You know it is going to be the admission from hell when..... - page 3

You know it is going to be the admission from hell when.... 1) Pt arrives and hands you a 4 page typed document that lists medications on page 1, allergies on page 2, diseases on page 3, and... Read More

  1. by   K O'Malley
    Yeah dawngloves, and I too love those admissions from ER--such as the "stable GI bleeder" who comes up on the gurney blue and gasping for air. OOps looks like he vomited and aspirated blood and then it goes downhill from there, down, down, down...
  2. by   hapeewendy
    fatigue nyd - what I'm suffering from right this very moment!
    how lucky for you that youre not familiar with this type of admission !
    It usually goes a lil somethin like this (hit it!):
    pt feeling unwell and overly tired for a week or so , goes to emerg , does a lot of innovating explaining and imbelishing of symptoms , "oh I just cant move, I feel numb and tingly," and/or "no matter how long I sleep I cannot feel rested, I saw a tv program about sleep apnea and my cousins cousin has sleep apnea so im worried" etc
    luckly for us all these admissions are rare but they usually involve the patient being a friend of a friend of the dr or someone on staff etc..
    so yeah fatigue nyd ! heres the diagnosis - youre tired, get ur A$$ to bed!
    in all seriuosness fatigue that is so debilitating should be taken seriously , I suffer from an illness in which fatigue is a HUGE part of the sypmtoms, if not THE major symptom, but really ,I've never seen a legit case of fatigue nyd , maybe someday!
  3. by   Stargazer
    Wendy--WHAT does the "nyd" stand for?

    All I can think of is "fatigue New Year's Day"--which is, y'know, normal.
  4. by   mattsmom81
    Heroin OD in ER unresponsive and the ER nurse tells you "I'm Narcan'ing now and we'll be right up'.

    Family members whose first words to you are 'I'm not leaving'...and they monopolize the situation as their unstable family member is crashing.

    Postop heart rolls in and anesthesia remarks "Well, he was a little unstable a bit ago and he's all yours now" ...as he squirts in a few boluses from unlabeled 'mystery syringes' as he waves and runs out.

    Patients and family who arrive immediately demanding to see 'the person in charge' and the supervisor has already alerted you she won't speak to them again.

    Seems like the past 10 years the public has become so much more antagonistic...they are so often the problem not the patient.
  5. by   Stargazer
    Originally posted by mattsmom81
    Heroin OD in ER unresponsive and the ER nurse tells you "I'm Narcan'ing now and we'll be right up'.
    Now that's just mean!

    Postop heart rolls in and anesthesia remarks "Well, he was a little unstable a bit ago and he's all yours now" ...as he squirts in a few boluses from unlabeled 'mystery syringes' as he waves and runs out.
    This reminds me of the time that the open heart time apparently couldn't locate an ambu-bag anywhere in the OR (?) and decided, hey, it's just 50 feet down the hall to ICU, we'll just run him down there, he can go without being bagged for 30 seconds.

    Except they got the bed number wrong and took him to the wrong side of ICU--the side where there WERE no empty rooms--and then had to turn around and go the opposite direction--yeah, the pt's sats were dropping just a tad by the time they finally made it into the correct room and we were able to start bagging him. Duh.
  6. by   zudy
    All the psych beds in the city, and indeed for 50 MILE RADIUS were full not long ago, so along with my usual ER pts I had 3 psych pts to hold until a miracle occurred. (Killer full moon) The first one told me not to get close to him, coz he knew I was going to implant a chip in his head. The second one was wearing a tiara and a candy necklace, the third said "So, when is breakfast served around her?" Inearly told her to go nibble on # 2's neck. At the end of 12 hours we these 3 PLUS all my reg pts (Yes, used guessed it, I AM NOT A PSYCH NURSE!!!!!!) # 1 pt reminded me for perhaps the hundredth time not to put a chip in his brain, I lost it and screamed, "Do I look like I have time to put a stupid chip in your brain!!!!! He looked thoughtful, and said "Well, no you don't." I have also taken care of Jesus,satan and Charley Pride, but not at the same time.
  7. by   NurseWeasel
    nyd = not yet determined, as in the cause ????

    just a guess.
  8. by   hapeewendy
    fatigue - nyd = not yet diagnosed
  9. by   Stargazer
    Ah--thank you. Maybe I'll be smarter after another cup of coffee. (Hey, a girl can dream, can't she?)
  10. by   hapeewendy
    youre plenty brilliant enough!
    who would figure fatigue would need a diagnosis
    I can see the nanda book now , well in my case anyway

    fatigue related to lack of sleep caused by insane work schedule
    fatigue related to lack of sleep secondary to partying ones ass off too much on a saturday night
    ah well you get tha point!
  11. by   hoolahan
    I love the post-ops who you see anesthesia running the stretcher into the ICU, not rolling it, but running it in, saying, "His pressure was fine through the whole case..." Yeah right!!!

    Male admitted w EKG changes after having sex w GF, and knowing we will have to run interference between wife and GF all night.
  12. by   Stargazer
    OH! I'll go you one better! We admitted a guy who drank down a glass of OJ laced with cyanide at the breakfast table, after telling his wife he was going to do so.

    For the next 24 hours we tried to keep him alive, wife at his bedside, while his multiple tearful girlfriends all called the ICU wanting to know how he was. I know you're not supposed to speak ill of the dead, but--what a prick.
  13. by   Sleepyeyes
    Originally posted by zudy
    All the psych beds in the city, and indeed for 50 MILE RADIUS were full not long ago, so along with my usual ER pts I had 3 psych pts to hold until a miracle occurred. (Killer full moon) The first one told me not to get close to him, coz he knew I was going to implant a chip in his head. The second one was wearing a tiara and a candy necklace, the third said "So, when is breakfast served around her?" Inearly told her to go nibble on # 2's neck. At the end of 12 hours we these 3 PLUS all my reg pts (Yes, used guessed it, I AM NOT A PSYCH NURSE!!!!!!) # 1 pt reminded me for perhaps the hundredth time not to put a chip in his brain, I lost it and screamed, "Do I look like I have time to put a stupid chip in your brain!!!!! He looked thoughtful, and said "Well, no you don't." I have also taken care of Jesus,satan and Charley Pride, but not at the same time.
    :roll BWAAAHAHAHAHAHA~!!!!!! fam thinks I've lost it, i'm laughing so hard!!! :roll

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