
I started with 3 patients. But in reality I took care of 2. One of the patients went for an Ultra Sound of the carotid artery, she came in with complaints of SOb and chest pain. The entire time I was there, she never cam back.
Another patient was bed ridden. With a PEG tube, NG tube, on IV fluid, who cam in from anursing home with hyponatremia, seizures, and acidosis. She was aphasic as well . NPO for about the past 3-4 days because the GI doctor was still figuring out what was wrong, if she had any further complications. It was heart breaking. Poor woman couldnt speak, and she was also on 02. AM care was given, and the PEG dressing was changed. She was also NPO for all her meds through PEg. All that was given to her was sub q lovenox, and insulin for her diabetes.
The other patient was being discharged that day. She came in with chest pain also. She was a very sweet old lady. I gave her antibiotics for the day (prophylaxis) before she left and some medication for HTN, and anticougulants. During the middle of the day she was discharged. i met one of her relatives and she thanked me for the help. Pulled out her IV and she was off.
I learned today to keep on top of things. To tell you the truth I have no reflection on the day except I kept on having dreams about the patient with the PEG tube, I felt as if there was more that needed to be done for her. I prayed for her.
May God bless you all.