I was asked to go to the room to give a co-worker lunch. But when I got there, she refused. The patient, a preemie, was not doing well and she did not want to leave. The baby was scheduled for a bowel resection because it was frozen but deteriorated quickly.
I spent 2 hours in that room trying to help as best as I could: getting more sponges, instruments, suture and etc... as needed. The two OR nurses in the room were writing down vitals according to hospital protocol when there is a cardiac arrest on the table. I assumed their role as circulating nurse as no one else was available.
A cardiac arrest at 1 month old....
I couldn't believe it.
I knew it was bad when the doctor pulled back the drape and started doing chest compressions by hand while still in his gown and gloves from surgery. Multiple anesthesiologists, pediatric intensive care nurses, nurse anesthetists, and other personnel all worked to give this baby a chance. I ran and grabbed the crash cart. Every few seconds a buzzer or bell would alarm. They were pumping his i.v. with stuff I've never seen used before: sodium bicarbonate to increase the heart contractions, epinephrine to force the blood back to the heart, etc...But at 16:48 the time of death was called.
The surgeons walked out of the room. All the buzzers and bells had silenced. And it was me and two other co-workers who cleaned him up so his parents could see him one last time. We washed his body and face, put a new diaper on him and swaddled him in a baby blanket. He looked like he was just sleeping. This time I couldn't help it. I cried right then and there in the operating room. So did my co-workers.
This was the first time a patient died on me.
I'm not doing so good tonight.



