When I was a STUDENT, the clinical experience I remember most was... - page 3

This is a long time ago! More than 24 years: The first IM shot: He was a cachectic old man dying of bony mets and he needed a pain shot. I just remember giving it in the vastus lateralis and... Read More

  1. by   Rustyhammer
    I was doing my psych rotation upstairs in the locked unit. One of the patients there was this HUGE transexual. "Sharon" must have been 6'4'' and 225. She had been taking hormone shots and had breasts and had this depressed psychotic look on her face. One day "Sharon" had blockaded herself in her room and had armed herself with some type of bar or pipe. The takedown team (I believe the page was for "Dr. Armstrong") came and broke the door down and there she was. The biggest, ugliest, scariest woman I had ever seen standing like an oak tree holding this pipe in the middle of the room.
    My instructor hands me a syringe and says "When they take her down, shoot her with this."
    My God, I can still feel the adrenalin.
    Well, they took her down and someone said "Ok, she's ready" and I went over and they were still struglilng a bit. I started to pull down her pants and they all yelled at me to just do it through the pants. I did and stepped out of the way as they put her in 4 points.
    Without a doubt the most exciting time in my clinicals.
  2. by   mattsmom81
    Russell, psych was anything BUT exciting for me...I was unlucky enough to have a run of psychotic violent sex offenders in the lockup when I had to do my rotation.

    I still think it was unconscienable for my instructor to insist that us young ladies do a 'therapeutic conversation' with these men.
    I was afraid to walk the streets alone after this experience, particularly since I knew they turfed these men soon after.

    To reward my instructor, I made myself write word for word what these maniacs told me they wanted to do to me. I hope she enjoyed reading the details (but who knows...maybe she did, eh?) (((shudder)))

    Needless to say, psych does NOT enthuse me....

    Oh, and as an aside...one of these 'patients' after he was let out got placed in a job at an old people's home where he brutally raped and beat an elderly woman to death. Of course he was 'crazy' so he didn't go to jail....

    What a system we have....
  3. by   teeituptom
    Howdy Yall
    from deep in the heart of texas

    I dont remember much of nursing school. it seemed so long ago, hell it was. But I remember doing psych rotation at central stae hospital in Norman Oklahoma. I was impressed as this is where they filmed the old hitchcock movie, was it called Psycho. Long time ago. Seeing the place I could believe it too. All of our class was there at the same time. Some of the female nurses were so scared they actually had hammer and nails to close their rooms at night. particularly as the moon was full at the time.
  4. by   Vicki K
    I'll never forget my first IM injection. This was 25+ years ago, when metal tubexs and glass syringes were popular. The patient had a bad case of DTs, and was having difficulty cooperating anyway. As a student, I was REALLY slow --marking out the exact perfect position (upper out quadrant of the upper outer quadrant, etc.), verifying the proper drug, dose, route, patient, etc. I finally got up enough courage to actually go for the injection (with my instructor standing over me, encouraging me to hurry it up before the guy went ballistic.) As I stuck the needle in, the guy let out a blood-curdleing shriek, lept out of bed and darted out of the room with the back of his gown hanging open, and the needle flopping up and down with each step until it fell out and smashed on the floor. No one could persuade the guy to come back and let me take care of him, and no one could persuade me to try another IM injection until the last day of the quarter when it was either do it or flunk.

    The day a fellow student taped the central line to the side rails (so it wouldn't fall out) was memorable as well. Of course he forgot, lowered the side rail and pulled out the central line. It bled, and he (a big, burly former construction worker) fainted at the sight of the blood. I was walking by the closed curtain, and saw Jay lying on the floor. Just as I entered the room and took in the sights of the comatose patient, the central line on the floor with the IV free-flowing through it and blood dripping off the bed and into the mess on the floor, Jay woke up. He got up, said, "I'm really sorry. This isn't for me," and walked out of the room, leaving me to deal with his patient, the mess and our IRATE instructor. He kept right on walking, and last I heard, was quite happy doing construction once again.
  5. by   l.rae
    originally posted by vicki k

