Working backwards a little bit…we are now up to 15 pts!! Yesterday we received 7 admissions in 2 hours. Granted that would be chaotic in any situation, especially with postops arriving at the same time and with only 4 nurses…but then throw in the language barrier, nursing students, multiple disciplines of doctors, small spaces, hard corners, paper charting, babies crying, children peeing on the floor and siblings running around…and you get a quick picture of what my day looked like yesterday. It was insane. We’re finally opening the second ward to accept the postop patients. Hopefully this will help control the mayhem a little bit. Most of our kids coming back from surgery have been doing ok. The cleft lip/palate kids are having a hard time…mostly airway issues. We have them all on monitors (which are ancient) and receiving blowby oxygen for a little while to give them a little help. I’ve had several polydactyl kids (an extra digit, either attached to another finger or toe or completely separate). We have one girl now with two uteruses, one which bleeds continuously. Not too many other diagnosis that I can think of off the top of my head but then again this is my “day off” so I’m really trying not to think.
My day off consists of still waking up at the butt crack of dawn to muster (mostly to make sure nobody fell off the boat). Currently they are giving report then afterwards we have a charge nurse meeting to streamline our processes a little more. Then to church, laundry, clean my room and workout all before the liberty boats start rolling at 1200p. Should be a interesting day. A lot of people that have already gone out said there isn’t much to do. But I have a whole list of places to see and things to eat…
Enjoy your day "off." Sounds like you are doing a lot of good work there. :)
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