Hygiene Queen, RN Guide 25,585 Views
Joined Sep 13, '07.
Posts: 2,379 (73% Liked)
Actually, yes--because I tend to trust my eyes and ears more than a machine. Sorry. If the reading seems incongruent with what I'm looking at--280/140 or 50/20 and the patient is pink and happy and absolutely tip-top, well, I check it manually because I'm just curious. And machines are not infallible; movement artifact, tremors, positioning--and, of course, incorrect cuff size--are common causes of funky numbers.
This is a nursing practice that has always perplexed me, we typically on recheck on a BP we don't like, and keep rechecking until the BP is what we want it to be. Either automatic BP's aren't reliable, which means they are just as inaccurate when they say 120/80 as they are when they say 70/30 and should be rechecking both normal and abnormal BP's with a manual, or they are reliable, which is the position we tend to take when they give us a number that doesn't require any response on our part.
Now that we've branched into a side topic of misunderstandings :^) ... here's a good one.
My ex had a very good Indian friend in college. This was way before condoms were something that were practically handed out in college pharmacies... they weren't even talked about all the time like they are now.
This guy went into a college bookstore, and asked the - apparently matronly - clerk if they had any 'rubbers'. The woman turned a little pink and declared that they most certainly did not. The guy was dumbfounded, and said "You call yourself a college bookstore and you don't have any RUBBERS?!?".
Erasers are called 'rubbers' in England - and since Indian English is based on England's English - they're called that in India too, or they were then, at least. (And in case some of you younger people on here don't know this, 'rubbers' was the slang term for condoms a ways back).
Found a fax to MD from a nurse for BP parameters for Allopurinol.
It was sent too.
As a former third shifter I can remember how tired we got some nights and I would get just plain goofy. I can remember one night when my coworkers and I were all so tired I decided to entertain all and liven things up. I was doing my best Tracy Partridge impersonation playing a plastic wash basin like a tambourine singing I Think I Love You when I hit my hand just right and hyperextended 4 fingers. Thought we were going to have to cut my wedding ring off, fortunately we got to the KY quickly enough and got it off. My hand swelled up and hurt like crazy for several days. I have since retired my tambourine. :Melody:
When in clinicals, never shy away from anything. Volunteer for every opportunity, ask your nurses questions, and always strive to go "above and beyond". This is the one time in your career where you have a significant safety net. Don't be reckless, but if you think you can do something, volunteer to do it and seek out new experiences as much as possible. If your not a little scared/uncomfortable, your not trying hard enough!
Careful. Next investigation may involve Betty Crocker.
I was a young nurse on MedSurg and at that time we prepped (shaved) our patients before surgery.
My patient was a cowboy type, 30ish male going for a hernia repair. I opened the prep kit and discretely placed the blue sterile drape on his pubic area, exposing only his right groin. I put the bed in high position to save my back and had the patient scoot to the side of the bed near me. Started shaving while making small talk.
He told me he was a pastor and wrote worship songs, would I like to hear one? I said "Sure" and he leaned across the bed, pulled up his guitar and started strumming and singing. I kept shaving. All of a sudden I noticed the blue drape "tenting" upwards.
He kept singing hymns and I kept shaving, nodding and smiling to show him I liked his praise song and pretending I really didn't notice the steadily rising blue drape. It was the longest prep ever.
......and went down as one of my most awkward moments
You can be classy and poor and you can be uncouth and rich... I think it's less the societal class and more the values and behavior people are raised with, honestly.
I know plenty of blue collar folks who speak proper English, do not engage in exchanges of crass humor and don't spend time in bars, but plenty of white collar people who do the opposite.
Sorry, but as someone raised by two people who met in an automotive plant, I do not much care with how you broached this subject, ma'am.
I think your instructor is a nut.
I'm admittedly bumping the thread in hopes of getting to 200 pages, but nevertheless . . .
My mother passed nearly two years ago after a long struggle with Alzheimer's. Her dying was a huge relief to me, as I'm sure any child of an Alzheimer's patient can understand even if not agree. Once she was gone, I realized that I could stop thinking of her as she was in the year or two before her death, but remember her as she was before the disease stole all of her memories.
At the funeral, Mom didn't look like herself in the casket. She didn't look like the woman she had been before Alzheimer's, she didn't look like she did just prior to her death. She didn't look like anyone I knew. I was having a hard time with that, kinda wondering in the back of my mind if they had the right body or something. The minister of her long-time church was new and didn't know my mother, had never met me. That wasn't helpful. Just before the service was to start, the funeral director ushered my the immediate family into the "executive meeting room", a room where my mother had frequently attended meetings in her various roles as church elder, church secretary, president of the ladies circle, etc. For just a moment, as we walked into the room, I saw Mother seated at the head of the table, preparing to call a meeting to order. I quickly looked around to see if anyone else had seen what I saw. Clearly, none of my family had, but the funeral director caught my eye and nodded.
Years ago when I was working nights at a LTC facility, there was a resident who was a former nurse and she used to make rounds with me. She was still hale and hearty at 100, and she had so many stories! But one night as she followed me on my rounds, she began to talk about her children, all of whom had predeceased her, and mentioned that she had seen them recently; knowing her to be of sound mind, I got a UA just in case a UTI was making her loopy.
She didn't have one. But she continued to talk about the conversations she was having with her oldest daughter, and finally one night she called out to me from her room: "Look, here she comes...she's coming for me!" Her voice was full of joy. Then, silence.
I ran to her room and there she was, dead. She had the most amazing smile on her face, though, and I could feel a presence in the room as if someone had really been there. Maybe they were...who knows? All I know is that she was happy as she passed away. I'll never forget it.
The school nurse forum rocks! They welcome all types of nurses- you don't even have to be a school nurse!
When I was a CNA years and years ago, I worked night shift at a local hospital and one of my responsibilities was filling water pitchers and taking vitals around 2AM or 3AM. I was assigned to a different unit one night and the nurse gave me a list of rooms and bed numbers for vitals. As I filled the water pitchers, I also took vitals if required.
One room was really messy with clothes all over the floor and one of the 2 patients in that room needed a temp based on the list I had. I proceeded to take their axilla temp because the patient was facing away from me and I didn't want to wake him up. Then I picked up all the clothes off the floor, filled up the water pitchers and left the room.
The next morning I was so embarrassed when one of the two "patients" i.e. a young intern came up to me and asked if I was the one who gently took his temp under his axilla the night before and tried hard not to wake him up!! The other intern later thanked me for folding all their clothes. They obviously were teasing me. Turns out the nurse had forgotten to update the info before she gave me the list for vitals, and that was an empty room that the interns had decided to sleep in while on call!
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