I heard that the children of relatives reported for the nursing major of a college in the college entrance examination this year, and I couldn't help but feel deeply sorry for them.
Such a high score, you can completely apply for a good major. Relatives said, girls, be a nurse clean, not tired, very good. I said how not to be tired, how do you know not to be tired? He said, isn't it just injections and hair medicine? Where can I get tired?
In life, people always feel that nurse work is more stable, and not tired, relatively clean. But this is only a superficial phenomenon, where do they know? The hardships of being a nurse, especially the heartache of being a clinical nurse, especially a shift clinical nurse.
Below is a senior nurse of mine, telling the story of my night shift.
Today, I was on the night shift, and as soon as I walked through the door of the ward, I heard a rhythmic sound of "ding, ding, ding", which was emitted by an ECG monitor. An inexplicable trouble surged up in my heart, "Alas, there are patients in custody, and this night is difficult again."
I am a nurse in a primary hospital, working in the cardiology department, has been nursing for seven years, three shifts, day shift - small night shift - big night shift. Today is the big night shift, from 11 pm to 8 am. Usually, they come at ten o'clock so that the colleagues on the night shift can leave work early.
Coming to the nurse's station, Xiao Liu, a colleague of the small night shift, was writing the shift. Her boyfriend came to pick her up from work and sat and waited. I glanced at the laboratory test sheets on the desk, estimated that there must be about a dozen people drawing blood for tests, and couldn't help but sigh: "So many blood drawn"! Xiao Liu said: "Yes, there are 7 patients, one acute myocardial infarction, tomorrow there will be you busy." "It's annoying, it's annoying!" I muttered.
The items and medicines on the shift were counted, and the two were transferred to the ward together. From one ward to another, a total of 14 wards, light patients passed by, focusing on the handover of newly hospitalized and serious patients, the condition of newly hospitalized myocardial infarction patients is still relatively stable, I am slightly relieved. After handing over the shift, Xiao Liu and her boyfriend hurriedly left.
I started tidying up the office, cleaning up, and mopping the floor. Prepare the medications and supplies you need if you come to rescue the patient (I have this habit, afraid that if I come to rescue the patient, I will delay the rescue. I wasn't so careful when I first started working, and the longer I went to work, the more timid I became.)
Tidy up the work that needs to be done in the evening and tomorrow morning. Tomorrow morning, the work that can be done in advance will be finished this evening. In fact, it is not allowed to do this, there is no way, or too much work in the morning can not be finished. Then lock the door to the ward. I looked at the myocardial infarction patient again, and the condition was relatively stable. Look at the table it's already past 12 o'clock in the evening.
I sat in my chair and looked at the waveform of the ECG monitor (that is, monitoring a patient with a myocardial infarction). Put the four chairs in a row and take out the pillows and quilts. In the past, the nurse's office was closed, the door could be locked at night, and it was not cold in winter, and it was relatively safe. Now it has been changed to a nurse's station, there is no door, it is completely open. But I can't take care of that much, because it's too cold. I spread the quilt half over and half covered it and rested in my chair for a while.
Night shifts are not allowed to sleep. But we are a small hospital, not so busy, if you are fine, you can sneak a nap for a while, but in case the hospital leader suddenly comes to check.
I leaned back on my pillow and listened to the ding-ding, clanging sound of the monitor, without a hint of drowsiness. Inside the heart, I cover each patient from beginning to end, thinking about which patient is more serious, which patient is a "time bomb", there is a danger of sudden death at any time, pay more attention...
It was windy outside, and the shadows of the trees swayed and were imprinted on the walls.
The wind blew so loud that the gate of the ward was so loud that I always wondered if someone was pushing the door outside. Very cold, do not want to move, but not at ease, or climb up to see, it is the wind blowing!!
There was a coughing sound coming from the ward, and the cough became more and more severe. I found three licorice tablets, gave them to him and instructed him to put them in his mouth, which the doctor had instructed beforehand. After a while the coughing slowly stopped.
I lay in my chair confused. Suddenly there was a sharp knock at the door, and I jumped up and picked up the key to open the door. Dr. Wang of the emergency department pushed a flat cart with a patient lying on it. "Acute extensive anterior wall myocardial infarction," Dr. Wang said as he pushed forward.
So immediately arranged the ward, ECG monitoring, blood draw... Suddenly the patient's face is blue and convulsive, not good, ventricular fibrillation, quickly take the defibrillator, defibrillator, how is the defibrillator missing? I was so anxious that my blood rushed upwards, and suddenly a sharp bell woke me up.
It was a dream, I was glad, my heart pounding. It turned out that the patient with myocardial infarction in the rescue room had run out of fluids, and the family pressed the call bell.
