Workplace Sayings - page 4

We have a saying where I work that goes "There's a right way, and then there's the _______ ________ Medical Center's way!". When a coworker complains of the way something is done, then makes and... Read More

  1. by   Buckeye.nurse
    Quote from T-Bird78
    Don't say the Q word, the S word, or the B word. (Quiet, slow, or bored).
    This is a very common superstition at my place of work as well!

    Another superstition: Don't mention frequent fliers by name...otherwise they are bound to show up magically on the admit list as if summoned.
  2. by   Kitiger
    Quote from rn1965
    Not my circus, not my monkeys!
    This one is very important in private duty home care, because there is more than one right way to do things.

    Some homes have parents who require that all procedures be done exactly as they instruct, and they will watch & correct as often as they feel they need to do so. If another nurse - who knows the "right way" - still chooses to do it differently, I stay out of it.

    Some parents don't micro-manage, and are happy as long as their child gets appropriate care. If another nurse does things differently on her shift, I stay out of it unless there is the potential for harm to the child.

    Not my circus, not my monkeys.

    Although I do wish they would do it my way.
  3. by   tnbutterfly
    "That's the way we've always done it"
  4. by   DaveICURN
    When looking at a third degree heart block on my DNR, my orientator would mention, "Yep, he's going to see Jesus today."

    "Less than 8? Intubate!"- referring to Glasgow Coma Scale

    "Pt reported 1 PPD smoking? Double it. 2 drinks a day? Double it. 50 Year old man w/o prior hospital admission reported 1 day N/V/D? More like 1 week." This was what led me early to the understanding that Pt reporting needs to be given a generous helping of salt when taking history.
  5. by   Davey Do
    Quote from klone
    Keep ‘em alive until 7:05
    0706-png
  6. by   Davey Do
    Quote from DaveICURN
    Pt reported... 2 drinks a day? Double it.
    Actually, when I worked in chemical dependency treatment, we would triple it.
  7. by   Rose_Queen
    Quote from Davey Do
    Actually, when I worked in chemical dependency treatment, we would triple it.
    Yep. Lots of rules of 3 where I work.

    Alcoholic beverages? Multiply times 3
    Partners a male has been with? Divide by 3
    Partners a female has been with? Multiply by 3
  8. by   Eris Discordia BSN, RN
    Quote from Davey Do
    Actually, when I worked in chemical dependency treatment, we would triple it.
    Haha, except one of my detox admits last week tried to cop to three GALLONS of vodka a day...frequent flyer, and tried to special request the ultimate max dose we rarely give of phenobarb, for ETOH detox, and named it to the microgram (97.2 mg max dose scheduled QID). He just really liked his barbs. Got violently PO'd that we refused to wake him up from a dead sleep for the PRN part of the phenobarb dosing.

    Had to take that one with a healthy grain of salt.
  9. by   Davey Do
    Quote from Oldmahubbard
    The Q sign.
    The first time I ever saw the Q sign was as an LPN student.

    I was doing clinical on a medical floor and had four total care patients. I was doing VS on the first patient, an elderly man who had come to the ER for an ingrown toenail "and they kept me and took out my gallbladder!", he told me.

    He wanted to talk and I said, "Mr. H, I've got other things to do right now, but when I come back to give you your bed bath, we can talk all about it!"

    After performing services for the other patients, I returned to Mr. H's room.

    q-sign-png

    I lowered the head of Mr. H's bed as I listened and looked for respirations checked his carotid and called a code. The director of RT was on the floor and was there in a matter of seconds. I started compressions as the RT did respirations. In no time at all the room was filled with a crash cart, MD, and nurses.

    Mr. H came back for a short time, but didn't last long.
  10. by   Davey Do
    Quote from Rose_Queen
    Yep. Lots of rules of 3 where I work.

    Alcoholic beverages? Multiply times 3
    Partners a male has been with? Divide by 3
    Partners a female has been with? Multiply by 3
    Length of time a patient wanting to be admitted to psych hasn't eaten in?
    Always: "3 days!"
  11. by   Davey Do
    Quote from BedsideNurse
    Overhead at the bedside of an impending emergency: "Oh no. Here comes Dr. Don't Just Do Something Stand There."
    I was orienting in surgery at St. Anomaly's Hospital when a urologist was performing some sort of procedure on a fella's scrotum, while I observed, scrubbed in.

    The urologist and I had attended high school together, recognized each other while scrubbing, and this was the first time we had seen each other in nearly 20 years.

    He ran into some problem during the surgery, turned to me while I was on the other side of the first scrub, and yelled, "Dave, don't just stand there! Do so something!"

    do-something-png

    That's all I could "do".
  12. by   Davey Do
    Quote from tnbutterfly
    "That's the way we've always done it"
    On the other side of things, tnbutterfly, administration at WRMC (Wrongway Regional Medical Center) will change policy and procedures without notification and/or education.

    Case in point: The method in which physician orders at WRMC are input changed dramatically without warning or training in the new procedure. Now, the new system is much easier and efficient to work with, but still- administration could have let us know the process was changing and maybe given us some notes.

    In the old system, you had to go to the specific department and try to find the test by someone's idea of its name.

    For example, if you wanted to order a lactic acid level, you'd go to lab, and try putting in "lactic acid" which would avail you nothing. No, you had to put in "whole blood lactic acid level" before it would accept the order.

    With the new system, you merely click on the icon, put a few letters in, and an array of choices pop up. You can scroll down and find the specific needed order. Viola!

    You'd think administration would cease this opportunity to tout their new improved system by sending out a notice:

    drs-orders-png

    It seems that this new easier way was done for the physician's benefit, but WRMC physicians still want to do it "the way we've always done it" and have staff input orders.

    It seems WRMC administration continues to enable docs who won't get off the pot.
  13. by   Davey Do
    Quote from Davey Do
    On the other side of things, tnbutterfly, administration at WRMC (Wrongway Regional Medical Center) will change policy and procedures without notification and/or education.
    I neglected to mention what I say whenever administration does this:
    "Administration can do whatever they want whenever they want!"

close