Sunday, October 30, 2011

Taking Shifts

I am currently home for the night and Frank is with Kellsey at the hospital. He brought the kids up for a little bit so they could see her and then I took them back home and got them to bed. We have a very busy week this week!

Today has been very long and frustrating. Kellsey is not really doing any better. She still has a fever, still looks like she doesn't feel well, and she has a spreading read spot on her stomach.


They've been using the pens to mark how much it's spread... the inside one was from last night, the next one was from this morning and the outer one was from early this afternoon. It's spread even more since then and is starting to wrap around her back. The on call surgeon thinks it's cellulitis, her ped isn't so sure. They're not agreeing on much today though... 

Her ped was ok with letting Kellsey come home tomorrow with a PICC line in and get her antibiotics at home. They're not really DOING much for her there beyond administering the antibiotics. We've done PICC lines before, we could take care of it easily. He also knows about Kennedy's surgery on Tuesday and realizes we can't be in 3 places at once. I was definitely ok with this plan! 

The Mr. on-call surgeon nixed the idea and said that if I needed to go to Denver for Kennedy's surgery and Frank needed to be with the other kids, then we could just leave Kellsey in the hospital alone. WHAT?! I said, "Ummm NO!" He proceeded to tell me that parents do it all the time. That's great. I'm not one of those parents. No child of mine is being left alone in the hospital, sorry! Especially because when we were there last week, one day post op, a nurse came in and offered Kellsey juice. To a girl who's allergic to fruit AND aspirates on thin liquids AND was NPO at the time. When I pointed to the huge red allergy band on her ankle and the memo about NPO on the wall and told her that she aspirates, she just said, "Oh. I didn't know." This was HER nurse. Why wasn't this info in her file? And if it was in her file, why did her nurse NOT know?! Yeah... I think it's a GREAT idea to leave my non-verbal 4 year old with allergies who nods yes to anything you ask her ALONE in the hospital. Good plan, doc! NOT! GRR!! After I freaked out a bit, Kellsey's awesome day nurse, who we also had last time and were SO happy to have again (this was NOT the one who offered her juice lol) assured me that Kellsey's ped is the one who is in charge in this case and he has the final say. She said that when she talked to him later, she would reiterate how important it was to us to go home, if he felt Kellsey was safe enough to do so. 

Anyway, they started Kellsey on Clindamycin and Gentamicin a little before noon today. Turns out she's allergic to one of those meds! She broke out in a rash all over her arms, legs and back... and probably her tummy too, but we couldn't tell since she still has a rash from the Betadine from surgery on Tuesday... turns out she's allergic to that, too! Since they gave the meds back to back, they weren't sure which one she was allergic to, but they guessed that the Clindamycin was the culprit because it is more commonly one that people are allergic to. SO they have now swapped that one out for Rocephin, but because of the allergic reaction it threw the ped's idea out the door for her going home tomorrow. Bummer. 

So, Frank came up and swapped places with me. Right after I left there was a shift change and this night nurse is about to give me a panic attack. She's undoing everything that's been done. NOT reading Kellsey's file AGAIN, and I'm not there. I know Frank had to be very firm with her and wrote down all the things that she CANNOT do with her in regards to allergies and skin sensitivities and brought up the fact that some of the nurses there do NOT communicate with each other and that could be VERY dangerous for the patient. He asked her if she knew she was allergic to fruit. She didn't. He also asked if she knew that she couldn't have liquids by mouth... as she was about to administer Tylenol. She didn't. If I know my husband, every nurse on that floor will know it now. HA! It's just frustrating. These are important things. I don't expect them to know her favorite color or even remember what size diaper she wears, but if they're coming in in the middle of the night to administer meds to a kid with a G-Tube, you might want to double check before giving those meds orally. Just sayin'. 

OK enough venting from me tonight. I am heading to bed. Tomorrow I'm going to hang out with my kiddies here and then my friend Carmen is coming over and we're going to take the kids to the hospital to see Kellsey really quick so they can get a group Halloween picture done in their costumes. Not sure we've ever had one with a hospital room background before. HA! I guess I'll have to think of a creative story to go with it. Then Carmen and I are taking the kids trick-or-treating in her neighborhood. 

Frank will be staying one more night with Kellsey and then coming home early Tuesday morning when Carmen will swap places with him and sit with Kellsey for a bit. Frank will get Kameron to school and then he and Keeghan will head back to the hospital so Carmen can go home, and they will hang out there for the rest of the morning. Then my friend Donna will be sitting with Kellsey for a bit in the afternoon. Meanwhile I'll be in Denver with Kennedy while she gets her ear tubes put in. I'm so thankful this worked out so we didn't have to reschedule! I was really stressed about this because I didn't know if I'd be able to get her back on the calendar before Frank deployed. Thank God for friends! THEN if Kennedy is feeling ok (which she should be, she usually bounces back really quickly from ear tubes) and Kellsey is STILL not home, I will go back to the hospital with her and Frank will come home with the kids. Hopefully by Tuesday afternoon though she'll be feeling much, much better!! 

