What have other nurses done that have freaked you out? - page 68

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

  1. by   loveslife
    It greatly helps to place one's self in the shoes of the CNA, especially a LTC CNA. I work at a nursing home, and each one of my CNAs is assigned 12 to 15 patients each. They simply do not have the time to sit with one patient for an extended period of time when there are other call lights that need to be answered in an expedient manner.

    In addition, most LTC facilities suffer from high employee turnover and attrition rates, so the DON usually won't bestow severe punishments upon lazy staff members. The DON is just happy that a warm body has arrived to fill the necessary shift. In addition, there's typically not enough quality time for most LTC nurses and aides to devote to non-emergencies such as panic attacks and screaming. Few, if any, procedures are done by the book in LTC. You'll learn as you spend more time in your new LVN role.[/quote]


    She said the CNA was reading a magazine. I think she probably had time to sit with the patient. There is a difference between "by the book" and unsafe. CNA's dont pass meds. period.
  2. by   DedHedRN
    I had a nurse try to give me a PPD into a vein on my arm when I was in nursing school. Also a few days ago, I got in report that a pt. Had heartburn for six hours straight. I went in to assess him and found that his HR. was in 150s he didn't have heartburn he was in v tach. and off going nurse never assessed him. She just kept giving him antacids even though he had a history of heart problems. He ended up in icu. Its not the first time I have come on shift to find people critically ill without having been assessed by offgoing nurse.

    If your a Rn and you can't bother to do a quick 5 min. assessment.... please quit... your patients will be safer that way.
  3. by   LouisVRN
    Quote from IsisC
    I had a nurse try to give me a PPD into a vein on my arm when I was in nursing school. Also a few days ago, I got in report that a pt. Had heartburn for six hours straight. I went in to assess him and found that his HR. was in 150s he didn't have heartburn he was in v tach. and off going nurse never assessed him. She just kept giving him antacids even though he had a history of heart problems. He ended up in icu. Its not the first time I have come on shift to find people critically ill without having been assessed by offgoing nurse.

    If your a Rn and you can't bother to do a quick 5 min. assessment.... please quit... your patients will be safer that way.
    This should go for doctors too! I've seen so many doctors dictate full "assessments" while I was in the room the entire time and the doctor did not get within 3 feet of the patient. I had a doctor the last time I work dictate a normal cardiac assessment when 2 minutes later I went in the room and the patient had a heart rate in the 160s. I've previously seen heart rate regular dictated for a patient in a-fib, lungs clear to auscultation bilaterally for a patient with audible crackles and admitted for pneumonia, PERRLA for a patient with a prosthetic eye, BLE pulses palpable and equal in a pt with a prosthetic leg, etc. Not to mention the number of access devices, drains, surgical incisions, pacers, etc not documented on by nurses and assessments ordered Q4 or Q2 hours documented once in a 12 hour shift, only to get there and there be an obvious change since that assessment was done, then you are left calling the doctor and now explaining not only is there something wrong with the patient but that the last assessment that was done was 12 hours earlier I once had one poor exasperated very nice doctor ask me "Why did they do this? How could this have happened?" Trust me doc, I wonder that too.
  4. by   LouisVRN
    Quote from Cat_LPN
    I've seen a nurse pull 70mg of IR oxycodone instead of oxyCONTIN and think it was 'the same thing'. I stopped her.

    A nurse I was working alongside of got report from the offgoing nurse that she had given vanco through the PICC even though CXR confirmed it was NOT in place- it was somewhere subclavian or something. Pt was fine, however.

    I've had a nurse tell me she was giving a PPD- she had a 1 1/4 inch IM needle in her hand! She said she thought PPD's were supposed to be IM and had been doing that all her life!
    At my job we frequently have the Oxycontin versus Oxy IR debate. Especially if the doctor only writes something like Oxycodone 20mg BID.
  5. by   AusRN
    A nurse I worked with left an 28 year old with respiratory distress and sp02 of 82% and did not notify MO. Pt ended up coding and intubated.
  6. by   CrazierThanYou
    I am a student and for our first day of clinicals this semester, we were paired with a classmate who was more familiar with the hospital. I witnessed this student straight out lying to our instructor, other nurses, and our patient's doctor about assessments that hadn't been done, ambulations that didn't happen, charting that didn't exist, and so on. I can only imagine what she will be like as a nurse.

    Another day, at the same hospital, we had a patient with hepatitis C and end stage liver failure accidentally pull out her PICC line. Instead of containing the PICC in a glove or whatever, the charge nurse just grabbed the line, draped it over the pump, and left it there. Exposed and contaminated.
  7. by   xtxrn
    Experienced RN drawing up insulin in a 3cc syringe. She was as old as dirt, had been in the LTC center that was closing, and turfed to acute neuro :uhoh21:. I asked how she knew how much she was giving- she looked like I'd asked her the question while speaking Urdu. (which I don't know).
  8. by   nicenurselpn
    Found out that nurse that works in my facility was given Depo-Provera injections in the abdomen. Her rationale: There is muscle there!!
    BTW: she is a nurse with over 10 years experience.
  9. by   All4NursingRN
    Quote from Tweety
    A nurse crushed Percocets, mixed with water, and gave it through a central line IV.

    I. Am. Floored.
  10. by   just keep swimming
    Quote from banditrn
    I know it's not funny - but geez, can you just picture them forcing that poor old lady to drink all that water? Must have worked.
    BP came up cuz they got her mad! Works like a charm!
  11. by   xtxrn
    Quote from CrazierThanYou
    I've heard a lot of the "capping with the teeth" stories. I'd probably stab myself in the lips!

    I used to work in a LTC facility. One of the nurses was so lazy, she would sit at the nurses station and get her meds ready, then call over a CNA to administer them.





    Capping with teeth was VERY common in the early-mid 80s (and I'm sure before).... also the standard way to uncap.... Recapping with fingers was standard.
  12. by   xtxrn
    Creepy Nurses:

    1. Fossilized nurse sent to acute neuro from the closed down LTC that was part of the hospital- drew up insulin in a 3cc syringe... I saw her and asked how many units she figured she had in the syringe......crickets..

    2. Not putting vest restraint back on a pleasantly confused patient - after I'd JUST reminded him- family there- and I'd asked them to be sure and ring for one of us before they left- they said they were just about to leave; nurse still in room. I found the guy taking his last breaths on the floor- IV, Foley scattered about when he fell. I was livid. (and unfortunately - or fortunately- the nurse was a really nice guy- but a 6 month newbie- long enough to have a bit of a clue). He moved on to a different type of nursing and did very well

    3. DON had a gun in his desk, and pulled it out when I asked him if he wanted me to start logging the d/c'd meds again- nurses were complaining that they were piling up.... had the gun on his desk, business end towards me. He'd RE-WRITTEN every narc log I'd done (I had a very specific way I did things- and my writing was identifiable....). Fortunately, he left.... admin and ADON were dumbfounded; admin was new- so didn't know me- so not sure if she'd believe me- but ADON knew I would NEVER come up with something like that, and backed me up- at least as far as being trustworthy about felonious behavior .
  13. by   kanzi monkey
    Quote from loveslife
    Eating pizza by an empty bed in a room shared with an isolation patient!
    I'm pretty sure I've done this. BUT, I can almost guarantee you that I've never eaten an isolation patient's pizza...

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