June 2022
Stacey
VanDyke
,
BSN, RN
Nursing Resources
Salem Health
Salem
,
OR
United States
If it was not for the quick and critical thinking and amazing care Stacey gave, and her advocacy for the patient and what she thought was wrong, the patient he may not have survived.
Stacey was asked to charge NTCU this day due to a lack of charge resources. Stacey has charged many units in the hospital due to her leadership skills and strong nursing. Stacey is a strong nurse with great clinical skills and floats to ICU at least once a week which has increased her skill set and made her a valuable asset to this organization. A young 39-year-old patient came back from back surgery. The nurse came out of the room asking for help. Stacey went in right away and found the patient with no color and the patient was going in and out of consciousness with agonal breathing. Stacey acted quickly due to the possibility of code blue. The code blue button was pushed and the primary nurse started compressions while Stacey ran for the code cart. Code blue was called but no one ever got the page. Several minutes went by with no additional help. The patient was placed on monitor and Stacey immediately gave epi due to her ACLS skills, training, and knowledge. The patient immediately got return of circulation after the epi dose. Stacey believed the patient was in hemorrhagic shock. At this point, there is still no support at bedside yet, no MD, no RRT. Eventually, the page finally gets called overhead and people come to help. The MD arrives but still no RRT. TRACS (Trauma and Acute Care Surgery) finally comes to bedside and patient needed rapid fluid boluses and then rapid transfusion. Stacey ran to the blood bank for a trauma pack while other staff were assisting with the code. When epi wore off, the patient was again in and out of consciousness. A massive transfusion was started. The provider is grateful that Stacey was there and able to start everything so quickly. TRACS at bedside and Stacey reported that she believed the patient was bleeding out. Stacey suggested that the patient needed to go back to OR for compartment syndrome. TRACS wanted to take the patient to CT, but the patient was too unstable to take there with chance of coding again. The patient went straight to OR with over 1 liter of blood taken from his abdomen due to iliac artery bleeding, was taken back to surgery that night for compartment syndrome, and received fem bypass and several fasciotomies. This patient ended up needing over fourteen surgeries over the course of his stay. If it was not for the quick and critical thinking and amazing care Stacey gave, and her advocacy for the patient and what she thought was wrong, the patient he may not have survived. Stacey is a great nurse who always advocates for her patients. She is knowledgeable and always wanting and eager to learn new things. She is a great resource no matter what floor she is on. She is compassionate to her patients and her peers and always gives compassionate care. Stacey was clearly in the right place at the right time and was able to act quickly. Stacey absolutely deserves the DAISY Award. Float pool can sometimes get overlooked and thank God Stacey was on NTCU on this day.