Anyone ever have a day like this?
Inpatient doctor ordered a CTA chest for PE yesterday on this elderly lady. She had a GFR of 30. Got the scan protocoled by a rad (took about an hour to finally hear back). The rad said to use visipaque. I then called the inpatient unit saying we were ready for the patient and asked what IV they had on her. They said they had a 20 gauge in her wrist. I told them per policy we cannot use that for an angio scan and they need to start atleast a 20 in the AC. An hour later they finally got an iv and brought her to CT. She had a nurse and an LNA with her. I flushed the iv and it was not even in a vein 🤦🏼♂️ I told the nurse and he said he’d call the inpatient doctor to come over and start one with ultrasound. This led to an hour long shit show of the doctor poking her 5-6 times unable to get a line started. Meanwhile her breathing started to dwindle and so the doctor said to turn the O2 she was on up to 4L and told me to go get a pulse oximeter. So I went over to the ER to ask for one. Of course while I’m in the ER they tell me they have X-rays waiting for me (I’m the only tech on for ct and X-ray at this point) and I told them what was going on in ct. The ER doctor said he would come over and help. We go back to ct and hook her up to the pulse ox and her O2 is 95% and dropping. The inpatient doctor attempts one more iv stick, fails and hands the reigns over to the ER doctor. At this point the inpatient nurses and doctor take off leaving me and the ER doc alone to take care of the patient. ER doc then tries 4-5 times to get an IV (keep in mind I have other patients to do but can’t because I’m helping him and this is all happening in the ct room). He finally gets what he thinks is a good line and goes back to the ER leaving me alone. I flush the one he got and it’s shit. No blood return, very hard to flush. I call him and he comes back and says he will try a new one. He goes to start another one and her O2 drops to 80%. I said to him “hey man her oxygen is getting low” he says to turn the 02 up to 6 and she will be fine. He then gets an IV and takes off again leaving me alone. I then have to slide this patient by myself because everyone is “too busy.” Luckily she’s light. I slide her and start the scan. And then of course, during the injection, the IV blew. Not at the site though. It was like up in her chest the vein blew. I called the inpatient doctor and he said just bring her back to her room. Bring her back and he’s all upset her O2 is now 80. Despite him and the ER doctor ignoring her dropping O2 while they were with me.
So yeah that’s how my day went. Rant over.
[link] [comments]
source https://www.reddit.com/r/Radiology/comments/xd8si7/what_a_day/
Comments
Post a Comment