One of the more unpleasant aspects of my life is finding and training new nurses for Dakin. One of our night nurses left us this week, so we had a new one last night. Dakin liked her, which says a lot. However, it was just one of those nights where everything went wrong. He was satting a little lower than normal (he was about 94%--he's usually 98-100%), so I stuck him on some oxygen, thinking that with the weather change and our trip to Santaland he might have been lower than normal. His breathing treatment didn't do much to help the sat issue, so he stayed on O2 most of the night. He's also pushing a molar, so I gave him some Motrin to help with the discomfort. In addition to his lower sats, the pulseoximeter was not reading correctly (NOWHERE we put it would it read!!!!!!), and the O2 machine decided it didn't want to work either. So needless to say, I was up all. night. long. So was Dakin, for that matter...he finally got into a good sleep about 6 am, and we both got to sleep until 10 am. Thank goodness. I'm exhausted.
It's always hard with a new nurse, because she doesn't know how to read him, you know? I think she was overly worried all night because he makes noises while he sleeps (artificial ventilation+huge leak around his trach = involuntary vocalization as air is pushed through his vocal cords). He does it all the time, even while sleeping, and it is no cause for concern, but she doesn't know that, so she had me up all night checking on that too. Sigh. Thank goodness our other nurse is here tonight and I can sleep. Three wonderful nights of sleep. After that, I'm not sure what we'll do...I don't know if the nurse we had last night will work out or not. Guess we'll see.