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boring dump of patient records to fill in for actual entry about yesterday
Family's still here, apartment work is still being done because yes, unpacking this place really does take a week and three people in part because we needed to buy a lot of new (old) furniture since a lot of ours died and we found ourselves with boxes of things that had no storage anymore.
But my point is really that this is what I did yesterday, culled directly from my records. Potentially triggering if you have issues with medication/needles/hospitals, but some of it's funny.
The only edits that have occurred are to remove names of people and hospitals.
(Keep in mind my shift was supposed to end at 6pm.)
***
Call: 7:23
Pt SOB x 1 day. Pt hx of emphysema on home O2 3lpm. On exam lungs clear, no cp. spo2-94%. Pt seems dehydrated; states nothing to eat or drink in last 24 hrs.
IV 18ga. left AC nacl w/bloods [bunch of identifying numbers]. Peripheral IV initiated.
Call 11:32
Cord-pull medical alarm was accidentally activated during installation of toilet seat.
Call 14:06
Mutual aid for [district next door]; call cancelled due to [other district] responding.
Call: 17:55
Pt states he was working around the house when the chest pain came on. Pt self administered 2 Nitro sub lingual sprays before squad arrived. Upon EMS arrival pt stated his nitro didn't work. Pt stated he was going into [local hospital] for a catheterization on Thursday. He stated that his cardiologist said that if he experienced chest pain to call the ambulance.
Peripheral IV initiated with 18ga. at LA. Attempts: 1, successful. Aspirin, 324 MG via PO given. Nitroglycerin, .04 MG via PO given. Pt. improved. Morphine Sulfate, 4 MG via IV - Push given. Pt. improved, stated he felt much better – pain dropped from 8-9 tp 2-3.
EKG presents potential STEMI; full alert was activated by Paramedic [number] and followup evaluated by 2ndy student [my number].
***
So, all in all, fairly average day (down to predicting the cancellation before I even got to the bay, and them not cancelling until the crew was assembled and ready).
We helped with the toilet seat.
But my point is really that this is what I did yesterday, culled directly from my records. Potentially triggering if you have issues with medication/needles/hospitals, but some of it's funny.
The only edits that have occurred are to remove names of people and hospitals.
(Keep in mind my shift was supposed to end at 6pm.)
***
Call: 7:23
Pt SOB x 1 day. Pt hx of emphysema on home O2 3lpm. On exam lungs clear, no cp. spo2-94%. Pt seems dehydrated; states nothing to eat or drink in last 24 hrs.
IV 18ga. left AC nacl w/bloods [bunch of identifying numbers]. Peripheral IV initiated.
Call 11:32
Cord-pull medical alarm was accidentally activated during installation of toilet seat.
Call 14:06
Mutual aid for [district next door]; call cancelled due to [other district] responding.
Call: 17:55
Pt states he was working around the house when the chest pain came on. Pt self administered 2 Nitro sub lingual sprays before squad arrived. Upon EMS arrival pt stated his nitro didn't work. Pt stated he was going into [local hospital] for a catheterization on Thursday. He stated that his cardiologist said that if he experienced chest pain to call the ambulance.
Peripheral IV initiated with 18ga. at LA. Attempts: 1, successful. Aspirin, 324 MG via PO given. Nitroglycerin, .04 MG via PO given. Pt. improved. Morphine Sulfate, 4 MG via IV - Push given. Pt. improved, stated he felt much better – pain dropped from 8-9 tp 2-3.
EKG presents potential STEMI; full alert was activated by Paramedic [number] and followup evaluated by 2ndy student [my number].
***
So, all in all, fairly average day (down to predicting the cancellation before I even got to the bay, and them not cancelling until the crew was assembled and ready).
We helped with the toilet seat.
no subject