What Freaks You Out? - page 16
Okay, people. It's time for a nice, fun, light-hearted discussion to blow off some steam. WHAT FREAKS YOU OUT? What bodily fluid can't you STAND? What wound gives you the absolute WILLIES? ... Read More
Jan 11, '02The only thing yet that has made me repeatedly gag is the oral secretions gooing out profusely from a man with oral herpes WHILE trying to reinsert a rectal tube that has fallen out while liquid diarrhea is POURING out. It still makes me gag to this day
Jan 11, '02What a hilarious thread, enough to make me register on this site. Projectile mucus from trachs is #1 for me, but running a close second is seeing doctors anesthetize gaping, jagged flesh to suture it. Something about those long needles going into gorey tissue....Someone mentioned disimpaction? Here's one that keeps me laughing. Was working LTC/Alzheimers and had a pt. that never made any sense (except for using the F word very clearly.) One day she starts saying "the baby's coming! the baby's coming". Took me about 20 minutes before the light bulb went on and I checked her diaper. Sure enough, there was a softball-sized ball of poop right there waiting to be dug out. Eeewwwww! Anybody with kids out there remember labor? For once this lady made sense.
Jan 11, '02I can not stand to eat any food, if it has a hair, on it. I just hurl, I start to go green at the thought of it! Even if I am not the one eating it
However I saw a patient on the ward sat chewing her hair and eating her tea, and volunteered to go and help change a dressing on an ulcerated leg, rather than talk to the hair eater!
Jan 11, '02The following dressing change was my very first solo wound care in nursing school. I have a sneaking suspicion that my preceptor was testing me.
The unfortunate gentleman was an inmate, had severe uncontrolled diabetes, had a fungal infection that ate away his left eye and palate. The dressing was a very simple DSD....no problem I thought until I removed the old one. His orbit was just a gaping hole into his skull. I handled this horror calmly and was very proud of mself but I made the mistake of inspecting the old dressing a little too thoroughly and discovered half chewed food on it! He had just eaten lunch and some of the food worked its way through the missing palate and out the eye socket. Blah!
Jan 11, '02The dressing change that was worst for me was the guy with neck CA and pseusomonas and a trach. He did his own trach care but couldn't do the dsg change. Between the green runny stuff (how clinical of me!) and the stench, I nearly lost it. Fortunately he wasn't my regular client so I only did him when I was working weekends. The miracle, and I have no idea how this happened, was that the trach was always neg. for pseudomonas!
Then there was the funny dsg change... if there is such a thing. This guy had several of his toes amputated and a big wound on his foot and up the shin that had been debrided and was slated for a skin graft as soon as there was enough healing. The object was to teach his wife to do the bid dressing change so that I could eventually go only TIW. The first time I went and started taking off the dressing, the ENTIRE family - kids, cousins etc - fled the room! The first words out of my mouth ... "Oh, that's really pretty. Look..." and then began teaching the client and his wife why it was pretty - ya know, nice pink tissue, no odor or exudate... They thought I was nuts for calling his wound "pretty". but it really was! BTW, his wife did learn how to do the dsg change and the wound healed so well they called off the skin graft! That was one of my favorite cases!
Jan 11, '02Well, there aren't many things quite as gross as y'all have described in the NICU world, but I do have to share the thing that does gross me...
During a c-section, I find the smell of the cauterizer (is that what it's called?) sizzling with the smell of amniotic fluid and meconium and whatever else absolutely disgusting. Thank God for the mask. Too bad they're not airtight.
Jan 11, '02I'm sitting here eating dinner and laughing. My wife comes up behind me and reads over my shoulder and says, "I don't know how you can sit here eating pizza while reading this!"
Ahh...the non-initiated will never know!
oh, by the way, the one time I really lost it was when I went in to check on this poor demented woman. The room was dark and I turned the overbed light on and she screamed (scary enough) and she had been eating her feces. I ran out of the room, made it to the next room and tossed my cookies!
I can still see the visual.
ps: I don't dig sputum either.
Jan 11, '02OK...I know I was meant to be a nurse...I have been eating potato chips while reading this thread!!! Anyway, most things do not bother me too much in general BUT, I currently have a patient that is a double amputee. His legs are totally gone...no stumps. Anyway...he has a decub on his coccyx that has been there for several years. It is approx 10X12cm at the opening, but is tunnelling about 4 inches on each side. It has now eaten through to the colon and you have to clean the BM out of it when doing the dressing change. The SMELL of this ulcer kills me everytime.
The other thing that really got to me was a 50ish patient that was a IV drug abuser and alcoholic. He was HepC positive and received HUGE amounts of lactulose. He had to have 5-6 loose stools a day to keep the ammonia from building up and causing him to become comatose. One time he had an incontinent loose stool and I had to clean him up. Now let me tell you...this was the absolute worst smell I have ever encountered. I heaved the whole time and had tears streaming down my face. I felt bad for him, but I just could not stop heaving! Thank goodness it was BEFORE lunch!
Jan 11, '02For me it's definitely mouth care! When I was a CNA worked in a nursing home where the CNA's did the post mortem care. One lady was quite dehydrated near the end, so her mucus secretions were pretty dry. When I swabbed her mouth the mucus stuck to the swab and was the consistancy of pizza cheese! It just snapped back. Gross!! I still have a really hard time with mouth care! I'm also not crazy with anything that has to do with eyes. Otherwise, I can handle anything.....I think. LOL
Jan 12, '021) Watching an orthopedic surgeon placing a stienman pin into someone's knee using one of those huge drill things.
2) Applying leeches to plastic surgery's handiwork. Well, the leeches are OK once you know how to make them go where you want...
But the appearance of some of the plastic surgeries flaps, etc...EWWWW
Jan 13, '02We have speakers that project into the nursing
station from our TB isolation rooms, so that alarms can be heard while the room doors are
shut. People tend to forget all about those speakers sometimes, and you overhear all sorts of things that shouldn't be said. One time a nurse walked into one of those pt's rooms. This pt. had
starting becoming incontinent of BM's. A loud scream and cursing was heard on the speaker (from the nurse in the room) then, "SOMEBODY GET ME A GUN OR SHOOT ME! A WHOLE TEAM OF CLYDESDALE HORSES
HAS BEEN UP ON THIS BED!" so the other nurses ran in there, and there was loads of green stools that filled the bed and were dripping off the sides!