A bit of common sense to nursing?! (long) - page 2

OH man..the other day I had a heck of a time, it was one of those days where we had three urgencies at one time and we were running the floor big time! However, there was a point when I felt like my... Read More

  1. by   TrudyRN
    Quote from P_RN
    I have the T shirt about 10x over. LPN calls me to the room, pt diaphoretic, greenish tinge, confused, unsteady on feet. She and I look at each other and say PE.

    Call Dr. and he says...............I'll see him after I do this laminectomy..........call the resident and he says........I'll see him after clinic. So we call the medical attending who says "What do you want ME to do?" so I told him we need a VQ. Gosh poor guy DIDN'T have a PE. He had TWO.........

    Got a nice note from the surgeon and some candy and donuts from the family. Guess which we appreciated more..........That evening I wrote out my resignation and kept it on my computer for many years. I really don't like to doctor shop, but if my patient needs it I will.

    There was an old TV show called the Naked City.....It opened with "there are a thousand stories in the Naked City"......well there are a million when you are a NURSE and your patient needs something N O W.
    Right on re: patient advocacy. As for "The Naked City" - well, it was New York, I think. And I'm thinking it was more like a million stories. It's been a long time, not really sure.

    I hope that everyone here who is amazed that their coworkers panic or are ignorant about something or just, for whatever reason, don't seem to know exactly what to do at any given moment will never find himself or herself in that position. We all mess up so I think we should try to educate each other, coach and remind each other nicely, not feel superior, shocked, or angry. Just my opinion.
  2. by   Kyrshamarks
    Quote from TriageRN_34
    (for those that don't know...you do NOT breath during seizures, so top priority post seizure is to get that airway clear so they can get that first deep breath...or just in case...a safe head position for vomit or drewl without aspirating on it!!!!).
    Actually you DO breathe during seizures. We have kids on our unit that are actively seizing for 3 or more HOURRS before we can get them finally under control. Yes you do want to maintain a patent airway and some people may stop breathing but to say that you do not breathe is wrong info. A study has recently been done showing that the low pulse ox reading may not truely be a accurate reading because the brain in some people during a seziure shunts blood flow away from the cappilary system to the brain and they are getting 02 and are adequately oxygenated but the pulse ox can be reading in the 30's. Rule number 1: trust your eyes and assessment and not just the machine's numbers...
    Speaking as a long time neuro Nurse...
  3. by   Kelly_the_Great
    Quote from Kyrshamarks
    Actually you DO breathe during seizures. We have kids on our unit that are actively seizing for 3 or more HOURRS before we can get them finally under control. Yes you do want to maintain a patent airway and some people may stop breathing but to say that you do not breathe is wrong info.
    My understanding is that there are all kinds of different seizures with varying levels of physical distress and severity. Hmm...I wonder, in some seizures, do patients not experience difficulty in breathing and oxygenation? I'll have to check it out. Thanks for making me think...

    Quote from Kyrshamarks
    A study has recently been done showing that the low pulse ox reading may not truely be a accurate reading because the brain in some people during a seziure shunts blood flow away from the cappilary system to the brain and they are getting 02 and are adequately oxygenated but the pulse ox can be reading in the 30's.
    Speaking as a long time neuro Nurse...
    Wow, pretty interesting, Kyrshamarks! Do you have access to the study? Do you have a link to it or anything?

    Quote from Kyrshamarks
    Rule number 1: trust your eyes and assessment and not just the machine's numbers......
    Yeah, what's the saying?...Treat the pt not the monitor, right?
  4. by   KellieNurse06
    Quote from TrudyRN
    As a mother, you know your own child best. Try not to be too haughty, though, as you might find yourself in someone else's home someday and they might think YOU do some things that aren't "common sense". Try to be more charitable, try to educate instead of getting angry or critical. Educate people. Do it with respect and trembling because, as stated, the tables could one day be turned.
    Oh I am not being "haughty" believe me....I am saying this from the point of making way more work for yourself than you need to.....I love the lady, she's very sweet! I am very respectful to her..I would never say anything hurtful or mean to anyone.....I would ask how things are done in the place first....that's all..... We get along great & she loves my little munchkin which is why I like her alot......lol

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