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Chase help me with him. I don’t know what to do. It would be so much easier if you were here with me. Give me a sign. Do something. You owe me that.
She quickly pulled herself together getting back to the things she needed to get done. After a long exhausting day, she finally had the twins tucked in sleeping and she was now tucking herself in. Just like every night she cuddled with Chase’s pillow.
She was opening her eyes rubbing them wondering when she had went to sleep. She reached over shutting the alarm off. She remembered cuddling close to the pillow and then that was it. She felt rested. She didn’t remember having any disturbing dreams. The abrupt attack to her nares in the form of coffee cleared her thoughts. Damien! She looked searching for him expecting to see him but she didn’t.
She enjoyed a quick cup, showered and headed out the door.
When she reached her car there was a paper under the wiper. She grabbed it opening her door using the light to read it.
My Sweet,
I hope the coffee tasted good. Have a good day at work. Don’t underestimate yourself in any decision you make. And don’t underestimate me.
Damien
The drive to work was over. Clocking in she got report from the off going shift.
“Rapid response room 310 respond! Rapid response room 310 respond! Rapid response room 310 respond!” The page came over the intercom causing her to immediate start a run to the room that had been called out.
“What do we have?” She questioned the nurses at bedside.
“14 year old male, admitted last night with exacerbation of asthma for observation only. Stable throughout the night. He’s satting at 82% on 15 liters non-rebreather. Second albuterol going. Dr. Bradley in route.”
“Starting protocol now, somebody time it. Push Medrol 40 now. Get intubation ready. Have PICU ready on stand-bye. As soon as we get him stable we’re moving him.”
She listened to his lungs noting minimal air moving. “Where’s Mom/Dad, he’s Prolly gonna have to be tubed. Get the auth’s signed. ETA on Bradley.” If Bradley wasn’t there in the next few minutes she would be calling for morgue instead of ICU.
“He’s in the hospital on his way up.” The floor nurse yelled.
The door burst open with Dr. Bradley rushing in. “Alright what do we got?” Taylor quickly rattled off report to Dr. Bradley and just she expected, they sedated and intubated.
After getting him stable they moved to ICU. She signed off on the transport before making her way back to the ER. It would be the only time she had to come down from the adrenaline rush, running rapid responses always gave her.
“Taylor, you got a minute.” She turned back to Dr. Bradley approaching her.
“Yes Sir.” She waited for him to catch up.
“I just wanted to let you know, what you did up there was perfectly executed. It’s not very often something as critical as that goes as smooth as you made it go. The way you command a no panic atmosphere is something that is no small thing. Having everything ready and waiting on me saved a lot of time. I believe in giving credit where credit is due. I believe you saved his life today not me. Good Job.” He patted her on the back then moved on around her.
It was no small thing to receive a compliment from one of the doctors. Usually the nurses knew deep inside that they always did their best, that they did a good job, and on some circumstances, when they were wrong.
Nurses usually just complimented or supported whichever the situation called for. So to receive that compliment was more of an accomplishment than anything else. But the greatest feeling, was knowing she had a hand in saving that young boys life. Days like this reminded her of why she did the job she did.
Typical day in the ER. She no sooner reached the ER and EMS was bringing in her first case of the day for the busy ER. No time to breath.
“Roberts, Andrews, Whatcha got for me?” She in
quired. Jerry Roberts. Veteran Paramedic. Very good at his job. Reliable. Cool head. Knowledgeable. Kept up with all the latest break through’s. Completed as many continuing education credits as he could. If Taylor had to trust someone with the life of one of her children it would be him.
“Eighty five year old male nursing home resident, became unresponsive after breakfast. BP 136/50, HR 59, Respirations 12, Temp 101.2, FSBS 72, Satting at 97% on room air. Normal sinus rhythm. Remarkable history for COPD, CAD, and history of MI. No known allergies. Last weight 157lbs yesterday. Last bowel movement this morning. Flu and pneumo current. 20g Jelco to LAC with NS at 70 hanging. No problems in transport. Arouses to painful stimuli briefly. Has a guardian, his daughter, she’s in route. Have a good one.” Smiling he handed off the paperwork to Taylor.
“Thanks. Alright Mr. White. Let’s see what’s going on with you.” She looked over his paper work starting once again protocol. CBC, CMP, CXR, UA, EKG, and cardiac enzymes ordered. VS stable and holding. Probably UTI. The effects of a UTI on the elderly could be detrimental.
Quickly she did a head to toe assessment. “Mr. White, my name is Taylor. I’m going to be your nurse today. Can you tell me if you’re hurting anywhere?” He didn’t respond but did wince with knuckle sternum rubs. Stable condition for now. All they could do was wait for results.
Sure enough, she wasn’t surprised to see CBC’s elevated at 13,000, and UA with positive nitrate. Mr. White admitted to 2F with a diagnosis of UTI. Would probably stay for a few days, get some IV antibiotics and go home.
The next several hours consisted of a 4yr old with a sprained ankle that took a lot of convincing to allow anyone to get an x ray. Not that Taylor blamed the little guy. His ankle was swollen and bruised and no doubt painful as he wouldn’t allow anyone to touch it and he couldn’t bear weight to it.
