Welcome to Health Care POV | sign in | join
Peds Place

Oh What A Night!

Published October 13, 2008 9:39 PM by Stephanie Scarbrough
 
While working last weekend, I was lucky enough to get to work in the NICU. That’s where I’m completely happy, I spend the night dancing throughout the rooms and singing like a fairy tale heroine.
 
Right.
 
I was blissfully happy until we found out that we were getting an incredibly sick PPHN baby from a regional hospital that tends to hang onto kids too long. Not to mention, they like to cut off the ET tubes as short as possible and the tube is almost always high. Nothing like having to retape a tiny tube on a very sick child with no tube to work with.
When the baby came in, we thought we had it under control. All of the equipment was ready to go at the bedside and there were six of us in NICU that night, all with solid experience.
 
Did I mention that it was a full moon?
 
I truly believe that full moons shine the hardest on central Indiana. It has to be. There’s no other explanation.
 
Every piece of equipment didn’t want to work well that night. The nitric popped out of line from the jet and succeeded in spraying water all over our charge RT and fellow. There was no tube to work with and it was in fact, very high. The oscillator that we got after the jet didn’t work was missing all kinds of pieces. Even the quick connects were gone! The heater kept alarming and we changed all of the pieces out at a frantic pace until we came to the last conclusion, it was the circuit that was making the heater alarm! We changed the circuit, and then they decided to go on ECMO.
 
Doesn’t that just figure?
 
All six of us worked like crazy that night. It took every person and every skill possible to make it through. I’d say we all earned our weekend pay and then some. Just another fun night in the NICU!

1 comments

Some crazy night.  In 1999 I was working in our level 3 NICU at an area Tampa Hospital.  Whe had six 25 weekers born in one shift.  Yes, I said that right - six 25 weekers: a set of triplets we were expecting, twins we were not expecting, and a singleton that walked in off the street. (Actually the poor kid's mom walked in off the street, litterally, no prenatal care.)

We were staffed with three RT's and one was a lazy fool who had no business in the NICU.  Plus we had 20 other kids on vents with various problems.  This was a 40 bed NICU.  Crazy night.  Oh, did I mention we had just one doctor?  No residents, fellows, med students.  We had three RT's, I don't know how many RN's and one M.D. Crazy? No. Completely unacceptable?  Yes.  Full moon?  Get over it.

Jennifer, BSRT, RRT-NPS October 14, 2008 11:27 AM
Waipahu HI

leave a comment



To prevent comment spam, please type the code you see below into the code field before submitting your comment. If you cannot read the numbers in the image, reload the page to generate a new one.

Captcha
Enter the security code below: