Post-Its from the edge - page 4

We're always putting little post-it notes for the docs or other nurses on the chart. Sometimes it'll be to clarify a nonessential med, or to suggest a lab, medication, or consult. Sometimes I... Read More

  1. by   Stray Kitty
    Note to Administration:

    I will be expecting a substantial pay increase for doing my part to raise hospital revenue. Since your recent budget cuts do not allow for PRN staff and the hiring freeze that is in effect, I have been forced to work while deathly ill. I have managed to infect every staff member and visitor I have come into contact with. The current patients were excluded from said bioterrorism attack, so don't be concerned about losing money from increased length of stay. Hospital admissions have sky-rocketed, thanks to me. I hope that the cost of using agency nurses to care for all of us hospitalized staff members along with the rest of the patients doesn't eat up too much of your precious profits. Please hand deliver my check to me in room 1313 by noon today because I have to make a 25% down payment on the lung transplant that I must have due to the severity of my untreated lung infection. Our crappy, so-called "insurance" has an exclusion for this particular treatment.
    Thank you

    P.S. This is not actually a Post-it note as they are not allowed for in the budget. This is just a plain piece of scrap paper stuck to your desk with my infectious green snot.
  2. by   BeckyJN
    Quote from Angie O'Plasty, RN
    Dear previous shift nurse,

    Please stop trying to give me (and our patient) heart failure. You can't need Code practice that badly.

    KCL boluses MUST BE RUN ON A PUMP.

    However, hospital policy is that PRBCs do NOT run on a pump.


    Mmmmm-Kay?

    Lovin' every minute of it,
    ~AngieO~
    In our hospital, everything can be run on a pump, even IVPBs. And guess what? PRBCs do wonderful on a pump.
  3. by   AMARTIN1
    :chuckle !!! I love this site!!! keep em comin' AMARTIN1
  4. by   tiggerforhim
    Quote from BeckyJN
    In our hospital, everything can be run on a pump, even IVPBs. And guess what? PRBCs do wonderful on a pump.
    you don't run prbc's on a pump?
  5. by   Altalorraine
    Dear Dr. Resident:

    Your shift ending in a half hour is not a good reason to start pitocin on this patient.

    Thanks...
  6. by   DusktilDawn
    Quote from BeckyJN
    In our hospital, everything can be run on a pump, even IVPBs. And guess what? PRBCs do wonderful on a pump.
    My gripe is when we don't have a pump available people don't realize you can run regular IVs without them (you would of course not run a heparin or insulin gtt without one for instance). There's an ancient technique called counting the gtts and using the roller clamp to regulate the rate. The patient doesn't need to be without fluids because a pump was unavailable.
  7. by   Marie_LPN, RN
    The only problem is that there are certain meds you need a pump for, though.
  8. by   DusktilDawn
    Quote from Marie_LPN
    The only problem is that there are certain meds you need a pump for, though.
    Of course there are some medication you never run without a pump, what I'm referring to is when a patient has let's say: 0.9% NaCl to infuse at 100ml/hr and no pump available you can infuse without a pump.
  9. by   Forcemaster
    Dear Doc...

    Decided not to give that Phosphate enema PO as the Pt is Nill by mouth!

    Dear Dr.

    I re-took the Urgent bloods from your patient. Please remember to either take the bloods to the lab, tell a nurse you have taken them or call the specimin porter to collect them because, contrary to the myth that many doctors share, the bloods do not grow legs and walk down to the lab on their own...

    But of course its not just the doctors that we can send these too...

    Dear Radiology

    When we state on a X-ray order form for "hard copy to return with patient to the ward" it is not a code for "please loose the films in the reporting room till the next day's shift come on..." Thanks and have a nice day!

    Now i know this is not a post-it message and is infact a phone call i had with the overnight radiology staff... but its still worth a mention

    "A&E Radiology"

    "Hi its Staff Nurse on $ ward. Ive got a patient here by the name of $%^&* who is due an urgent chest x-ray."

    "Let me see... right ive got the form here."

    "Well it was ordered over an hour ago and we were told you would call us when we could take her down"

    "Did we?"

    "Yes..."

    [silence]

    "So when can she go down?"

    "You want it done tonight?"

    "Well when we filled out an urgent request we were thinking we could either wait to diagnose a pleural effusion when the fluid overflows from her mouth onto the floor and she drowns... or we could just get an x-ray and put in a drain..."

    [silence]

    "Im going to bring the patient down to you now..."

