Kirsten, It seems like I write too many of these emails to you. Yesterday Julie, Kathy and I were in psych with 4 pt for most of the time (I got back there at 1). We started with 6 pt, but quickly got down to 4 shortly after Amy and I had switched. 10 had been on seclusion all day and the others were very compliant, although one of them had FYI's. We had just received a new pt in room 8 who was settled and speaking with an advocate, room 9 was asleep, 10 on seclusion and 11 was in the shower but compliant at the time. I was sitting in front of 12 and 13 (who was medical). The pt in 12 had been sleeping most of the day and not in need of a lot of staff support. He did come to the door to ask for something but I couldn't hear him. I got
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A quick glance at the camera I observed staff having difficulty getting the pt in a good position on the bed due to his size. Gina and April (security), MD Gillette, Nancy RT, RN Jaime H, Abby, Jamie C and I (there could have been more) were trying to get the moved up in bed. I went to head of bed with Gillette to help pull pt up. An OPA was inserted but the BVM hadn't been taken out yet so I grabbed it and gave it to Nancy then I hooked it up to O2. Nancy said she needed help holding the mask to get a seal. I took over bagging, Gillette held and Nancy went to get her ventilator set up. Kathy came to the doorway of 13 and said "you need to clear, I need your help over here." I said that Amy just walked by and could help. I looked over and noticed we didn't have any suction in the room. I asked Eva to go get suction. Thankfully Gillette is awesome at intubating and got it without suction. I continued to bag while Nancy set up the ventilator. Nancy placed the pt on the ventilator, but it was not working. I continued to bag while Gillette was ensuring tube placement. There was a prolonged period that the ventilator was not working so the pt needed to be bagged. Pt was moved to 16 and assisted staff in rolling the pt for x-ray. I then cleared and returned to
A quick glance at the camera I observed staff having difficulty getting the pt in a good position on the bed due to his size. Gina and April (security), MD Gillette, Nancy RT, RN Jaime H, Abby, Jamie C and I (there could have been more) were trying to get the moved up in bed. I went to head of bed with Gillette to help pull pt up. An OPA was inserted but the BVM hadn't been taken out yet so I grabbed it and gave it to Nancy then I hooked it up to O2. Nancy said she needed help holding the mask to get a seal. I took over bagging, Gillette held and Nancy went to get her ventilator set up. Kathy came to the doorway of 13 and said "you need to clear, I need your help over here." I said that Amy just walked by and could help. I looked over and noticed we didn't have any suction in the room. I asked Eva to go get suction. Thankfully Gillette is awesome at intubating and got it without suction. I continued to bag while Nancy set up the ventilator. Nancy placed the pt on the ventilator, but it was not working. I continued to bag while Gillette was ensuring tube placement. There was a prolonged period that the ventilator was not working so the pt needed to be bagged. Pt was moved to 16 and assisted staff in rolling the pt for x-ray. I then cleared and returned to