y'all ain't going to believe this one!!

[ebear]

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 me position the fellow and then we stare at each other in awe! Some nurse had marked the rectum "yes"...(site verification)

#1). what nimwit nurse would do that?

#2). how many rectums does a person have?

#3). what patient would let her/him?

If I were that patient, I would have at that point walked my absessed butt out of there! Geez! If the doc can't find my rectum he sure as hell won't be doing an I&D on it!!! :lol2::lol2::lol2:

ebear

[ewattsjt]

While this all may seem strange to some; it is not to me. Our facility requires the patient to mark the site if able or the pt’s family or the admitting nurse. You have to remember that sometimes schedules can be rearranged to accommodate what is occurring such as a patient that drank a glass of water in the morning so they were switched to the end of the day. It would be possible for a patient in this case to go in for a peri rectal abscess and have a lap chole performed. OOPS.

In our facility, every patient deserves that they get the “same standard of care”. Not only does the patient have yes marked on single anatomy parts but “NO” on any bilateral parts. The patient verbally identifies what the procedure is being done to the team when entering the room and then there is a “time out” to confirm with the doc that it is the correct procedure and to the correct side if applicable.

While somewhat funny it is in the best interest of the patient!

[Annabelle07]

That's hilarious! Thanks for the laugh; it was much needed!

[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.

[ginger58, ASN, RN]

Maybe the patient wanted it marked for a funny.

[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 orifice 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 orifice when we see one.

[ebear, BSN, RN]

suanna!

HAHAHAHAHAHA!!!!!!!!!!!!!!!!!!!!!!! Well said!!!! Was he SERIOUS??????? :lol2::lol2:

ebear

[Sabby_NC]

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 orifice 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 orifice when we see one.

Now AIN'T the truth.. hahahahhahaa Loved your subtlety there LOL;)

[suanna]

suanna!

HAHAHAHAHAHA!!!!!!!!!!!!!!!!!!!!!!! Well said!!!! Was he SERIOUS??????? :lol2::lol2:

ebear

Absolutely! This resident-(senior to boot) was not the sharpest knife in the drawer.

[elcue]

surgeon marks it at our place

[ebear, BSN, RN]

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:

[ebear, BSN, RN]

stlor,

EXCELLENT POINT!!!! :lol2::lol2::lol2:

ebear

[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.