tigerlogic, BSN, RN 5,371 Views
Joined Apr 13, '12.
tigerlogic is a ICU, ED.
Posts: 234 (42% Liked)
Death is sometimes like a tidal wave that you can see coming but you can't stop. Death is also sometimes surprising and random.
Be an organ donor. Enjoy every bite of dessert. Love your people deeply and fiercely.
Also, the pleasantly confused old lady who thinks you look like an angel during the day will be the confused one trying to scratch your eyes out after dark. Be loving and compassionate to both.
Put a brief over the bedpan before putting it under your patient. Softer, no splashing, easier clean up. Less risk for skin breakdown on the little ones that take forever to go. (If you don't need to get a sample or accurate I/Os)
The bead around gloves can be torn off and used as a hair tie or to bundle supplies together.
Colace works well to get ear wax out. Skip trying to squeeze it out of the pills and just get the liquid (i.e. ask the doc if you can put in the order for him/her to get it right the first time)
If you are using dark iodine to swab before inserting a foley, sometimes leaving the last swab in place before going for the urethra helps avoid missing and accidentally cathing the vag.
Drunks tend to tolerate a pulse ox on their toe much easier than on their hands. Same for teenagers who can't stop texting for 15 sec.
Depending on how loose your department is with their supplies, if you have cuts on your hands from the rest of your life or paper cuts, wrap a tegaderm around it. It'll stay clean for dozens of alcohol hand washes. Naturally, if this would be considered stealing in your department, don't do it! (It's fine where I work, but locations vary)
Nasal cannulas hooked up to NS makes for a good continuous eye wash. However, be sure to account for the mess you are about to make.
Mesh panties with the middle cut out sometimes make for a good way to hold an ABD on a large leg or a normal sized abdomen.
Maxi pads are great for wounds in and out of the hospital. They are often cheap enough patients can afford them on their own.
It is often better to acknowledge people's pain even if you aren't going to give them meds. "There's nothing wrong with you" is rarely a satisfying answer.
"Your scans and blood tests are normal. We tested x/y/z. I'm sorry that you are still in pain but we don't see any reason to keep you in the hospital or send you to surgery. Nearly 100 people a day die because of opioid overdoses so we think it's safest for you to take care of yourself at home with heat/ice tylenol/ibuprofen and follow up with a specialist/primary care. I'm glad we didn't find something so serious that you needed surgery today and I hope you feel better."
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