After changing the patient's fluids, he tested the patient's vital signs again and asked about the patient's situation. Looking at the watch, it is almost two o'clock, and it is time to send two o'clock time medicine.
I went through the ward from beginning to end, and by the way, I sent time medicine, and five patients took time medicine.
Night tour of the ward is also skillful. The patient who likes to snore the most, because as long as he snores, it means that he is still alive.
However, some patients sleep too lightly, there is no movement at all, you can't see the ups and downs of the body, you have to put your face in front of her, listen quietly, you really can't hear, you can only touch her pulse with your hands. At this time, some patients will wake up and be frightened. And you can conclude at this point that he is still alive.
So I went to see the next patient. No way, cardiology patients often have sudden death. So you have to be careful, and be careful. Just let you know he's alive.
Hey, why aren't the 40-bed patients there? I was still there when I just handed over, where did I go? In the hallway, on the balcony, in the water room, there was no one.
Just saw a male family member who was in bed with him come out and told him to go to the men's restroom to see if there was anyone? Go see, no one. The door was locked, couldn't get out, the door to the balcony was open, we were on the 4th floor... I panicked.
I remembered that two days ago, there were patients who jumped off a building in a ward, and their minds were full of bloody scenes, and their bodies began to sweat.
Looking downstairs, it was pitch black, nothing could be seen, and then one ward after another was looking for a ward, and I didn't find it in a circle. I went back to bed 40 and saw that the patient was lying on the bed.
I went up to him and asked, where did you just go? He said he couldn't sleep and went to the balcony to smoke a cigarette. I said how come I didn't see you on the balcony? He said it was where the balcony turned. I said you scared me to death, a false alarm.
Toss this circle. It was almost 4 o'clock when I came back, Wrote a special care record again, and lay down again.
Just lay down and heard someone knocking on the door, is it a dream? Is it the wind? No, there was really a knock at the door. Hurry up and go out to see the little Nurse Li in the opposite ward, sweating. "There is a rescue patient, the blood vessels are particularly thin, there are several stitches without liquid, come and help me." "I'll go as soon as I talk to the doctor."
It was smooth and to the point.
Finally able to lie down for a while. In a trance, how did the director of nursing stand in front of me with a group of people? It's checking again! I think of it, but I can't get up... Another dream.
Every night shift, as long as I fall asleep, I have such a dream. Either the patient came, or it came for examination. Never have to worry about waking up and going to the alarm clock. Because I would wake up at any moment. But being able to dream means that this night shift can sleep for a while, which means that this night shift is not busy.
At about half past five, thinking that I would have a lot of work this morning, I got up. Draw the blood first, and send the thermometer by the way. Most of the patients were still asleep, a little upset, muttering, how could it be so early?
Then there is the blood pressure measurement, the thermometer, and the in and out of the amount. More than 50 patients, some family members are still busy, but also to measure blood pressure, do not know that we are very busy?
Then it's about drawing body temperatures, writing special care records, and so on, and finally writing shifts. It is written that there are diabetics who want to take insulin, and there are several queues, just draw blood is not there, heparin calcium, blood pressure measurement ... Finally it's all done.
A look at the watch is about to turn over. Colleagues came and asked how was the evening? I said it was fine, nothing, just a little bit of a bluff. After the shift, today is Wednesday, Director Zhao wants to convey the council, at least half an hour to stand, hey.
Finally, there is the bedside shift. One patient and one disease are handed over. The uncle of the 7-bed bed was complaining again: "Sleeping soundly, a pair of cold hands woke me up, and when I opened my eyes, A person in a white dress stood in front of me... Measure your blood pressure..." Haha, everyone laughed, and I laughed too.
It was 9:30 after the shift. It's finally time to leave work. After changing clothes, walk out of the hospital. It was sunny outside. The good day has begun again.
This is one of my night shifts, an ordinary night shift, a relatively unherolent night shift, a night shift that makes my colleagues envious. Because there was really no major event, no patients were rescued, and there were no new hospitalized patients.
As a clinical nurse, it is really hard, this is not counting the meticulous movement of rescuing patients, not counting the frequent examinations with various names, competitions, coping with various examinations, various rounds, all kinds of patients' difficulties, frequent meetings on and off the night shift, the need for family pick-up and drop-off on shifts, biological clock disorders, never holidays...
But it is not that working as a nurse has no advantages, compared to working in a factory, or engaging in sales and the like, the work is still relatively decent and stable. In terms of marriage and love, it is still relatively advantageous. If you are willing to suffer hardships, it is also more promising.
I would like your reading, I am a nurse diary, if you like, remember to click down to pay attention.