WHEN I HEAR AN AMBULANCE I THINK "HERE COMES THE CALVARY"

went on my first code blue today.*
patient was talking and not critical. so not too much for me to do. i guess in a "true code" the responding team give you syringes for blood gas or will draw from lines. but since there were no lines i was going to draw the patient. i was stopped mid-poke (and i mean, i had the arm alcoholed and the needle cap off and everything) by a resident who asked if he could draw the blood. i was slightly baffled by this request but told him to go ahead. he tried to draw from the side of the wrist with my 21g straight needle (omg, ouchies) and got only a little in the pst. so he tried the other hand, same place (ouchies x2). then the team decided they wanted an abg first since we already had enough for a troponin and some chemistries. so he went for the arterial puncture (ouchies x10000). this went on a few more times- another nurse asked me to draw regular tubes since it was taking a while but then another nurse was already trying to draw. and then the resident tried another blood gas. and then i got a syringe for tubes but it was all clotted and i had to dump it. and then another nurse ended up getting the blood gas and the rest of the regular tubes. and so so so many people walking around with uncapped needles! >__< even nancy, another LAS who went down with me, said she had never seen so many people at a code before! there was the two of us. plus the doctor. plus the resident. plus four paramedics brought the patient in. plus the med assistant. plus a slew of nurses (some from "agency" whatever that is, who were just assisting... i have never seen them before). and then the ekg person was there. plus an xray person was there. thank goodness the ER was empty on that side. i can't imagine if the other 4 beds on that wing were full! it was like a battle field... i saw a needle in the [regular/clean] trash (w.t.f...) and there was all kinds of paper rubbish on the ground (ok, i do this too. there is no table to put your stuff on, you just open all the packages on the ground and pick them up later. i guess a habit i learned from tissue culture, too. we open pipettes outside of the hood and throw it on the ground so that the wrapper doesn't contaminate your work space. but if you can imagine all the aforementioned people using stuff and throwing the packages on the ground.) but things calmed down soon enough and i guess all that matters is that the patient is ok.


*actually, i went on a code on wednesday but patient was d.o.a.


the rest of the day was normal lab stuffs.
i have to work again in < 7hours, so good night!

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