
At work, we rotate call so that we each take it a week at a time, which means with six of us, we are only on call for a week every six weeks. We get paid a flat rate/hr for taking call and then if we get called in, it is time and a half. I was not on call this weekend, but as I said, the nurse who was on call had never done a critical vent patient by herself, and so I was her back-up. I was there Saturday night from 9:30PM until 2:45AM, and then back on Sunday morning at 8:30AM to 11:30AM and again from 2:30PM until 5:30PM. When I got home Sunday, I was beat, and took a long nap. I went to bed Sunday night and awoke refreshed Monday morning, ready to go to work.
I worked all day Monday, and got into bed around 10:30PM. I was not sleeping well, and was tossing and turning, trying to get to sleep, when the phone rang at 12:30AM... uh-oh. Then I remembered that
my call week started Monday. I saw the caller ID and knew it was the hospital. I truly had not even really been to sleep good. "We have a house fire victim with smoke inhalation injury and a load of carbon monoxide who needs a treatment."
I slogged out of bed, got dressed, brushed my teeth, told hubby who was awake by then that I had to go in, and headed to to hospital, 40 minutes away. I arrived by 1:15 and we got the patient up from the ER and in the chamber by 2AM. I think my brain was just on autopilot at that point. He was sick, really sick. The MD and I finished his treatment and I called the Shock Trauma Unit to come help me transport him up there around 5:15AM.
I got back down to our department and started the cleaning up of everything to be ready for our Tuesday morning patients. Finally, at 5:45, I went to one of our exam rooms, fell on the bed, and tried to sleep. My eyes were binging around in my head, the adrenaline still flowing. I must have sort of fallen asleep, as I awoke at 7AM with the sound of our tech arriving to open the unit. Once I was fully awake, I headed back to the HBO area to give report to our
CHT, and told him I'd stay to help get the other critical patient in we dove over the weekend. By the time
CSICU got him down to us, and we got him in, it was 8:15. Finally, the adrenaline was slowing and I knew I had to go, before I would not be able to drive myself home. I left the parking garage and got home around 9:30 Tuesday morning. Believe it or not, I ate a sandwich before fully crashing into my bed, and sleep finally overtook me. It's been a blurry, blurry few days. And, although the 20 hours of time and a half will surely help in filling/landscaping the pool, I am praying (really praying) for a quiet weekend.