What have other nurses done that have freaked you out? - page 64
What have other peers done intentional/unintentional to freak you out? Good or bad. Happy or sad. On my FIRST day as an LVN, (LTC) a res was screaming in her room as I was walking out to leave. I... Read More
Feb 5, '11Two things in the NICU that burn me up that I see from SOME senior nurses:
1. Pushing Morphine or Fentanyl incorrectly...just because the infant is on a vent.
2. Being too rough with neonates...big difference between being "comfortable" and being insensitive.
Feb 5, '11Percocets in central lines. Feedings going into the wrong lines. Feedings going into central lines. Crazy old nurses taping babies mouths shut.........AND I AM IN TROUBLE FOR RAISING MY VOICE TO MY CNL??????? And those people are still working??????!!!!! THIS WHOLE THING IS FREAKING ME OUT!!!!!!!
Feb 5, '11The more I read the more I freak. How do people continue to practice? Peri care with no gloves? Sounds like some sort of fetish...GROSS! Let me die in the woods without a nurse or physician in site!!!!!
Feb 5, '11Quote from nightengalegoddessNow, my question is...was this intentional on the nurse's part? Because I don't know which is worse - a nurse who accidentally puts pills through an IV, or a nurse who purposely does this!Percocets in central lines.
Feb 6, '11I was an LVN training at a disabled group home, this one pt had to have his catheter changed monthly. I was shocked to see that she did not use sterile technique! Her statement was "well the air in the room isn't sterile, this is his home and isn't a sterile environment!" I reported it, nothing happened. This nurse would call in sick every holiday, etc. They only finally fired her after a resident had been limping around severely for a week with a broken foot! The foot was obviously purple. I also heard the pt with the catheter ended up with a severe bladder and kidney infection and had to be hospitalized.
I had to quit. I couldn't understand how they let that much negligence happen.
Feb 6, '11I had a fresh hypertensive CVA admitted to the ICU from the ER. Her BP was, by report, 200s/low 100s. You cannot drop this type of patient's blood pressure too quickly because you raise their mortality rate significantly. In report, I was told the patient would be receiving a bolus of mannitol on the way to the unit. When the patient arrived and I hooked up the BP cuff - 70/30. WHAT? I check the pump - there was a near empty bag of Nipride bolusing into the patient.
The patient subsequently died and were unable to regain a pressure despite all efforts.
No nurse ever admitted to hanging the bag. It was not charted, the bag was not checked or initialed and according to the ER charge nurse "We have sometimes 7 different nurses working on the same patient, how are we supposed to know who hung what and when?!" ... Isn't that our JOB to know who hung what and when? .... scary.
Feb 6, '11A patients IV was infiltrated and was to recieve lasix...the RN decided to still use the IV site because she said that the lasix would help to take the fluid from the tissues and bring it back to the vascular system....YIKES!
Feb 23, '11Quote from lovingtheunlovedok, dat's NOT cool...!!I'm a CNA in LTC. I would NEVER EVER put my hands on a medication, especially a narcotic. It is out of a CNA's scope of practice. What nurse would put herself at risk like that? Sheesh. And obviously, in this situation, they DID have the time to sit with the resident for 10 minutes, since the CNA was chilling at the station with the newspaper.
As far as things that freak me out, I'm sure most of you have seen this, but I work with a nurse who, for the past 30 years, has recapped needles with her teeth. I shudder.
Feb 23, '11uh oh..I think I posted a reply in the wrong spot, but what I meant to say was ...dat's NOT cool about the recapping needles...
Feb 23, '11Quote from VRN-RNYucky!Rotfl and smh with the nitro being used as handcream
Mar 3, '11Quote from rach_nc_03just caught up on the thread and remembered a good one...i might have posted it before, though....
I was working as a CNA in a neuro ICU. We had a patient with a frontal lobe injury from being thrown off a horse. He spoke no english, but he communicated his feelings quite well with his hands- he had what I learned were typical frontal lobe injury-related behaviours, and continually pantomimed masturbating (even in restraints) whenever a female passed his room. If you had to get anywhere near him, he grabbed your boobs and held on for dear life. he was a strong little dude, and was constantly working his way out of the restraints- he had the order because he kept trying to pull out his ventricular drain. I spent a LOT of time with him, as he wasn't a 1:1 and the charge seemed to always assign him to a nurse with a very critical 2nd patient.
One morning, I came in to get his vitals and empty his foley. The night nurse was a traveler who was known for being lazy- both on our unit, and at another hospital where she'd worked as a new grad. I always checked to make sure lines and dressings were still intact when I did my rounds, as the nurses often ended up stuck in another patient's room for long periods (I never touched the lines, of course, and only resecured dressings that I was able to touch within my scope of practice).
On this particular morning, I looked at the tegaderm covering his ventric- ms. lazy had stuck 3 additional tegaderms on top of a ventric that was ALL THE WAY OUT. He had CSF leaking onto his pillow. (This was right at change of shift, and the day shift nurse was still assessing her other patient.)
I hit the call button and yanked one of the residents, who happened to be walking by the room, in to help. At shift change that evening, the charge nurse confronted this nurse, who had initialed the tegaderm and charted that the line was intact at 0653. Ms. Lazy responded with, 'oops. i didn't notice- my bad.':angryfire
But- as a tangent- the REALLY interesting thing happened later that afternoon....
I walked by the room and saw this patient- still in wrist restraints- STANDING BY HIS BED. he'd flipped himself over, so his arms were completely rotated inward behind him. He was pulling and bucking like a dog on a chain. Ventric was all the way out, laying in the floor. I yelled for help, and another resident and I got him into bed quickly- the attending came running, and announced that they had to drill another hole in this poor dude's head.....NOW.
