Which nursing skills do you dread? - page 6

What nursing skills do you absolutely hate doing? Even if it is super easy and not time consuming? Which orders do you read and just think to yourself, aw man! I hate doing that!! I'm just curious! ... Read More

  1. by   not now
    Checking blood sugars, especially when they are on an insulin drip and it's every hour. It's just such a tedious process: scan my badge, scan your wristband, scan the package the strip comes in, clean, poke, get the drop, wait for result, go to the med room, look up the dose on the sliding scale, find a nurse to co-sign the MAR...and on and on for the next three people.
  2. by   hikernurse
    Quote from AdrienneRN2b
    Someone asked already but no one answered, what is so bad about hanging blood?
    I can only answer for myself. The thing I least like is the viscousness of the blood itself. It's just so red and thick . Ugh. And I can't help but be reminded of nasty blood borne disease, either. The other thing is that it takes extra time to double-check, stay with the patient for the first little while and monitor VS, etc. Plus the blood has to be gotten in person. It's really not a big deal, just a lot of little things that add up .
  3. by   not now
    Quote from hikernurse
    Plus the blood has to be gotten in person. It's really not a big deal, just a lot of little things that add up .
    We can get a CNA or someone from the transport team to pick it up for us. They have to be instructed how to do it, go with a nurse once, get signed off, then someone from the lab gives them a red dot for their badge meaning they are ok to pick up blood.

    I like picking it up myself. It gives me break from the floor without having to actually take a break. I take the stairs so I can be gone longer.:spin:
  4. by   EricJRN
    Quote from WeeBabyRN
    I work in a NICU, so the poops and suctions are easy to bear.

    The easy things I dislike doing are weighing babies, getting their length, and changing IV tubing.

    My most disliked task is getting vented babies out for kangaroo care. I witnessed a vented baby crash when a nurse was getting it out for kangaroo care so now it freaks me out. I just make sure respiratory is with me when I have to get a vented baby out of their isolette.
    I'm with you, WeeBabyRN. With all of the complex tasks that go on in the NICU, it's amazing how some of the little things can really throw us off. Weighing and lengths are good examples.

    Recently, the young dad of a fmr 23 weeker decided, after several weeks and a lot of encouragement from us, that he was finally ready to hold his ventilated baby. Less than 30 seconds after being handed to dad for the first time, this very weak and severely hydrocephalic baby somehow reaches up and pulls his ETT straight out.

    I know that kangarooing is a good thing, but I sometimes secretly :innerconf breathe a sigh of relief when I learn that a parent came in and did skin-to-skin during the day instead of on my night shift.
  5. by   mom4josh
    Quote from It's Alisa
    C. Diff?? what the heck is a C. Diff?

    The nastiest smelling poop in the world! (Close second is a GI bleed.)
  6. by   hikernurse
    Quote from WeeBabyRN
    I work in a NICU, so the poops and suctions are easy to bear.

    The easy things I dislike doing are weighing babies, getting their length, and changing IV tubing.

    My most disliked task is getting vented babies out for kangaroo care. I witnessed a vented baby crash when a nurse was getting it out for kangaroo care so now it freaks me out. I just make sure respiratory is with me when I have to get a vented baby out of their isolette.
    I'm too new to be willing to do kangaroo care on a vented baby. The nurses who do that with the vented patients are always very careful to say that whether or not it happens depends on the comfort level of the nurse which takes a lot of the pressure away.

    Regular tasks are so much easier with the little ones--suctioning a baby is almost pleasant and trach care is nothing to dread, but what I don't like is giving babies their baths. I love after when they are all clean surrounded by clean linen, but I always stuck my own babies in the tub with me (a little inappropriate for my patients, I do realize) and handling a slippery little baby with all kinds of drains, etc. in a flimsy basin always puts me on edge.
  7. by   hikernurse
    Quote from Emmanuel Goldstein
    Anything to do with sputum or feet LOL. Collecting a sputum spec or putting on TEDs makes me physically ill. I nearly passed out once watching a podiatrist cutting this patient's toenails... you know, thick, crusty, yellow, curly toenails. AAAAUUUGGGHHH!!!!!!!

    Funny thing is though, trach care doesn't bother me at all. (I've learned to move fast)
    My first day of clinicals was in a LTC facility and the visiting podiatrist pointed to me and said, "She'll do." I followed him and soon found out that the doing involved following the doctor and cleaning up the icky toenails as he cut them. Other than his attitude , the sound of the cutting and watching the nails fall to the floor just about did me in. I admit, after one patient I murmured something about a post-conference (this was around 0900) and fled. Fortunately, he didn't pursue me although I don't know who he got to clean up after him.
  8. by   theplugger
    Cleaning up emesis, especially projectile and espcially GI bleed projectile....I'll gladly add those to your list.

    And with all those things listed it's imperative that one not make faces and make the patients feel worse than they already do for making the mess.
  9. by   Spatula27_RNBSN
    Everybody is talking about what smells they hate- colostomy bags, c diff- the place i used to work had a patient who was not very clean "down there" and even the HALLWAY smelled like... that.... eww.

    And I agree, I HATE anything to do with trachs/suctioning!
  10. by   MB37
    I'm in my first clinical semester. I had my first C-Diff patient last week, and had myself all steeled up to deal with the odor, and then...there wasn't one! She had a rectal tube in, and I didn't have to empty it since she left the floor for a test pretty early in the day, so I guess that's why? I'll have to conquer that one another week...
  11. by   leslie :-D
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    Last edit by leslie :-D on Oct 18, '07 : Reason: triple post
  12. by   leslie :-D
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    Last edit by leslie :-D on Oct 18, '07 : Reason: triple post
  13. by   leslie :-D
    i love, love, love rectal tubes.
    they are your pt's friends.
    i've seen so many kub's that reveal mass amts of free air, w/a grossly, distended abd.
    by golly, i'll try a rectal tube.
    and voila!
    much air expelled, nature takes its course.
    is your pt constipated/impacted?
    dagnabit, grab that rectal tube.
    and voila!
    peristalsis resumes.
    is your g-tube pt cranky and bloated?
    a rectal tube, you say?
    why thank you.
    i think i will.
    and voila!
    a soft stomach w/a smile.

    ng tubes are great for the upper body.
    as rectal tubes are great for the lower.
    so try it.
    they'll like it.

    leslie

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