    "Erm... ok"
  10. by   NewOrderPsychoFan
    Quote from Stray Kitty
    Note to Administration:

    I will be expecting a substantial pay increase for doing my part to raise hospital revenue. Since your recent budget cuts do not allow for PRN staff and the hiring freeze that is in effect, I have been forced to work while deathly ill. I have managed to infect every staff member and visitor I have come into contact with. The current patients were excluded from said bioterrorism attack, so don't be concerned about losing money from increased length of stay. Hospital admissions have sky-rocketed, thanks to me. I hope that the cost of using agency nurses to care for all of us hospitalized staff members along with the rest of the patients doesn't eat up too much of your precious profits. Please hand deliver my check to me in room 1313 by noon today because I have to make a 25% down payment on the lung transplant that I must have due to the severity of my untreated lung infection. Our crappy, so-called "insurance" has an exclusion for this particular treatment.
    Thank you

    P.S. This is not actually a Post-it note as they are not allowed for in the budget. This is just a plain piece of scrap paper stuck to your desk with my infectious green snot.

    LMAO :roll :roll :roll
  11. by   flashpoint
    Dear Nurse Manager...
    Just because I have been here for almost ten years and quite honestly plan to be here forever, does NOT mean that you can screw me over on the schedule. I understand that the nurse you just hired "needs" every Thursday and Friday off for her AA meetings and that she "has" to work three shifts in a row because she lives two hours away and stays in the sleeping rooms so she doesn't have to drive, but what about me and my family? All of a sudden I have to work every weekend to accomodate her? All of a sudden I am not able to go to my Thursday night Bible class because she can't go to AA any other night? So, her recovery is the #1 priority no matter who is cheats out of something? I would probably agree to give up my Bible class if we could alternate weekends or something, but since she is a single mom and her parents can only watch her children during hte week, she gets every weekend off. Was this not something that was discussed before she was hired? When I was hired I was told that EVERYONE works every other weekend (unless they work it out with the person the work opposite so they don't have to or so they work every weekend) and that no one is guaranteeed that they will have a certain day off every single week...we try to accomodate things like Bible classes, bowling leagues, PTA, etc, but sometimes you just have to miss.

    Sorry to drone on and on and on...
  12. by   AMARTIN1
    Quote from cotjockey
    Dear Nurse Manager...
    Just because I have been here for almost ten years and quite honestly plan to be here forever, does NOT mean that you can screw me over on the schedule. I understand that the nurse you just hired "needs" every Thursday and Friday off for her AA meetings and that she "has" to work three shifts in a row because she lives two hours away and stays in the sleeping rooms so she doesn't have to drive, but what about me and my family? All of a sudden I have to work every weekend to accomodate her? All of a sudden I am not able to go to my Thursday night Bible class because she can't go to AA any other night? So, her recovery is the #1 priority no matter who is cheats out of something? I would probably agree to give up my Bible class if we could alternate weekends or something, but since she is a single mom and her parents can only watch her children during hte week, she gets every weekend off. Was this not something that was discussed before she was hired? When I was hired I was told that EVERYONE works every other weekend (unless they work it out with the person the work opposite so they don't have to or so they work every weekend) and that no one is guaranteeed that they will have a certain day off every single week...we try to accomodate things like Bible classes, bowling leagues, PTA, etc, but sometimes you just have to miss.

    Sorry to drone on and on and on...
    Well put!!! That irks me also ! or how about the terminally sick employee who shows up to work sick and after getting report, decides an hour later that she HAS to go home and leaves the rest of us with the extra patient load. Can't you just call in sick? Weren't you sick when you woke up this morning? There i feel better now . AMARTIN1
  13. by   UM Review RN
    Originally Posted by Angie O'Plasty, RN
    Dear previous shift nurse,

    Please stop trying to give me (and our patient) heart failure. You can't need Code practice that badly.

    KCL boluses MUST BE RUN ON A PUMP.

    However, hospital policy is that PRBCs do NOT run on a pump.


    Mmmmm-Kay?

    Lovin' every minute of it,
    ~AngieO~

    In our hospital, everything can be run on a pump, even IVPBs. And guess what? PRBCs do wonderful on a pump.
    Oh, I'm aware of that, Becky. In one hospital I worked, the policy was to hang blood via a pump. However, in this hospital, we may not use a pump. It's hospital policy--probably because if we ran blood on pumps, there would not be enough pumps to go around.


    And also on the topic of Supplies....

    Dear Central Supply,

    Who the he(( is in charge of ordering supplies anyhow? Why do we have thousands of brand-new boxes of 1 cc syringes without needles to go with them and yet NO 3 cc flush syringes?

    #%$*$@^@!!

    Love,

    Your nursing staff
    Last edit by UM Review RN on Oct 12, '05

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