What have other nurses done that have freaked you out? - page 8

What has other peers done intentional/unintentional to freak you out? Good or bad. Happy or sad. On my FIRST day as a LVN, (LTC) a res was screaming in her room as I was walking out to leave. I... Read More

  1. by   ZASHAGALKA
    Not a nurse but a resident is 'refloating' a central line under fluoro. (because they initially floated it 'across' into the other subclavian vein instead of 'down' into the vena cava - and refloating it under fluoro would be a good teaching experience.) Nice sterile field, with the little 'condom' on the fluoro handle so the doc can position it like he wants.

    This is like slow motion here: this little piece of lint falls off the fluoro machine and ever so slowly drifts down right on the insertion site where the doc is advancing the line. So, how does he rectify this: OF COURSE, he blows on it to get it out of the way. You wouldn't want that piece of lint to affect the sterile field, would ya?

    And then looks at me with a sheepish 'What?' expression because I'm staring at him like he has 3 heads. In actuality, I'm pretty sure he just wasn't thinking and realized how stupid that was the second he did it. But, still!

    Now, I've heard MDs state you can lick central lines and not cause any more infections than they already DO cause, but, still! Not on my watch, please.

    ~faith,
    Timothy.
    Last edit by ZASHAGALKA on Oct 7, '06
  2. by   marygirl
    I have a good one to share but it wasn't a nurse who did it. You know the old adage about never getting sick in July because the resident MD's are all too green to do you any good? I'm thinking since it's October, we're safe from moron residents but the other day I got proof that we are not. I work on a cardiac step-down unit and we frequently get "syncope" patients from ECF's that just plain fell but they get the whole cardiac workup anyhow. Well, I was getting ready to send one of these little ladies back to her ECF and the Resident started hopping and jumping to find me to talk to me. When I went to talk to her, she told me that she wanted me to give the patient 40 MEQ K+ before sending her off. So, I say that I will but she needs to write me an order, we aren't allowed to take verbal orders (not completely true but she has the chart and could have written the order 10X in the amount of time she spent trying to pull me away from patient care to tell me to give the K+) She triumphantly shows me that she has written the order but I note that she has written for me to give it IV. #1, a K+ bolus IV will take at least an hour to come up from pharmacy and then it will take a min of 2 hours to run in and #2, the patient doesn't have IV access, she is confused and pulled it out. After finding this out, the resident looks at me and says, "can't you just give the K+ without IV access?" I said, "Yes, it's called PO" and she said no, and she gestured like injecting a needle into the air and I said, "You mean IM?" She said, "Yes, just (gesturing in the air again) give it to her". I told her that you cannot inject potassium IM and she argued with me. Finally I said that if she left the order as is, it would not get done and I hoped that she could not find a single nurse in this hospital that would attempt to give K+ IM. She wrote the order for PO and I gave it that way, but what medical school did this "DR" attend where she didn't find out that you can't give potassium IM? I told the attending on her, although that usually isn't my style, my big fear is that this resident will find someone stupid enough to try to give the drug IM.
  3. by   hrtprncss
    Quote from ZASHAGALKA
    Top this if you dare:

    Pt has an antecub IV that is leaking. The newly minted RN taped an emesis basin behind the pt's elbow and told the pt to 'call when it's full so I can come empty it." I actually saw this.

    LOL this made me chuckle and made my day, too funny.
  4. by   marygirl
    One for the NCA, as well. New to our floor, this NCA asked me to come and assist her to get a patient back into bed so he could get onto a bedpan. I go into the room and I see there is a bedside commode in the room and that the patient is sitting in a cardio-chair. So, I ask, is there a reason the patient is in the cardio-chair? Yes, he wanted to sit up for a while, but he can't ambulate. Okay, how did he get to the cardio-chair? Assist X2 and pivot turn. Hmmmm, couldn't we do the same thing to get him to a bedside commode? NCA admits she never thought of that. Now she is going through her nursing pre-reqs and all I can think of is that she didn't THINK of putting the patient onto a commode when one was available and patient was able.
  5. by   queenofgerichairs
    I had a CNA tell me that Mrs. FippyDippy was impacted and she tried to "dig her out". I guess the look on my face was upsetting she quickly told me that the other nurse told her to do it one night. I explained that even we nurses didn't do that anymore and I explained the danger. She looked horrified and ask was I going to tell on her? I told her no she just did (ha ha). Cant believe a CNA didnt question that one
  6. by   kaeri
    thankyou lacie - someone who has a self-deprecating humour is so refreshing.

    Yeh - I get the title - which goes back to my point.......and why do all the story-tellers have to have such a righteous tone?
  7. by   medsurgnurse
    Quote from kaeri
    I am so thrilled to see so many nurses who are happy to point at other nurses and report their failings. It is also heartwarming to see that no-one here has ever done something rotten.
    Congratulations.
    check out the thread "my worst mistake". Nurses here have discussed mistakes they have made. I read the entire thread and with one exception, every nurse was devasted by the mistake they made even when no harm was done by the mistake. But some of the things described on this thread boggle the mind.
  8. by   emllpn2006
    I am a LPN who just started a new job at a LTC I am working with the CNA's to learn patients names and rooms before starting as a LPN and passing meds. Yesterday I worked with the head cna who never wore gloves or washed her hands. When a resident said their bed was wet she would run her bare across it then smell it to see if it was urine then proceed to change the bed and go onto the next patients room with out washing her hands. I made it a point to put on gloves and wash my hands right in front or her and she would look at me like I was doing something wrong. I even said sarcastically sorry I have to take the time to put on gloves and wash my hands but I am jsut sort of addicted to that. She said well I cant wear them I cant tell if a bed is really wet or not with them on.
  9. by   lovingtheunloved
    Quote from emllpn2006
    I am a LPN who just started a new job at a LTC I am working with the CNA's to learn patients names and rooms before starting as a LPN and passing meds. Yesterday I worked with the head cna who never wore gloves or washed her hands. When a resident said their bed was wet she would run her bare across it then smell it to see if it was urine then proceed to change the bed and go onto the next patients room with out washing her hands. I made it a point to put on gloves and wash my hands right in front or her and she would look at me like I was doing something wrong. I even said sarcastically sorry I have to take the time to put on gloves and wash my hands but I am jsut sort of addicted to that. She said well I cant wear them I cant tell if a bed is really wet or not with them on.
    That is just freaking sick. I worked with an aide once that did peri care for a resident without gloves, (he had been incontinent), didn't wash her hands, then went to the nurses' station and ate a donut.
  10. by   texas_lvn
    Quote from lovingtheunloved
    That is just freaking sick. I worked with an aide once that did peri care for a resident without gloves, (he had been incontinent), didn't wash her hands, then went to the nurses' station and ate a donut.

    Didn't you know it adds to the taste?:trout:
  11. by   lovingtheunloved
    Quote from texas_lvn
    Didn't you know it adds to the taste?:trout:
    The aide's wicked BO added to the ambience.
  12. by   texas_lvn
    Quote from lovingtheunloved
    The aide's wicked BO added to the ambience.
    It has been said that if you use all your senses, the meal taste better. Smell, touch, taste, sight, and auditory. She has got three of the five. LOL
  13. by   lovingtheunloved
    Quote from texas_lvn
    It has been said that if you use all your senses, the meal taste better. Smell, touch, taste, sight, and auditory. She has got three of the five. LOL
    Oh, she had the auditory thing down. You could hear her slurping all the way down the hall. Yum.

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