What is the grossest thing you have encountered in clinicals? - page 4

Thought this would be an interesting thread to start to give new students the "harsh reality" :rotfl: of what to expect as we enter our first semester.... Read More

  1. by   nurseshanti
    Quote from Drysolong
    One of my fellow nursing students, who has experience as a CNA/PCT states that there is a way of breathing that can help you withstand terrible odors. Is anyone familiar with this technique?
    I'm not positive, but I think breathing throught your mouth instead of through your nose should help get rid of yucky smells. Bypasses a lot of the olfactory receptors.

    Edited to add: Last week I saw something that topped my grossest thing seen so far. I was helping out with a dressing change on a gentleman who had both Necrotizing Fascitis and Gangrene all along his back and buttocks and spread to his front all around his penis. The wound was infected with a lot of different bugs including pseudomonas. It was about 1/2 inch deep all along and was undermined by about a full inch all the way along the perimeter of the wound. The poor man was in so much pain throughout, even though he was on a morphine drip. It was just awful.
    Last edit by nurseshanti on Jun 6, '04
  2. by   finchertwins
    Okay here is something to think about, I have too many stories but here are a few of them. As an ADN student I saw a pt with a stage 4+++ decub that was lower back maybe lumbar to penis midway down femur, while working with the wound care nurse that day the head of his femur fell off, I did not get sick but it made me cringe. The second story comes from the days when I was a paramedic in a small community that also did p/u for the medical examiners, he looked like a short fat african-american that turned out to be a skinny white guy, it was summer time w/o ac, he had died about 9 days prior and had liquified but his skin stayed intact, when we moved him his arm pulled off and his content spilled unto the floor. I was the only one that kept from vomiting, I had to put flexall 454 under my nose which only helped a little. By the way, one of the people helping us move him fainted and fell on the floor, you guessed it right into to gross stuff.:imbar
  3. by   Nurse-o-Matic
    Quote from finchertwins
    Okay here is something to think about, I have too many stories but here are a few of them. As an ADN student I saw a pt with a stage 4+++ decub that was lower back maybe lumbar to penis midway down femur, while working with the wound care nurse that day the head of his femur fell off, I did not get sick but it made me cringe. The second story comes from the days when I was a paramedic in a small community that also did p/u for the medical examiners, he looked like a short fat african-american that turned out to be a skinny white guy, it was summer time w/o ac, he had died about 9 days prior and had liquified but his skin stayed intact, when we moved him his arm pulled off and his content spilled unto the floor. I was the only one that kept from vomiting, I had to put flexall 454 under my nose which only helped a little. By the way, one of the people helping us move him fainted and fell on the floor, you guessed it right into to gross stuff.:imbar
    You win the grossest story award. YUCK! :stone
  4. by   Truly_Blessed
    I concur. Disgusting!
    Quote from Nurse-o-Matic
    You win the grossest story award. YUCK! :stone
  5. by   susanna
    just wondering from all of those horror stories, if youre a nurse, are you allowed to wear golves and a mask whenever you want (ie. assesing and interviewing the patient and other places, or how about, All The Time!!?) ?
    not a nurse yet but i think id like to wear a mask, gloves, and a gown all the time, or at least a mask and gloves.
  6. by   SmilingBluEyes
    Quote from SthRNBelle
    The grossest thing I saw was while I was in nursing school in our OB rotation. The doctor that was delivering this lady was a woman doctor and she was quite unique. She never wore anything to cover up. Never wore the gown, or mask or anything and wore birkenstock sandals everyday. So....this lady is pushing, pushing, pushing, and finally the head comes out. And when it does, so does amniotic fluid and it goes everywhere...even in the doctors mouth. So instead of spitting, vomiting, or trying to wipe her mouth clean, she says "yum...yum...yum..." and smacks her lips together like it was the best dessert she had ever had. I had to hold back the gagging....it was disgusting. And needless to say...OB really wasn't my idea of a good time. :chuckle
    that is without a doubt one of the grossest things I have ever seen . And I have done OB 7 years. I would had to write this one up; such a blatant violation of universal precautions. I DOUBT this is a dr. who cares a whip about not spreading infection to her patients. UGH. :angryfire
  7. by   SmilingBluEyes
    Quote from finchertwins
    , he looked like a short fat african-american that turned out to be a skinny white guy, it was summer time w/o ac, he had died about 9 days prior and had liquified but his skin stayed intact, when we moved him his arm pulled off and his content spilled unto the floor. I was the only one that kept from vomiting, I had to put flexall 454 under my nose which only helped a little. By the way, one of the people helping us move him fainted and fell on the floor, you guessed it right into to gross stuff.:imbar

