Yesterday I was at work... Like always.
I went up to do a STAT blood draw on a patient on the general medicine unit... Upon getting to the patient's room, I see him sitting on the edge of the bed slightly pallor and he just looks like he's nauseous. I didn't think anything of it since majority of the patients look nauseous but then I noticed a heavy iron smell.
I juggled in my phlebotomy cart and introduce myself... I notice he's swaying almost like he's drunk. He says, "I am feeling really light headed." And starts swaying even more then passes out right in front of me. As he passes out towards the foot of the bed, I notice that 50% of his bed is covered in fresh blood and that would explain my iron smell.
I don't even think twice. I go over and hit the STAT staff assist button in the patient's room and get out of the way. 5 or 6 RNs come running asking,"What do you need help with?"
"He passed out talking to me, and his bed is covered in blood."
They start working on him and I leave the room. I was worried he was going to code or something so I just hovered outside of his room waiting for a few minutes. When nothing happened, I went to a few different patient rooms on the same floor and walked past his room and heard the doctor say, "He had a colonoscopy today but his hemoglobins have been within normal limits." and as I walked by his room he was on his phone, "... I passed out from blood loss." I was happy to see my patient alive and talking.
I proceeded back down to the lab. With the amount of blood I saw, I figured they wouldn't be needing the hemoglobin I was there to draw and that they would just start a transfusion right away. The floor called down to the lab and said they would be wanting that hemoglobin I was there to draw initially. I called them idiots and went back up there to draw his blood hoping we wouldn't have another problem.
Upon entering the room I attempted a new conversation with him.
"You seem to be doing a little bit better. How are you feeling?"
"I think I am okay. I am feeling a bit better. You are my angel. Can you imagine what would have happened if I were at home or if I were driving?"
"Don't think about that. You are here and you are alive."
He then told me he had a colonoscopy and they removed a polyp. I said it's possible that they nicked something or the polyp was attached to a blood vessel. The poor thing would be having a follow up colonoscopy tomorrow morning. I felt rather bad for him but smiled and told him it would be okay.
He thanked me again and I proceeded about my blood draw. For the next hour I remained in a semi dazed shock simply because the 5th floor is one of those floors where you never know what is going to happen. The RNs and CNAs are some of the laziest ones I know... If I didn't happen to walk into the room when I did, the RN or CNA may not have checked to see how he was doing for an hour or possibly more and who knows what would have happened then.
And that my friends, is how I saved a life.


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