dizzygatorrn replied to ladysushi's topic in General Nursing
WIMP = without inherent medical problem For the FLKs (funny looking kids), where an abnormal appearance may be an undiagnosed syndrome, you have to make certain it is not UPS. Ugly parent syndrome.
Child was in PICU with septicemia. The pediatrician tried to explain the diagnosis and planned treatment to the family. They seemed to have little understanding of germ theory and he resorted to explaining how bacteria are like little bugs and the IV...
dizzygatorrn replied to nursingaround1's topic in General Nursing
My favorite was when a leech drinks its fill, detaches, and escapes and you have to follow the blood trail on the floor to capture it. /s/ Loved to drop those suckers in a bottle of normal saline. They just explode. Had to explain to a young physici...
dizzygatorrn replied to Christy1019's topic in General Nursing
A young child had died and several of us were doing postmortem care. The child had been in isolation and we had been double-bagging anything leaving the room all week. We had a brand new LPN and this was her first experience with postmortem care. I w...
dizzygatorrn replied to dreamer30's topic in Relations
As I read Dudette's vignettes, it struck me that in these memories that are so fresh to her, some many years later A tone of voice A facial expression Assessing a patient's understanding Determining a patient's preference Explaining what you are doin...
dizzygatorrn replied to shortnsweet8's topic in Disabilities
If ENT says the problem is not in your inner ear, then it is not Meniere's disease. Do you have any history of migraines in you or family members? There is a diagnosis of migraine vertigo that is treated with migraine medications. A neurologist would...
dizzygatorrn replied to nynursey_'s topic in General Nursing
I wondered how they were making their money since the app is free. None of these costs are specified on the iTunes page. I looked on their website for "Terms of Use" and "Privacy Policy" but just got an "Error - 404" page.
Scary thing is that mo...
dizzygatorrn replied to bellcollector's topic in Pediatric
The Calmoseptine ointment explained above by icuRNmaggie is good. Calmoseptine is OTC and available at most any Walgreen's. Pediatric facilities often have a recipe for a "butt cream" - equal parts of nystatin ointment, Bacitracin ointment and zinc o...
dizzygatorrn replied to HelloRN00's topic in Rehabilitation
I had a 4 year old patient with a long-term gastrostomy. He would look for a new nurse or nervous-looking parent and whip out his G tube and wave it at them. He would stand there giggling with Pediasure oozing out the stoma. When another nurse respon...
dizzygatorrn replied to HelloRN00's topic in Rehabilitation
1. Before you insert the Foley: Cut a slit in the top of a baby nipple and thread the Foley through the nipple so the base of the nipple will end up against the patient's skin. Insert the Foley. Pull the Foley catheter up so the balloon is securely a...
I've always thought I would be a survivor. Spent a lot of my life camping and can easily go rustic. My neighbors fall apart if we lose power for a day. (One of them drove over downed live wires to go buy a flashlight because he didn't have one in the...
dizzygatorrn replied to Emily456's topic in LPN/LVN
Flyboy, Since your patient's wife asked you to attend the funeral, she did not think you "let him die". It sounds like his children were not ready to let him go. A family will talk about their loved one's death and funeral. His children probably chan...
Many years ago, I had to go down to the hospital basement looking for some equipment. There, way back in the farthest corner, was an iron lung. It made a shudder run down my spine just looking at it. Polio was still around when I was young. It terrif...
Pediatric patients I have cared for: Varicella encephalitis - Yes, chicken pox of the brain. Obviously, the toddler was left with brain damage. One of those cases where you wonder if you did them any favor in saving their life. Varicella with massive...
dizzygatorrn replied to allnurses's topic in General Nursing
The primary reason for the existence of hospitals is to provide nursing care. I've never understood why administrators and bean counters don't understand that nursing care is not a "cost" of doing business, the services we provide are the "product". ...