I was lying across the patient on one side of the bed, holding his opposite arm and leg down- he was going for his central line by this point. Ten docs and nurses run in and place the sterile field over me, as there was no time to restrain him any other way.
As they were positioning the drill, the patient got his hand around my waist and stuck it RIGHT DOWN THE BACK OF MY PANTS. :stone He proceeded to full-on grope my rear end- but I couldn't move, and nobody could reach to remove his hand- plus, we couldn't exactly break the sterile field at that point.
So, for ten minutes, I had to stand there while he basically felt me up. Once the surgeon realized what was happening, he asked if I was okay- I said I was- and the surgeon started giggling a little. The other four nurses restraining the guy (he was strong) got to giggling, too. Once the new ventric was in, I yanked his hand out of my pants, moved back- and totally cracked up. I mean, I understood it was his injury making him act that way, so it's not like I could've been angry at him. Everyone in the room was laughing out loud by then, and the surgeon said, 'well, rach, looks like you have a new boyfriend.'
The rest of his stay in the ICU, this patient was referred to as 'rach's boyfriend' amongst the staff. I visited him a few days after he transferred out to the floor, and he was as nice and polite as could be. I still laugh when I remember that day.
Thank you for one of the most hilarious and best illustrated stories i've ever read on here lol, and kudos to you for being one heck of a nurse, i know a lot of nurses that wouldn't have held their composure and not responded appropriately with consideration of the patient's situation.
Mar 3, '11i've been an er nurse for 3yrs and thankfully have a great team & had to think hard to remember a situation that freaked me out, but still managed to come up with a few..
in nursing school, during my psych rotation (at the time i was really interested in going into psych nursing), we were in a locked down dementia unit in a smaller private hospital. well the entire hospital had just been completely renovated but they apparently forgot about this floor b/c the pts beds had hand cranks to raise/lower beds w/these awful huge metal siderails that any confused pt could easily strangle or get themselves stuck in, not a single working dynamap or pulse ox in the entire unit, and the one manual bp cuff was desperately in need of calibration that instead of the needle sitting at 0 it stayed at 60mmhg and the nurses/cna's would actually use it to check bps w/out even attempting to compensate for it (when of course they actually did bother to check vs ). one rn i was following was going to do a.m. meds, many of which were bp meds, used the vs charted 8hrs ago which were probably incorrect anyways, went to give them to the pt who was demented and pushed them away, knocking them to the floor, rn picks them up and says "you better take these or you're gonna go back in that restraint chair again!, pt still refuses, she then hands the meds to me (during this rotation we weren't even allowed to give meds) and says "get him to take these i don't have time for this", soon as she leaves while i'm standing there dumbfounded, pt grabs meds from me and swallows them all then winks at me and says "i like you better, shes a bi***!", i tell my instructor about the incident (shes quite an older lady who you could tell had old school mentality), she says "well at least the pt got his meds, but don't document in your papers b/c we're not supposed to give meds" and gave the impression that ratting out other nurses was bad no matter what!
another day, same place, pt with long hx of having trach is placed on this unit for early stage alzheimers (really? a lockdown unit?) and apparently had been previously in icu for some type of respiratory issue.. well one of our other students went in to assess the pt who had not had vs for over 8hrs, nebulized 02 wasn't even plugged into the wall, pt has blue lips and difficult to arouse, student freaks out, gets a nurse who says "well did u bother to check a pulse ox?", but of course there is none to be found except one that doesn't turn on. finally someone calls a code blue and all of the rns start freaking out not knowing what to do, noone bothering to check the door for the code team whose badges apparently didnt give them access, so they're locked out pounding on the door while these moron nurses run around yelling and blaming the next one "well it ain't my fault the cna was supposed to get vs" etc, finally one of us see them at the door, let them in, pt gets whisked back up to icu, and nurses go back to their laziness & gossipping like nothing happened! not sure how that pt turned out..
it was a regular sight to see a pt that may have been agitated or "acting up" as they called it one day, restrained in a restraint chair so that they were unable to move any part of their body, placed in the hall in front of the nurses station so heavily sedated that they're heads slumped forward and were drooling. one of my pts who couldn't have weighed more than 110lbs was being given 600mg seroquel w/breakfast, 300mg @ lunch, and another 600mg with dinner, for hx of dementia! i felt she was being grossly over-medicated, and i'm aware of pts building tolerances to meds but as someone whose been on seroquel for years for sleeping, i take 400mg qhs and that knocks me out, and i'm twice this lady's size! she would always be in the eating/day area head slumped forward drooling, barely arousable with a full tray of uneaten food next to her that you knew she never got to eat. and of course theres no pulse ox, and when i talk to my instructor about it she says "well you better find some way to wake her up b/c you have to do your psych interview/assessment papers still" .. really? maybe i should go make her some coffee so she can stay awake to answer these pointless questions!
that place ruined psych nursing for me, although i knew that i would be a great nurse & have a big heart and could make a difference for a lot of those pts, it would be an impossible uphill battle every day d/t lack of resources, lack of caring/concern/education, and i knew i would end up burned out w/in 5yrs.
about a year ago there was a story on the news about that same unit, a pt was found in the dayroom in the middle of the night, by himself, with his entire lower body engulfed in flames! apparently it took someone so long to find him there (even though it is directly across from nurses station, fully visible with all windows, the lights are turned down and he's ablaze, not to mention he had to be screaming), that the man ended up w/3rd degree burns over 50% of his body and ended up dying! no lighter or anything was ever found and it ended up being a criminal investigation for possible homicide! it broke my heart when i heard that story, to imagine how he must have suffered in the last moments of his life, when it could've been prevented if maybe one person noticed the lone pt in the day room @ 3am screaming! that whole unit should be burnt down and multiple staff terminations and revocations of licenses.