poetic justice
So it's become really hard for me to post on here these days with working so much and the house and everything else, but this was too good for me to not post. I have to say, days like this makes me so glad that i work where i work. ^^*
Today a mid 50s female presented at the ER in SVT (sinus ventricular tachycardia which means her heart rate was really high) at 231 bpm. We of course put an iv line in her, give her a medication which converted her back to NSR (normal sinus rhythm) and was in the process of admitting her to the hospital. All of a sudden she comes to see her nurse and tells them that she wants to leave AMA (against medical advice). The nurse tries to persuade her that this is not a good idea and that she needs to stay at the hospital. But she is determined to leave AMA. The doctor reluctantly signs the AMA forms and the pt leaves.
About thirty minutes later we see the nurse looking very confused around the ER. She is opening all the shelves and drawers, going into the pt rooms and doing the same and going to fast track and checking there. I ask her if everything is ok and she tells me that she can not find her wallet. For almost 30 minutes, the rest of the staff attempts to locate her wallet to no avail, and we must assume that the wallet has been stolen from behind the nursing station. At this point, the ER secretary states that she saw the pt who was SVT behind the nurse's station at that area. We of course begin to suspect the pt of stealing the wallet but there is no way for us to prove that she did it and regardless, what are we going to do, go to her house and accuse her. The nurse gives up thinking that all is lost. The nurse calls her bank and cancels all of her credit cards. During the course of this time, she discovers that someone has used her credit card at a local gas station. Sadly, she moves on thinking that her wallet is lost.
A few hours later we look on the triage section of our ER and see another presentation of a mid 50s female in SVT. We think surely the pt would not come back to the scene of the crime!?!?!? Well, the pt comes back to the ER and sure enough, it is the same female that presented before with SVT. Without saying a word, we start the IV again, give her medication to convert her back into NSR and begin the process of admitting her. During this time, her previous nurse tells our officer in the ER what happened and the officer starts the paperwork to file a criminal report. I nonchalantly go into the room and ask her what kind of car she drives because someone's light is on and she tells me. The officer and the nurse goes to the car with flashlights and looks for her wallet but can not find it. At this point there is still some doubt in everyone's mind as to whether or not she is the true culprit, so the officer is attempting to be very careful. Then the triage nurse comes to the main ER just to visit. When she hears about everything that has happened, she says that when she asked the pt where they were at when the SVT started again, she told her she was at a gas station putting gas in her car! :)
Well, by this time other officers have arrived at the hospital and the pt has already been admitted to telemetry for reoccurring SVT. The officers go up to her room and blatantly asks her if she knows where the nurse's wallet is without letting her know that they know one of the cards have been used. . The pt states that "she may have found a wallet on the floor, and that it may be in her car". The pt gives the officers her car keys and they come down to the parking lot and go through the pt's car. As expected, the wallet was found. What was not expected.... a pound of MJ was also found in the back seat of her car and she had a leak in her gas tank. :)
So on her medical chart, on the very front, there is a note for the police to be called before the pt is to be discharged. Teeheehee... lesson: don't mess with a nurse's belongings.
Today a mid 50s female presented at the ER in SVT (sinus ventricular tachycardia which means her heart rate was really high) at 231 bpm. We of course put an iv line in her, give her a medication which converted her back to NSR (normal sinus rhythm) and was in the process of admitting her to the hospital. All of a sudden she comes to see her nurse and tells them that she wants to leave AMA (against medical advice). The nurse tries to persuade her that this is not a good idea and that she needs to stay at the hospital. But she is determined to leave AMA. The doctor reluctantly signs the AMA forms and the pt leaves.
About thirty minutes later we see the nurse looking very confused around the ER. She is opening all the shelves and drawers, going into the pt rooms and doing the same and going to fast track and checking there. I ask her if everything is ok and she tells me that she can not find her wallet. For almost 30 minutes, the rest of the staff attempts to locate her wallet to no avail, and we must assume that the wallet has been stolen from behind the nursing station. At this point, the ER secretary states that she saw the pt who was SVT behind the nurse's station at that area. We of course begin to suspect the pt of stealing the wallet but there is no way for us to prove that she did it and regardless, what are we going to do, go to her house and accuse her. The nurse gives up thinking that all is lost. The nurse calls her bank and cancels all of her credit cards. During the course of this time, she discovers that someone has used her credit card at a local gas station. Sadly, she moves on thinking that her wallet is lost.
A few hours later we look on the triage section of our ER and see another presentation of a mid 50s female in SVT. We think surely the pt would not come back to the scene of the crime!?!?!? Well, the pt comes back to the ER and sure enough, it is the same female that presented before with SVT. Without saying a word, we start the IV again, give her medication to convert her back into NSR and begin the process of admitting her. During this time, her previous nurse tells our officer in the ER what happened and the officer starts the paperwork to file a criminal report. I nonchalantly go into the room and ask her what kind of car she drives because someone's light is on and she tells me. The officer and the nurse goes to the car with flashlights and looks for her wallet but can not find it. At this point there is still some doubt in everyone's mind as to whether or not she is the true culprit, so the officer is attempting to be very careful. Then the triage nurse comes to the main ER just to visit. When she hears about everything that has happened, she says that when she asked the pt where they were at when the SVT started again, she told her she was at a gas station putting gas in her car! :)
Well, by this time other officers have arrived at the hospital and the pt has already been admitted to telemetry for reoccurring SVT. The officers go up to her room and blatantly asks her if she knows where the nurse's wallet is without letting her know that they know one of the cards have been used. . The pt states that "she may have found a wallet on the floor, and that it may be in her car". The pt gives the officers her car keys and they come down to the parking lot and go through the pt's car. As expected, the wallet was found. What was not expected.... a pound of MJ was also found in the back seat of her car and she had a leak in her gas tank. :)
So on her medical chart, on the very front, there is a note for the police to be called before the pt is to be discharged. Teeheehee... lesson: don't mess with a nurse's belongings.