am i in the wrong here?
am i wrong here? 😭
er nurse here, had a stroke alert today that ended up having >4L in his bladder, Cr 17, K 7, AG 30, DKA, etc (only known history was DM). he was EXTREMELY altered/aggressive & not responding to sedatives (IV ativan, versed, benadryl, & IM geodon) at all. eventually got intubated for agitation (mind you we didn’t even get the CT due to this). after that he was on propofol, precedex, fentanyl, insulin gtt, q1h BGL, strict i&o’s, constant sedation titrations & we STILL needed to get the CT😭
my charge nurse kept insisting he “wasn’t a 1:1” meanwhile i literally did not leave his room for almost 2 hours (at that point… overall at the end of the day i had been in there for 4 hours straight) & my other patients (4 of them) suffered because of it. another nurse agreed he absolutely should’ve been a 1:1 & both of us spoke to the charge nurse about it. even the resident & attending agreed 😭
i literally cried because i felt horrible for my other patients. like am i crazy or is this genuinely a 1:1???🥴