[Franemtnurse]

Originally Posted by suzannasue

LAST WEEK OUR ENTIRE NIGHT SHIFT WAS "ATTACKED" BY A FELLOW IN DT'S. SENT 2 SECURITY OFFICERS TO THE ED WITH INJURIES. THIS GUY PULLED THE MIRROR OFFA THE WALL ,FLOODED THE ROOM ALONG WITH ALL HIS "ACTING OUT".
THE MD WOULD NOT ALLOW HIM TO BE SENT TO LA-LA LAND AND ONLY ORDERED ENOUGH HALDOL TO PI$$ OFF THIS GUY. WELL, HAD I BEEN THE MD,I WOULD HAVE SENT SOMEONE SOMEWHERE FOR A BEVRAGE OF THE ALCOHOL FOOD GROUP,WOULD HAVE GIVEN HIM A P.O. BOLUS AND THEN WOULD HAVE PLACED HIM ON OUR DETOX PROTOCOL...YEAH,WE HAVE A PROTOCOL...AND IT WORKS...IF UTILIZED. WE ALSO HAVE AN ALCOHOLIC TREATMENT FACILITY IN THIS INSTITUTION...THEY REFUSED TO TAKE HIM AS A TRANSFER BECAUSE HE HAD NOT BEEN DE-TOXED. HAVING WORKED THS UNIT PRN,I SAID,...UMMMM...WHAT DO YOU MEAN NOT TAKING HIM,....OH,I SEE,ALL THE ACTIVE DRINKERS ARE ADMITTED FOM EVERY CORNER OF THIS STATE, AND YOU CANNOT TAKE HIM BECAUSE HE ISN'T DRINKING...!!!!!!! ALRIGHTY THEN...
MY POINT...I HOLD THE MD RESPONSIBLE FOR HAVING THE KNOWLEDGE OF THIS GUY'S ALCOHOLISM FROM DAY ONE AND FOR IGNORING THE PLEAS OF STAFF TO PLACE HIM ON THE PROTOCOL IMMEDIATELY. IS THIS NOT CALLED NEGLIGENCE AND ISN'T IT A SHAME THAT WE CANNOT INITIATE LITIGATION AGAINST THE MD FOR ENDANGERMENT OF STAFF...
THERE I GO AGAIN...VERY TIRED...'SCUSE ME...
WOULD RATHER TAKE CARE OF A PACK OF RABID WOLVES THAN BE "WATCHING " FOR SYMPTOMS OF DT'S AND HAVING REQUESTS FOR ESTABLISHED PROTOCOLS IGNORED. I HAVE ALL IDEAS THESE PATIENTS ARE TRULY SUFFERING,AND IT IS MY JOB TO ALEVIATE THE SYMPTOMS,BUT NO LONGER WILL I RISK MY A$$ OR MY EARNING POTENTIAL DUE TO THE STUPIDITY OF AN EDUCATED IDIOT!!!!!!!!

Duh wadja say?

[Franemtnurse]

Originally Posted by nightmoves

"Amputate between ears."

And to think they put us nurses down for documenting incorrectly????

[Franemtnurse]

Originally Posted by CashewLPN

I think at the temp of 200, one should flip the pt over, and baste liberally

--Barbara

[Franemtnurse]

Originally Posted by mockiern

betadine douche q hs, with no stop date, and unfortunately this md signed the monthly orders without a d/c to this order, and the staff, had been doing this douche for one year, i took over as rn nurse manager and discovered this order and the fact that of course this woman had lost her normal flora and was left with this horrible smelling green drainage. i arranged transport right to this md's office and made him do a vag culture and let him smell what we dealt with, also told him he better d/c that order, and never trusted his monthly orders again, i found same and similiar mistakes on his just signing his name fast on rounds to the nursing home. not funny but it happened.

Goog 4 U. He got the right nurse that day.

[Franemtnurse]

Originally Posted by nursem1

JUst another RN story.....
I did home care for 11 years and pt. education is a large part of being a visiting nurse. I heard that a new grad who was a RN had told a pt on ATB's to PREVENT A YEAST INFECTION BY SPREADING YOGURT ON HER VAGINA. (lol) (INstead of eating it to promote normal body flora. VERY ODD BUT TRUE.

I've had that done to me when I had a superinfection from a doc earlier placing me on a weak antibiotic that caused it.

[psalm]

Originally Posted by Franemtnurse

I've had that done to me when I had a superinfection from a doc earlier placing me on a weak antibiotic that caused it.

Yes, just make sure you wait until it is room temperature, or you will regret it. AND make sure it is plain yogurt.

[ihatefog]

DISCHARGE ACTIVITY
Activities: Restrictions: Do not use crack-cocaine.

[talaxandra]

Originally Posted by psalm

Yes, just make sure you wait until it is room temperature, or you will regret it. AND make sure it is plain yogurt.

I was asked by a colleague once what to do for recurrent thrush (and I thought I'd been so discreet - how did she know I'd be just the person to ask) and told her to topically apply yoghurt. I didn't realise I'd have to specify what kind until a couple of days later, when she said to another colleague (gay guy, even less interested in her bits than I), that she'd "been having terrible thrush, but talaxandra told me to use yoghurt and it's been gret. The only problem is the strawberry pieces keep getting caught in my pubes."

[AliRae]

Where I work these days (which happens to be a ship of the coast of Liberia, which is maybe why people are so nice), we have standard post-op order sets. It's a two-sided form and the surgeon checks the ones he wants. I recently admitted a post-op back to the ward and was transcribing the orders. Flipped the paper over to find it totally blank with a little note scrawled in our chief medical officer's handwriting:

Hi nurses!
This one doesn't seem to have printed out on the back. I'm sorry I'm too lazy to go get another form since I already filled the front of this one out. Let's just say standard 'back of the sheet' orders and QD wound care, shall we? I'll take the staples out in a week or so.

Thanks!
Dr. Gary.

That man is a gem.

[marachne]

Not an order, but in a note. This is in a VA hospital, and was about one of our Viet Nam era vets who went off to live in the woods (I mean literally!) He had been living out in the mountains in the woods for the past 10 years until intractable n/v brought him in to our hospice unit with cancer so widespread it was hard to determine the primary.

In the SW admission note, under source of income was "occasional pot farming."