    oh ick, YOU WIN!!!!!!!!!!!!!!!!!!!! UNCLE!!!
  8. by   jaymee77
    ewwww i agree!
    :hatparty:

    the coolest thing i ever say was a vascular disease patient with a denuded leg from knee to ankle.... i changed the dressing for three weeks at clinical (she had had the wound for nealry 2 years) and it was REALLY COOL. she had no skin no granulation no sQ tissue...just muscle and drainage and it was really painful so it was about a 30 minute ordeal with lidacaine before you touched it...very very interesting to work with.

    (i just finished my first quarter so i was pretty proud to get to play with that and a stage 4 decub where i actually touched a MS patients ischial tuberosity while packing i was like HOLY COW THAT WAS HER BONEEEEE!!! omg COOOOOL) okay if that means i'm kinda gross well.....ok i accept
  9. by   Chad_KY_SRNA
    This was as a CNA but still fairly sick. I worked with a nurse who was completely burned out and honestly was a little dangerous. Once she changed a patients brief and then took her "dirty" glove off with her teeth . Another time she was asked to sign the death certificate and check the patients vitals on one of our patients. She came in and removed the IV's and then cut the patients dialysis shunt flush with the skin. The CNA's had already finished preparing the body for the funeral home. The patient bled out post-mortem. She tried to stop the flow of blood, drenching herself in blood, her hair fell in front of her face and she ran her bloody hand through her hair. It was a big disaster. They had to dig the end of the shunt out of the trash and tape it back together. There was so much blood that they had to throw out the mattress and a 5 gallon bucket full of towels. They didn't fire her, oh no, we are too short of nurses. They just put her on another unit away from the skilled pts. She eventually quit because she realized how dangerous she was. Still has here license and could get a job tommorow. :angryfire Something about this just doesn't seem right.
  10. by   finally
    I took care of an elderly client with cancer of the face...It started out as a stye on the eye and progressed to the whole side of face...You could see through the face...like feeding this person you were litarelly dropping the food (ensure) into the back of the throat...if standing on side of client you could see bone of nose..no eye...inside of mouth like far back towards throat...so sad...:imbar
  11. by   maire
    Quote from finchertwins
    Okay here is something to think about, I have too many stories but here are a few of them. As an ADN student I saw a pt with a stage 4+++ decub that was lower back maybe lumbar to penis midway down femur, while working with the wound care nurse that day the head of his femur fell off, I did not get sick but it made me cringe. The second story comes from the days when I was a paramedic in a small community that also did p/u for the medical examiners, he looked like a short fat african-american that turned out to be a skinny white guy, it was summer time w/o ac, he had died about 9 days prior and had liquified but his skin stayed intact, when we moved him his arm pulled off and his content spilled unto the floor. I was the only one that kept from vomiting, I had to put flexall 454 under my nose which only helped a little. By the way, one of the people helping us move him fainted and fell on the floor, you guessed it right into to gross stuff.:imbar
    Oh gawd I am gagging just thinking about it.
  12. by   Sailorboy
    Quote from #1rnstudent
    I have to second that C-diff is the foulest thing I have ever encountered. Before, I could handle the whole poop thing but ever since I got a whiff of C-diff poop, I am fighting dry heaves all the time.

    What is C-diff??
  13. by   twarlik
    Quote from Sailorboy
    What is C-diff??
    Clostridium difficile. It's a nasty opportunistic infection that people get in their bowel. A lot of times people who are receiving antibiotics get it. It causes horrible diarrhea that smells just plain awful.

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