I started out on Monday without a preceptor for the first time. I had a really easy assignment, a guy that we extubated and a sweet lady who was tubed but totally with it. The next day I had the easiest patient ever, who could've gone home. Finally at 3 I picked up a very sick patient, who immediately started desatting on me. We started turning up the peep and then cranking up the 02. She was too awake so I had to put her down farther, starting with fentanyl boluses and then I was thinking about hanging up the propofol again. When I double checked with another nurse, that's exactly what he would do! Yay, I was so excited! I was thinking the right way!
We'll just have to see what tomorrow brings.