Scariest thing you have found - page 5

What is the scariest thing that you have stumbled across after following someone else? I found that a Dopamine drip had been started and left on all weekend on my medical floor that had staffing... Read More

  1. by   sbic56
    A psych patient had just been returned from an elopement. We strip searched her and checked for contraband, but had missed the razor blade she had placed between her butt cheeks. Shortly after we let her go back onto the unit, a co-worker and I found her cutting her throat in the bathroom. She barely missed her jugular vein and luckily made a full recovery.
  2. by   Peeps Mcarthur
    By sbic56
    but had missed the razor blade she had placed between her butt cheeks.
    :chuckle
    I can imagine that's the last place you would have wanted to inspect.

    Didn't have a student around huh?...................Hey soandso, want to learn a new procedure?
  3. by   dawngloves
    Originally posted by sweetbaby
    a very cold, very purple, very stiff 65 yo full code that had just been checked 15 min ago by the night NA going off duty.
    Came in one morning and got report on a colon CA pt. RN told me she was breathing funny, kinda gasping. That was the first room I went into and found her in Cheyne-Stokes, pulse 40 and no BP. DUH!!!!!!


    Another from the "Thank Goodnes I Walked in That Room" file, NA giving a pt a bed bath was to apply Nystatin to pts groin. She had a tube of NITRO in her hand!

  4. by   dawngloves
    Originally posted by Rocknurse


    I attend report of a young patient who had had a diabetic ketoacidosis coma in ICU. It was handed over that she was on an SIMV rate of 10, but when I check it is set at 0.5 and the patient is tachypnoeic and diaphoretic, and very symptomatic. .
    I didn't know you could set a rate that low!
  5. by   Rocknurse
    Well, 0.5 is basically off!
  6. by   sbic56
    Originally posted by Peeps Mcarthur
    By sbic56


    :chuckle
    I can imagine that's the last place you would have wanted to inspect.

    Didn't have a student around huh?...................Hey soandso, want to learn a new procedure?
    a golden clinical moment missed, I'm afraid!
  7. by   Peeps Mcarthur
    :roll

    Yes,that's right. If a student fails to get that checked off during their rotation that semester, they must complete a make up with the instructor demonstrating the procedure, and be shown to have demonstrated the skill before they are allowed to be passed.

    :chuckle
  8. by   sbic56
    Peeps, you are evil to the core.
  9. by   ceecel.dee
    Originally posted by purplemania
    When syringe outweighs pt. you should get suspicious.
    :roll :roll :roll
    Words to live by!:chuckle
  10. by   P_RN
    Jay-Jay Scariest thing I've run across so far that I wasn't responsible for? Found 2/3 & 1/3 hanging with a blood transfusion,
    I am ASSuming that if normal saline is 0.9 then 2/3 saline(?) is 0.6?
    Glucose is traditionally 5% ? As in D5 NS?

    So was this D 1.7 in 0.6 saline?
    or do I have it backwards was it 3.3%Dextrose in 0.3% Saline?


    JAY JAY????
    Last edit by P_RN on Jun 2, '03
  11. by   Jay-Jay
    No, it's referring to the volume of each, NOT the concentration! It's been so long since I've used it, that I'm not sure, but I THINK it's 2/3 by volume NS and 1/3 by volume D5W. (I did a search for this info on the net, and couldn't find it! In the community, we rarely ever use anything but NS.)
  12. by   sbic56
    That is interesting Jay-Jay, because I thought anything but NS was strtictly contraindicated with blood transfusion.
  13. by   Zee_RN
    I've never heard of 2/3 or 1/3 either.

    Getting report in ICU on a fresh carotid endarterectomy patient...the patient was not maintaining his mean arterial pressure within the parameters the surgeon had specified. He would drop below and then he would exceed...drop below...exceed...drop below...exceed. Rather than using the nipride/neo that the doc had ordered for BP control, the nurse put the FRESH CAROTID in and out of Trendelenburg all shift. Fortunately, there were no adverse consequences. But, geez, yikes!

    Rec'd an ER patient...alert & oriented elderly lady from home with dx of an MI. Moving her from the cart to the bed, patient is screaming in pain...abdominal pain that is. Belly is HUGELY distended and exquisitely tender. No work-up at all in the E.D. for the belly. Nada, not even a mention of it. I drop an NG tube and get immediately 600 cc dark red blood. Stat CT scan of the belly, woman codes in the scanner. (Family wants nothing done but MD cannot be reached for code status so we have to code her; twice actually--once AFTER she was already pronounced--but that's another story.) Rec'd the CT scan report later (post morgue) and of course she had free air in the belly. What a nightmare that day was. One of my angriest days on the unit. How did no one notice her belly in the E.D.?! (That doc is no longer with us.)

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