Like any good team member, nurses come to work with our game face on: ready to run hard, field phone calls, intercept doctors, and run interference for our patients. Here's what happens when we play like we left our heads behind in the locker room.
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I once destroyed a patient room within five minutes of starting my shift.
It was fortunate that the two ladies who occupied the semi-private room were AA & O and had a sense of humor. You have to know your shift is going to be a bad one when you walk into a room and trip over someone's catheter, then dump a custard in the other patient's lap. As an encore, you then open a cabinet, and 500 little paper cups fall onto your head. Then, after you've retrieved them all and stand up, you forget the door is still open and thump your cranium so soundly that you see stars and go sprawling on your posterior. The cups wind up on the floor again.....and in the meantime, two very concerned women are peering at you over the counter. And YOU'RE supposed to be taking care of THEM.
A good friend of mine was a champion IV starter who could get a line in a rutabaga if it needed one. One day after several of us tried without success to stick this 400-lb. patient with an active case of DTs and no palpable veins, we called Anna in to try to locate something so we could get some meds on board. Bless her, she got a 20g in the cephalic vein on her very first try and flushed the line.....but then she got all bollixed up in the tape while trying to secure the site. She must've had a yard of the stuff wrapped around her fingers. She couldn't pull it loose, and no one else in the room could help her because we were using all our muscle power to hold the patient down while the nursing supervisor and the tech were trying to buckle him into four-points. "Tape is our friend," Anna quipped.
Speaking of tape: regardless of purpose or design, there are only two kinds of medical tape---1) that which will not stick, and 2) that which will not come off. I was a Med/Surg tech back in nursing school days who was allowed to D/C everything but a central line, and I went into one room to take out a saline lock for a patient who was going home. She was a frail elderly lady with extremely thin skin, only I didn't know HOW thin until I took the op-site off.........and took the entire top layer of skin with it. To say the least, I was horrified and began to apologize profusely for the awful thing I'd done. The patient herself merely shrugged. "Oh, for goodness sake, it's just skin!" she admonished. "I can grow more---it happens every time."
(That was when I learned the trick of removing the skin from the tape instead of removing the tape from the skin.......there really is a difference in techniques, and I've never ripped another single layer of parchment paper that serves some elderly folks as skin ever since.)
Then there was the time I nearly got written up for multiple patient complaints. It was one of those full-moon August weekend nights that are just ripe with possibilities......if you're looking for trouble, that is. As it was, I didn't know if things happened the way they did because I was on my fourth consecutive 12-hr shift, but I couldn't help being goofy......I found myself snickering at every silly thing that happened that night, and I'd already infected several of my co-workers with the giggles as well.
Anyway, an LPN and I were working together in one room, changing a patient's soiled linens and cleaning him up while trying not to wake him totally, when I backed into an enormous flower arrangement and sent it crashing to the floor. That made his roommate wake up and swear, stringing profanities together in such creative combinations that it struck me as absolutely hilarious, and I broke up.
I am NOT quiet when I laugh, and when you get my mad cackling going on in the hallway of a hospital at three in the morning, suffice it to say that patients aren't going to be amused, and neither is the nurse manager. The only thing that saved me from a written reprimand was a few quotes from the gentleman I'd awakened with my klutz du jour performance; I guess the NM figured a good cussing-out was punishment enough!