Guard the Gates--Part 1
Early on in my days as an RN, I greatly enjoyed working with patients who had come through multiple trauma situations. Even when I was in nursing school, I would frequently spend my evenings at work as a patient care tech, in the Emergency Department or in the Surgical Intensive Care Unit. The reason was because these areas were generally the hubs for patients who had multiple trauma insults to contend with. Then when I graduated from nursing school, I went to work in the SICU and it was there that I found a niche specifically with neuro-trauma and the other injuries associated with the brain and the spinal cord. There have been numerous times that I have seen patients that hardly had a mark on their body but had been dealt a massive blow to the head to the extent that they never recovered. In fact, far more than I would have liked to seen, were sent to long-term care facilities basically in a very obtunded or comatose state. Never again would they function normally and be ab