If you got this far and listened to all my ranting, thanks! I needed to vent! Please keep praying for Kellsey. She has a ways to go yet! 

25 comments:

Zoey's mom, Heather said...

Rant away. It's good for the soul.

Praying for your sweet girl. Hoping that tomorrow is a better day.At the very least, heading in the right direction.

Shari said...

I am so sorry Renee! I have been praying and will continue. I can't believe some of those medical professionals you mentioned. That's scarey and dangerous.

Jennifer Lane said...

Praying for you all!

Penny's Peeps said...

Been out of touch...had no idea this was going on! Praying!!

RK said...

I would be a little panicky about the lack of communication, especially about allergies. We generally get asked about 18 times every time we do anything!

Praying that all goes smoothly and you're all home together with a recovering Kellsey very soon!

Junior said...

Praying for all of you and that Kellsey is home soon.

Lynn said...

OH what a mess! Can't even imagine how frustrating this must be!
Know that you're always in my thoughts and prayers!
Psalms 28:6-7 Blessed be the LORD, because he hath heard the voice of my supplications. The LORD is my strength and my shield; my heart trusted in him, and I am helped: therefore my heart greatly rejoiceth; and with my song will I praise him.
Prayer Bears
My email address

Katrina said...

Still praying for your family Renee. So sorry that your sweet little girl has to go through this. What a hectic week. Praying you get some better night nurses.

Katrina
Carlene's soon to be momma :)
www.operationorphannomore.blogspot.com

Blogging Friend said...

Renee,

I would bet you that Kellsey has cellulitus or even possibly a staph infection. Either one is very serious as I am sure you know. I know you want her home because life would be easier for you but do not let them discharge her for that reason, especially now. She needs to be watched on both Antibiotics in the hospital for at least a couple of days but most of all that area needs to be kept an eye on. Hopefully her surgeon is there tomorrow and can make his own judgement.
I know this pediatrician is new to you but how well do you like him? I know I have not met him, but I cannot believe she is still running a temp and he was willing to send her home. That is not right at all. (I know I was not there and maybe I am jumping to conclusions and am wrong. I hope so!).
If she is not better in a few days consider having her sent to Denver Children's hospital.
This really is scaring me. Of course I worked with very sick kids and I saw the worst so forgive me for freaking out. LOL!!

I hope she is better tomorrow, then I can relax too. Oh how I wish I lived near you, I would help out.

As far as the nurses go. When you get home you need to write a letter to Administration of the Hospital giving the names of these nurses who did not know their patients and were going to give an NPO patient fluids even if it is only tylenol. She can aspirate that and HELLO she does not need tylenol in her lungs right now. When you write this letter do not be nice in anyway other than maybe saying that the one day nurse was awesome. However, makes me wonder if the day nurse is giving a proper report on Kellsey at the end of her shift. Someone is not doing something right!
I hate health care professionals who cannot do their job correctly. Everyone makes mistakes, but not critical ones like this, and if they do then they are not doing their job correctly.
Okay I will get off my soap box but I am just upset over this.

Love,
Sheila

Lea White said...

Prayers and thoughts! What a very frustrating time for you all!

Anonymous said...

Oh Renee,,,,,,,I will b cheering loudly when Kellsey 'rounds the corner, and starts feeling, and doing, better!!

Sheila sure sounds like she knows what she's talking about, but I would not have not that looked like cellulitus. I've had it before, and so did my son, and it was always a very sore area on the outside of the skin. Almost making a hole in the area that was infected. It sounds like a very hectic week ahead of you, and I do hope that Kennedy does well tomorrow as she gets her tubes.

Jacquelyn

Holly Aytes said...

Oh Renee...I am so sorry that y'all are having to deal with all this. I am sure it would be a stressful situation to have a child have a reaction but then to have one with Kellsey's difficulties, all I can say is that if anyone can handle it is you! Hope she gets to feeling better. BTW, I would have loved to seen the nurses after Frank had a little talk with them :)

Anne B. said...

Praying for all of you during these stressful and concerning days. Remember that ultimately God has it and simply asks for your trust in him. I'm glad you are advocating for Kellsey at the hospital! Many of us parents have learned the hard way that it is necessary. Sad, but true. Much gratitude for friends so willing to step up and help you. And on a happy note, I know we are looking forward to Halloween costume pics!!! (((BIG HUGS))) from RI!

.emma.stormy. said...

Praying for Kellsey and all of you during this time, Renee!! Hugs and lots of love!

ourjoyfulljourney said...

