Thursday, July 29, 2010

Butt Cracks and ECTs.

I kept a guy alive today. For real. It was a very bizarre feeling to say the least. Here is how it happened (be prepared for work lingo).

I floated to 4th floor today. On a 1:1 who goes for ECT treatments each morning. Since he was on a 1:1, I got to accompany him for his treatment. I have worked at my job for more than 12 years and have never seen an ECT treatment so I was a little nervous. They prepped him and began the treatment. The staff were amazingly nice, patient, and explained everything they were doing to me which was more than I anticipated. The RN who was handling the case explained the use of muscle relaxers which in turn paralyzes the patient for about 5 minutes. During this time, their lungs also become paralyzed so they lose the ability to breath. During the ECT process, the nurse has to breath for the patient by way of an "ambu bag". The RN summoned me to the head of this patient, and I got to breath for him. The importance of this did not register until the RN says:

"Ever kept someone alive before?"
ME: "No".
RN: "Well, you are now."

Wow! I had the power. I was God for one small moment. Well, not really, since if I did screw up in any way, there were several people around to make it right again. Sort of like Back Up Gods. Or maybe I was the Back Up God. Either way, it was awesome.....and scary. I believe I said at one point, "I don't think I should be doing this".

I was very afraid that I would pass out during the ECT procedure with visions of "One Flew Over the Cuckoo's Nest" in my head, which is actually quite similar to what I witnessed. But it wasn't as horrific as my imagination. Its amazing how quickly the patient recovers and experiences only temporary confusion. The doctor in this case seemed a little too eager to press the ZAP button perhaps achieving a maniacal thrill from inflicting a seizure inducing electric shock to a trouble causing patient.

Not more than 20 minutes later, I was back in 1:1 land with this man with whom I shared an unforgettable experience. In between moments of me telling him to pull up his pants to cover his over sized hairy butt crack, I was thinking about how I had saved his life. Actually I didn't save it; I just sustained it. Just another day at work for so many people, but it was an experience I'll never forget. The ECT treatmet that is; I'm hoping to forget the hairy butt crack before too long.

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