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Cathing the 400 lb. lady who doesn't bathe-done it!
Doing VE on 300 lb 16 year old-Done it
Performing Ve's where there is a lot of "crusty" stuff, so that you almost hear a "crunch" sound w/o benefit of a clothespin to your nose..
Cauliflower like clusters of condyloma to wade through to search for a place to do VE on pt. who states "it's time to push."
Meconium covered raisins.
Trying to perform VE and straight cath on psych pt. wearing home detention bracelet who weighs 350+ and gets nervous and closes legs every time you approach the area of the perineum. (almost lost my head -literally w/ that one)
An Isomil or better yet Nutramigen milk shake drinking contest!
With the exception of the shakes or mec raisins. I have done it all, so what's my prize. (I am afraid to know!)
Except on either side of you there are beds side-by-side filled with demeted/dilirious patients that either have c.diff or a GI bleed, or hey even more fun, both! And they like to fling their crap at you as you run by.
The one that gets the least amount of crap on them...or maybe whoever get through the line of flying crap..wins!!
Vag exam on 38 week 300+ lb unwashed 16 year old who *might* be in labor.
OK, been there, done that and lots of other ultra gross OB related *things*! Yeah, yeah, cathing the 400-lb "crusty" female, not bathed forever, yechhhh, etc, etc.
How about getting splashed w/"pea-soup" thick meconium amniotic fluid, mixed w/blood, having it go all over you..... your mouth/face, and you can't leave immediately cause you're delivering a baby....
Gather all the suction cannisters in the hospital. Empty them all into a tub. Then lie in it. He/she who stays in the longest gets the most points.
Tweety's wins hands down ...
But just for kicks - correctly name all the food groups ingested in the emesis of your 19-yr. old pt, who went to the all-night buffet at some point while working her way up to a blood ETOH of .345. You have 30 seconds, then you may produce your own emesis.
1) Take all the needles out of the sharps container on your floor and poke yourself with them... you can go down to health services for testing when you're done!