smurfynursey 5,883 Views
Joined Oct 9, '09.
Posts: 238 (21% Liked)
I will educate them, but if they are grinning like a Cheshire cat and telling me that they are nauseated and dizzy, I will also educate them about the importance of having good credibility in the nurse's office. It would be a shame for a kid to fall victim to the "Boy who cried wolf syndrome" because they wanted to waste an extra five minutes out of history class. On one hand we're tempted to cover our butts and provide a full assessment, but in reality, we need to weed through, doing focused assessments and identifying the malingerers along the way. We can still cover our butts this way. Document, document, document.
Don't be afraid to call a student out on their patterns. If it's the third time in a month that the student is claiming they may have hit their head, nausea and dizziness present - then a call needs to be made home. The student is either full of it of is simply being careless. Same thing with frequent allergen exposures.
My other thought is balancing the subjective s/s with the objective. A student states dizziness after supposedly hitting their head, but practically skips into the office?? NOPE. Student tells me they feel nauseated, but then sits there with a big grin or proceeds to get into a big debate about the likelyhood of the Mets to win the pennant this year with another student... check in later or come back when you puke and bring proof.
I've got a doozy, but several people have done this. You KNOW you're allergic to shellfish, that does NOT mean you can take a dose of Benadryl and then go to the Red Lobster and get the shrimp scampi! If your child is allergic to peanuts, that does not mean you give him a PB&J with a side of chips and Benadryl! Some people shouldn't be allowed to reproduce. . .
For today, I give you:
-Woman with two $100 bills stuffed in her hooha. This was discovered while doing a catheter. She was unconcerned...
-Elderly woman who grabbed my male manager's butt while he helped me to pull her up in bed (yes, she meant to do it).
-Girl in for STD check who told me the doctor who did her pelvic was hot
-lady who reported 5 month pregnancy, who turned out NOT to be pregnant, and didn't care when she found out.
-Girl in for n/v and abd pain who brought her Taco Bell lunch with her to eat while waiting to see the dr
-Lady who is convinced things are crawling out of her scalp and down her face (nothing there)
- several cases of whiney-man syndrome in which each of these dudes needed a Rx for vagisil to go with their little whiney girl complaints
-Woman who held my hand and thanked me profusely for talking to her husband as if he were still a person while he quietly slipped away from us after a code was halted...
Ha! You didn't see that last one coming, did ya?
You know you are a PDN when you really have seen it all and a family manages to prove you wrong!
"Midgets are fighting in my crotch."
✔You know all the current Disney shows and have their theme songs memorized
✔ You've seen more carpet stains than you care to count
✔ You can suction and give mess through a GT in the dark, but prefer not to.
✔ You've read every book to come out in your preferred genre within the last decade or so and still run out of reading material... So you've moved on to crosswords
✔ You knit.
✔ You've ever settled a sibling dispute over a decapitated Barbie doll.
✔ You know when to hold 'em and when to fold 'em... The laundry, that is.
✔ You've seen and witnessed some of the most unusual, strange, head-scratching, and baffling behavior...all while wearing Mickey Mouse scrubs.
✔ You can calm a mom down in five seconds flat but can tell off an agency scheduler in two.
I am nurse, hear me ROAR!
Why isn't the family reading to the child? Everyone knows that there are tons of stories about comatose people recognizing voices. It's the parents' voices that the child needs to hear!!
As long as a person is capable of doing the job, I don't care about their weight. Just because a person has a "perfect body" doesn't mean the he/she is a good nurse. The "perfect body" person might have all kinds of deficiencies that aren't so easily visible. And just because a person's body is not perfect does not mean that person is a bad nurse. That overweight person might have many strenghts that are not visible at first glance.
Real life is simply more complex than that. Maybe someday, the OP will learn that lesson.
oh lets not forget nurse charting "skin dry, pink and intact" on a child with a G-tube. G-tube doesn't = intact
DON asked her why she didn't give the insulin, the nurse told her she didnt have an order for it, and the DON told her she should have given it anyway.
Can't you just imagine her working on the floor and when she goes into the room to take care of "Mr. Jones" he blurts out, "Hey! Didn't I just see you on the corner of 15th and Elm?"
I don't work in the PICU so I don't know how many older patients they have (though I did float there once and care for a 23 yr old duchenne muscular dystrophy pt) but working in the cardiac icu we get all the adult cardiac patients. We do have an adult congenital heart program and doctors specific to that program. They see patients out of the adult hospital next door however when admitted inpatient they come to the children's hospital. I highly dislike adult patients but I also understand why they are seen on our unit since adult cardiologists/intesivists don't typically have much experience with a Fontan circulation (or whatever special circulation the pt has) and how to manage complications.
My oldest patient to date was 53 and was an unrepaired hypoplastic right ventricle. 53 years ago the hospital sent her home with her parents to die and her body figured out a way to sustain itself. She's been married twice, adopted a few kids and worked a regular job. Bluest person I've ever seen!
Be careful about who you "write off" as not being a big bad er nurse like yourself. I've seen some of the most unlikely newbies quickly become our better nurses. Just sayin'. Be nice. You were totally clueless at one point too.
Lol...when she took off the homeless guys socks and couldn't figure out why there was an aroma shortly afterwards
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