May 2022
Critical Care Team
at Sentara Obici Hospital
Multidisciplinary
Sentara Obici Hospital
Suffolk
,
VA
United States
Dr Kathryn Brim Hicks
Dr Abhishek Agarwal
Dr Ghias Ahmad Rana
Dr Glanville Miranda
Dr Brian King
Robert Regan, BSN, RN Intensive Care Unit
Paula Gillian, RN 1MO
Ashley Atkinson, RN Intensive Care Unit
Hayley Wiggins, RN Intensive Care Unit
Jessica Albarracin, RN Intensive Care Unit
Racheal Silva, RN Intensive Care Unit
Chay Smith, RN Intensive Care Unit
Madison Jones, RN Intensive Care Unit
Dawn Raiford, NCP Intensive Care Unit
Kelly Beale, RN Patient Care Supervisor
Kristen Cornwell, RT Respiratory
Barb Leonard, RT Respiratory
Shianne Smith Nursing Student (Will be joining ICU in May)
Dr Abhishek Agarwal
Dr Ghias Ahmad Rana
Dr Glanville Miranda
Dr Brian King
Robert Regan, BSN, RN Intensive Care Unit
Paula Gillian, RN 1MO
Ashley Atkinson, RN Intensive Care Unit
Hayley Wiggins, RN Intensive Care Unit
Jessica Albarracin, RN Intensive Care Unit
Racheal Silva, RN Intensive Care Unit
Chay Smith, RN Intensive Care Unit
Madison Jones, RN Intensive Care Unit
Dawn Raiford, NCP Intensive Care Unit
Kelly Beale, RN Patient Care Supervisor
Kristen Cornwell, RT Respiratory
Barb Leonard, RT Respiratory
Shianne Smith Nursing Student (Will be joining ICU in May)
A "Team" is defined as a group of people coming together to achieve a common goal. This is exactly what happened one afternoon in January. Paula, RN from 1MO, rounding on her patients heard moaning from a patient room. Paula Gillian, RN entered the room and the moaning stopped, the patient went unresponsive. Paula immediately called a MRT to get some extra help. The MRT arrived led by Robert Regan, RN. The MRT team arrived soon after, Dr. Brim Hicks, Kelly Beale RN, Barb Leonard RT, and Kristen Conwell RT. Assessments were completed and labs were ordered, IStats were ran where it was identified that the patient’s H/h had dropped almost 4 points. Rob, Kelly, Paula, Barb, and Dr. Brim Hicks immediately transferred the patient to the intensive care unit. Upon arrival to the ICU, the team starting taking immediate action to stabilize this patient. Jessica and Paula started bedside report while Hayley started large bore ultrasound-guided IVs. At this point, the massive blood transfusion order set was placed. Rob, Dawn, and Madison grabbed our new rapid infuser and took it to the room. Rob and Hayley started to set it up and prime it to get our patient the much-needed volume she was in need of. Kelly our PCS ran and obtained the first unit of the blood to be transfused. Our patient's BP was still dropping and we needed the blood and fluids to get into her quickly if we wanted the outcome to be positive. Rob and Hayley started verifying Blood and hanging on the Rapid infuser as Jessica started vasopressors with the assistance of Madison to ensure we could keep her BP within a safe range. What felt like hours had only been a few minutes. Everyone knew where they belonged and what their jobs were. Dr. Agarwal appeared and quickly started working on a central line with the assistance of Ashley. Racheal and Chay started additional fluids. Respiratory was standing by in case we would have to emergently intubate our patient. As the blood product was ready to be picked up from the blood bank the team would just run, ensuring to make it known to everyone who was going to get the next set of blood. While this is going on and everyone running in and out of the room to get more supplies, the ICU still was full and nine of them were on vents. The team worked tirelessly to infuse 12 units of blood products and 8 liters of fluid to ensure we kept her BP in a safe range. Dr. Rana, Dr. Glanville, and Dr. King came to the bedside planning to take this patient back to the OR emergently to locate where the patient was bleeding from. By the time the OR team had arrived the ICU teams had fully fluid resuscitated her and had her stable enough to return to the OR. A few hours later our patient came back to the ICU intubated, she went from a partial hysterectomy to a total hysterectomy. Over the next few days, more blood was given, vasopressors were titrated down, oxygen requirements were decreased and the patient was finally extubated. She didn’t understand what had happened or what had taken place, with her husband still bedside he stated “Thank you all who saved my wife, the mother of our child's life, I can’t say thank you enough”. Our patient later transferred out of the ICU and later was able to go home.