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I'm with you on the isolation. Sometimes a section on my unit will have up to 3 isolated patients, but then we start switching them around so that the primary nurse has no more than 2 out of their 4 or 5 patients. Totally annoying though to have to gown and glove, then de-gown and de-glove (and sweat buckets in the meantime). I tend to cluster as much care/treatment/medication/vitals in one visit so that I don't have to visit as often (sad, but who wants to risk spreading it to everyone else!)
1. accuchecks... a ten second procedure... hate it
2. neuro checks every hour with a patient that is cranky
3. rectal kayexallate, nasty
4. charcol, I'm always wearing it
5. being the waitress, crying out loud, give me your list of demands all at ONCE so I can make ONE trip
thanks for the vent:)
I don't mind doing any of the above, though haven't put in a foley on a live patient (yet) but seen it done a bunch of times.
But I DO hate it when u do EVERYTHING u can for the patient, I mean u check everything like do they have their call light, their water, glasses, books/magazines, the overway table is right next to them, remotes for TV etc, given pain meds - whatever, then you ask: 'Is there anything else u need done?', they're like 'No thanks nurse'. You go to the door & then, I can almost guarantee you, they say: 'Oh just one more thing nurse...' U know how it's called the doorknob question by doctors? Yeh that. So I just grit my teeth, smile, turn back and say 'Yes?'
I HATE that more than anything!
I don't particularly like I&O cathing people, which we do a fair amount of on my floor. It's not really hard, it's just a pain.
I also don't like hanging antibiotics on babies. We do it on occasion if baby comes back from NICU still receiving them, or sometimes if baby's blood culture comes back + for GBS (I can count on one hand the number of times the latter has happened). Doing the abx thing isn't hard, it's just time consuming and there are a million little steps that we don't do all the time, so we get out of practice in the wellbaby nursery.
SolaireSolstice, BSN, RN
247 Posts
I am venting my pet peeves. I had one of each of these yesterday, 1 patient w/ 3 of these. Share with me yours.
I hate:
1. Giving enemas - I have never not caused a huge mess even before I get the solution INTO the patient.
2. Taking accuchecks - The accucheck needs a calibration or quality check, or has the wrong code card for the strips, or I don't stick the patient hard enough so there's not enough blood and then have to go run for another finger stick thingie because the second one I grabbed is faulty
3. Sitz bath - see #1
4. Simply having a patient in isolation - putting on and taking off the PPE can suck your time, and if the patient has the temp in their room up I get all hot and sweaty within 5 minutes
5. Putting in a foley - this is never as easy as it should be. Either the A&O patient is unhelpful "Please keep your knees up and apart Ms X" or the anatomy is unhelpful.