Praying for you all!!!! :)

Sandi said...

I agree with Sheila, this is serious. Our son Tommy has had it before and the most serious infections will start to 'streak' and not stay in those rounded formations. Very serious. We added probiotics thru his gtube with the antibiotics to keep his gut going with all those strong antibiotics. And managed his pain thru tylenol and alternate ibuprofen. The fever for this many days is not good. Poor sweetie. Tommy is also 4yrs old and nonverbal. Like you we never leave his hospital side, no matter the circumstances with our other kids. We keep a bedside diary of nurse/doc procedures and allergies. So we could read quickly when we trade places at night or day. We also, perhaps unlike you, administer all meds ourselves. Unfortunately we had too many problems with nurses so we made this decision years ago. They deliver the meds and we do the rest safely. We've written many letters to our hospital with fairly good responses of change. But for now, we continue prayers for miss kellsey. Comfort and peace and resolve to this yukky infection. Hang in there kellsey.

Kath said...

I agree with Sheila, I'd complain.

The annoying thing is, if they were going to change her for whatever reason, I bet they'd make sure to check which size of diaper she wore, but they don't think to check the most serious things.

Hope Frank has had a positive effect on the nurses, sometimes they need a big (metaphorical) kick up the ass!

Barbara said...

I think you should complain to or have the kids make signs to hang in her room My sister can't drink liquids My sister is allergic to fruit ect.

ErinL said...

My goodness Renee. I am shocked at some of this. When Oksana was in the hospital for her EEG they looked at me and said "Are you staying the night?" I remember thinking to myself "That's a really stupid question." but I'm learning from you now that it's not. They also tried to draw blood from Oksana (at 6:30 am when we were still sleeping) and she realized after I questioned her that she had the wrong child. I totally understand that mistakes happen but that is why parents need to be there. I will be praying for your family. What a crazy time.

Lajo1013 said...

CALL ME if you need someone to sit with Kellsey!!!! Or keep an eye on the other kiddos. Whatever. I am here!!! Love you guys!! XOXO

Rachelle said...

Poor Kellsey :( Hoping the Dr's have a plan and she's on the mend soon! Thinking of your sweet family!

Tracy said...

Sorry to see that Kellsey is still in the hospital. I cannot believe that your nurses are so uninformed about Kellsey. Everything you are talking about should be passed on to the oncoming nurse either from the nurse who took care of her previously or the charge nurse in report. Where I worked, we also had a card that was updated with new orders by the secretary that we would look over before going onto the floor. It gave us all the information about things like allergies and NPO status, etc. You know, the important things I cannot believe that the nurse is so oblivious. It is indeed scary. I hope that Kellsey is better and out of the hospital soon and that Kenedy's surgery goes well. Hang in there.

Notsopc said...

Rene
A couple years ago I had what I thought was a reaction or something from a bite. It was on my elbow and started like a bit but soon turned red, hard and kept spreading. I had to go to the drs in a couple days so I really didn't pay attention other than it was started to hurt and really spread. When the doctor saw it he freaked and was going to put me in the hospital. Now I can't remember the name but he said it was caused by bacteria getting into the scratch it had. He gave me massive amounts of antibodics and kept a mark like kelsey had. it grew over the line twice and then slowly got back to normal. maybe somebody reading this know what I had..it sounds very similar.. I don't think I helped at all by not knowing the name.. Prayers are with all of you..
Nancy

Notsopc said...

Rene
A couple years ago I had what I thought was a reaction or something from a bite. It was on my elbow and started like a bit but soon turned red, hard and kept spreading. I had to go to the drs in a couple days so I really didn't pay attention other than it was started to hurt and really spread. When the doctor saw it he freaked and was going to put me in the hospital. Now I can't remember the name but he said it was caused by bacteria getting into the scratch it had. He gave me massive amounts of antibodics and kept a mark like kelsey had. it grew over the line twice and then slowly got back to normal. maybe somebody reading this know what I had..it sounds very similar.. I don't think I helped at all by not knowing the name.. Prayers are with all of you..
Nancy

Anonymous said...

Renee, I know I've told you that I share stories about your kids with my daughter, Nikki. She is almost graduated as an RN, so I knew she'd be interested in what was happening with you guys. What she says concurs with Sheila, too. I copied and pasted here what she wrote:

"I know she probably will but please encourage renee and frank to make a big nasty stink about the nurses and to report them for not paying attention to the NPO and for not properly reporting the allergies to the next shift. Those nurses could have easily killed kelsey in a matter of minutes if they had not been there with her and they should also includes this in with protesting the assanine on-call doc. That is not just a small mistake, that is negligence
And who the f is ordering oral meds for somebody that is NPO needs to be reported too."

Charla