y'all ain't going to believe this one!! - page 3

I have been debating over whether to share this or not. I've been up laughing all night though, and it's 0517! OK, so i put the patient in high stirrups for perirectal abscess. The other nurse helps... Read More

  1. by   anononurse
    Where I work, the nurse marks the site, w/the verification of the patient & surgical consent. The surgeon & the OR nurse then check to ensure that the site has been marked & matches the consent, and verify this w/patient, b/f taking the patient to OR. We do not mark things like Lap Chole, Lap Appy, etc. & our policy states that we mark the site w/an arrow pointing to the site- L ing. hernia, R total hip, L nephrectomy, R breast, etc. We do not mark the rectum or anything that the patient has ONE of. We also have been told NOT to mark "no" on the wrong site as this can be misinterpreted as the correct site & only adds to confusion. It was the same way at the previous OR I worked in & seems to work well.
  2. by   ginger58
    Maybe the patient wanted it marked for a funny.
  3. by   suanna
    It may have been for the resident staff. We often have residents rotating through our CVSICU for observational rounds. As part of the experience the write the daily progress note. A patient had developed a fever and the nursing staff discovered a pilonidal cyst at his coccyx. On rounds we pointd this out to the resident who commented-"... that one is the cyst?" being confused as to which was the anus and which was the cyst. It wasn't difficult do discern the difference but we hopefully helped a "surgeon to be" with a gap in his anatomy studies. As nurses we are always able to identify a real anus when we see one.
  4. by   ebear
    suanna!
    HAHAHAHAHAHA!!!!!!!!!!!!!!!!!!!!!!! Well said!!!! Was he SERIOUS???????
    ebear
    Last edit by ebear on Oct 20, '07
  5. by   Sabby_NC
    Quote from suanna
    It may have been for the resident staff. We often have residents rotating through our CVSICU for observational rounds. As part of the experience the write the daily progress note. A patient had developed a fever and the nursing staff discovered a pilonidal cyst at his coccyx. On rounds we pointd this out to the resident who commented-"... that one is the cyst?" being confused as to which was the anus and which was the cyst. It wasn't difficult do discern the difference but we hopefully helped a "surgeon to be" with a gap in his anatomy studies. As nurses we are always able to identify a real anus when we see one.

    Now AIN'T the truth.. hahahahhahaa Loved your subtlety there LOL
  6. by   suanna
    Quote from ebear
    suanna!
    HAHAHAHAHAHA!!!!!!!!!!!!!!!!!!!!!!! Well said!!!! Was he SERIOUS???????
    ebear
    Absolutely! This resident-(senior to boot) was not the sharpest knife in the drawer.
  7. by   elcue
    surgeon marks it at our place
  8. by   ebear
    A senior resident?? NOW THAT'S SCAREY!!!!! That reminds me, NEVER go to the E.R. in July!!! (That's when these folks finish and the "greenies" come in) Sounds like this guy may need an extended residency. :uhoh21:
  9. by   ebear
    stlor,
    EXCELLENT POINT!!!!
    ebear
  10. by   Mourkoth
    Maybe the patient marked the site as a joke. I had a patient who was getting a Left total hip done. He marked on the Right leg, "No not this leg, this is not the one. How about you walk around the table and if you are still standing there reading, maybe I don't really want surgery done here." I read his lengthy note on his leg (written with a sharpy) and we both laughed.
  11. by   maeyken
    At our hospital the surgeons are supposed to mark the correct site with their initials. We only mark sites where there could possibly be confusion (left/right) not sites where there is only one (eg. we would never mark the anus). We also do the time out after the patient is prepped and draped (verifying the site, the side, and the surgery, as well as the patient and the surgeon).

    You guys are hilarious!

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