Sunday, 5 May 2013

What Next!!


          Two days past and Neil was talking more but he was in a lot of pain so continued with the morphine.  I came in early in the morning as they were going to have him sit up at the side of the bed and stand if he was up to it.  He tried, but was so weak and quickly became dizzy and we had to sit him back down.  They still had a couple of IV’s, oxygen, and monitors attached to him so he definitely was not going anywhere by himself.  
          The next morning when I came in, to my surprise, he was being given a blood transfusion.  When I asked him why, he said he did not know, just they said he needed it.  As I stated in an earlier post, I am a Licensed Practical Nurse.  I noticed as soon as I walked in that the transfusion was not dripping properly and there was about 18 inches of saline in the tube where the blood should of been.  At least it was not air.  I asked Neil if I could look at his arm where the IV was inserted.  As soon as I saw it and felt it I knew the IV needle was not in the vein.  This means the blood was going directly into his arm.  He said he wondered why his arm was hurting so bad.  I called for the nurse.  I told her what was happening but she told me it was all fine.  I stressed a little louder that it was not fine and to go get someone to fix this.  I told her they had to remove the IV.
          The Charge nurse came to the room and before I could say anything she glanced up at the transfusion and said, “Oh, that’s not right.  Let me fix this first then I will look at your arm.”  She got the transfusion working correctly, then looked at his arm and said, “This is definitely not going into the vein, we have to remove it.”  Hmmm, her statements sounded familiar, I say with sarcasm.  
          That night the evening nurse came by and said he wanted to get Neil up to try to walk again.  Neil definitely needed two people with him to get up so I assisted.  He said it felt so good to be up off of his back, but he could not tolerate it for long.  He was standing, and taking a few tiny steps.  The nurse said that Neil seemed unsteady and asked if he felt light headed.  Neil said no.  It took a while but he managed to walk about four feet.  Again, the nurse said that Neil seemed unsteady so we should turn around and head back to the bed.  I pride myself on my nursing observation skills and told his nurse that he is not unsteady on his feet but if he was to watch his feet and legs while he was walking he would see that when Neil put weight on his left leg, it was in fact giving out on him.  We need to get him onto the bed quickly I said before he goes down onto the floor.  I did not know why he had no strength in the left leg but I was worried that if the weakness carried over to the right leg, we would be in trouble.  So we tucked him back into bed.
          A couple of hours later I paged the nurse to come back to the room.  I explained to him that something was wrong.  I think it’s the morphine I told him.  “No..no..no.. he said.  It’s all ok.”  “I know my husband,” I said, and it is not normal for him to be talking and mid-sentence just stop and stare off into space, his eyes rolling up into his head and then raise his hand into the air and with his index finger start counting something.   When I tried to talk to him and pull his hand down, he unknowingly resisted me.  “I’m sure it’s nothing,” that useless nurse said, but I will make a note in the chart for the doctor to see in the morning.”  Once again, it turned out I was right.  He was in fact having a reaction to the Morphine and was taken off of it asap and put on a different pain medication.  Don’t get me wrong there are a lot of really good nurses out there, just unfortunately we had a few incompetent ones.
          My days at the hospital were long.  I felt like I couldn’t leave his side.  My poor husband was only able to have water on his lips or tongue using the sponge sticks they gave him.  He was so thirsty and hungry but no food was allowed either.  At 10:00 pm just as I was getting ready to leave for the night, the nurse came in and said they were moving Neil to another room as they needed this room for someone else.  Good-bye private room.  So I stuck around until the move was made and he was settled and sleeping at around 11:30 pm, then I headed home.  That bed never felt so good…
          I woke to the phone ringing at 6:30 am.  It was the Charge nurse on Neil’s unit calling to tell me that they had to call a code 66 on Neil at 6:00 am.  Out of a dead sleep I abruptly came to life and shouted, “You had to call a code on him?!  A code what? 66?  What is a code 66?” I said.  My brain heard the word code and of course filled in the ending of that sentence with the word, blue, but I suddenly realized she said code 66?  I had never heard of this before.  She explained that it means he was non-responsive.  They use this code when a situation occurs that gives them cause to believe the patient might go into a code blue, so this is a preventative procedure in hopes of diverting a code blue.  I flew out of bed, grabbed my clothes, purse, and car keys and was out the door in less than 5 minutes.  Oh my God, we had made it through the surgery and his being resuscitated to possibly lose him now?  I could not believe this was happening.  I got to the hospital and ran to his unit.  He was surrounded by about eight specialty team members.  His speech was slurred, and he had absolutely no movement or feeling in his entire left side.  “A stroke? Has he had a stroke?” I asked with tears streaming down my face. 

There’s more….see ya tomorrow...Tori

 

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