks before proceding into treatment. Good luck with the PCR.
Shadi
Hey Brent
Great save with your knee mate...it could have been a lot worse if not for your quick thinking. Very important point you raise, as I found on my cardio prac that Hb levels are over looked a little bit compared to the other "more accessable obs". Checking isoft is really important, and also make sure you check the date of those results.
Good luck for Wednesday bud
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