So we made it back in one piece.... walked through the door at home 18 hours after checking in at the Vegas airport. It was so nice to climb into my own bed with the million thread count sheets and not hear sirens and tour helicopters (or slot machines). I don't know how long I slept, but it was wonderful.
Back to work.... SSDD. I was actually really surprised that the same damn patients were still there. We got a trauma patient who wrapped his car around a tree..... he was a white guy with LONG rastafarian dredlocks. Seemed cool... at first. He was upset because he found out that the babymomma was fucking his best friend. (Interesting when they have a 5 month old child. Things that make you go Hmmmmmm...)
So he was normal when he arrived. He had a fractured clavicle and a really bad spleen laceration. (No head injury, he was just hanging with us since there were no other ICU beds)When he found out that he wasn't getting loaded with dilaudid he flipped, big time. He was yelling, swearing at his nurse (the most sweet, naive biggest Christian nurse in the place) and threatening to walk out. This was also when the babymomma came to see him and when she had to leave during rounds, starting banging on the ICU's door. We could hear her screaming from the report room!
When I came back the next evening there was more drama. Apparently, shithead went to angio for a life-saving procedure to prevent his spleen from continuing to bleed. Part of that involves getting a foley to measure urine output. So he acted like a horse's ass when they were putting the foley in (later stated because he had past "issues") Issues or not, I doubt that justifies trying to hit the angio nurses. They were unable to get his foley in and had to call urology to do it.
So...... when he didn't get the amount of pain medicine that he wanted during evening shift he called the police. His reasoning... the angio staff had sexually assaulted him and he wanted to press charges. Grrrr..... I am glad I wasn't involved in that. So we will see what kind of windfall will come from this. My hospital is the biggest bunch of kneejerk motherfukers... I'm sure there will be a new policy that allows the patient to run the place and we function as their bitches.
I'm going back out to high schools this week to do the 'Don't Drink and Drive' thing. Sometimes it feels like a futile attempt, but when we see these kids all broken to pieces and dying its hard not to try anyway.