Saw this a week ago, did it tonight.
Ever had a pt. who you thought was faking unconsciousness? We had a lady tonight, frequent flyer, drug addict, alcoholic yada yada yada. EMS calls in route saying she was unresponsive, only bad thing that she has is a D stick close to 400 (380 something), high, but not the end of the world.
Get her to a room, do the sternal rub, twist her pinky, jack with her eyes, nothing. Actually getting a little concerned. The lead nurse had this lady last week and says the sternal rub didn't work then either and she was playing possum then too. D stick rechecked and its 352. Get lines in her, cut her clothes off and all of that good stuff, still unresponsive. I think back to last week when I watch this doc take an 18g needle and stick it in this lady's toe to get a response.
What the heck, this current pt. seems like the right candidate. So I grab an 18g tell the other nurse what I'm gonna do. Pull her sock off (do this with caution!!!
) and jab the ol' big toe with the 18g. Guess who suddenly regains consciousness
. She had started to pull back just before the tip of that needle contacted that toe, sorry lady I was past "Fail Safe". So it is an effective tool should you need it.
BTW, if you live here in Dallas, you'll be glad to know that your tax dollars have transported her to our facility alone over 50 times
in the past year, no telling how many times she was taken to Parkland (where she was at two days ago....still had her ID band on) or one of the other hospitals.
Anyways, thought I'd share.