    the day a fellow student taped the central line to the side rails (so it wouldn't fall out) was memorable as well. of course he forgot, lowered the side rail and pulled out the central line. it bled, and he (a big, burly former construction worker) fainted at the sight of the blood. i was walking by the closed curtain, and saw jay lying on the floor. just as i entered the room and took in the sights of the comatose patient, the central line on the floor with the iv free-flowing through it and blood dripping off the bed and into the mess on the floor, jay woke up. he got up, said, "i'm really sorry. this isn't for me," and walked out of the room, leaving me to deal with his patient, the mess and our irate instructor. he kept right on walking, and last i heard, was quite happy doing construction once again. [/b]
    vicky, thank you for a much needed laugh!!! rotf-lmao:roll ..............lr
  6. by   BugRN
    During OR rotation, watching a TURP (Trans Urethral Prostatectomy) through the scope. I innocently asked the Surgeon "Where is the Prostate in women?" He just about died laughing and I was sooo embarrased, I'll never forget that day.
  7. by   Previliaged
    My first clinical, which was just a few months ago, I was soooooooooooooooooooooooooooo nervous even though I was working with the greatest RN's in no particlarly challenging circumstances, and so communications tended to be the major focus in most instances even over the care. I remember my first patient he was paraplegic with decubits ulcerations on both his ankles.The RN had to go an wash her hands before changing the dressings leaving me with my first patient EVER, and communication techniques freshly drilled into me and so I attempted to ask some semi intelligent and relevant questions about the ulcerations, BUT do you know what did I ask the paraplegic patient 'DOES IT HURT!!!'. If I could have melted into the wall I would have taken the opportunity. He was the nicest gentleman I have ever met and he politely descibed his condtion and that he really could'nt feel anything from waist down. A few days later I was back to see him again with a bit more experience under my belt he said to me 'you look like you've grown a few inches since I saw you last time' pointing out my confidence. My first ever patient and inspirations for why I want to do this job, plus he said a few other words of encouragement which meant the world to me.
  8. by   JenniferNRN
    My most memorable moments...

    First semester, my instructor came in and was conversing with my patient (who was 80+ yrs and somewhat confused) and me and we were talking about religion. My pt said something about a hymn and my instructor began to sing the hymn. The pt began to sing it with her and she had this look on her face...as if she were reliving some wonderful memory, and my instructor looked to me like an angel at that moment. That was one huge moment that sealed my desire to be a nurse.

    Another memorable time in 3rd semester, there was an elderly pt with a trach who was really grumpy, in soft restraints, pulled out his trach and threw it the day before, swung fists at care givers. Well, we were to practice suctioning trachs so I went in there, scared to death, with the RN. I told him step by step what we were doing and was sure to address him as Mr. so and so (noted the RN calling him by his first name). I sat with him while we took his restraints off and he took out his board with letters on it and began spelling out conversations with me. The RN was surprised, saying he never did that with others. Went home w/warm fuzzies that night too.

    Funny moment in 2nd semester...in a nursing home, the instructor and a couple of students went to figure out how the whirlpool tub worked. A few minutes later, we hear screaming from that room. They had turned on the jets before the water covered them, so there was water spraying everywhere around the room. The instructor was soaked from head to toe. Luckily we had a camera that day and that was one of the pics that went up for the slide show during our pinning ceremony!

    The psych facility with the chronic pts....we were so scared that first day but by the end of 4 weeks we were crying because we would miss these people....I could go on and on. I have many memorable moments. Thanks for the chance to relive them on this thread. I'm enjoying reading all.
  9. by   casperbjs
    Mine was actually when I finished nursing training, I was working 11-7 on pediatrics. Had a baby in the croup tent,and he was fussy. I had to take his temp rectally, and a brown worm about 5 inches was in his diaper. I couldn't believe my eyes!
  10. by   avolensky
    I really ENJOYED knowing all you have written here..as I am just about to reenter nursing again..without much experience before..I just cant imagine what "FIRSTS" I have to go through this time. But reading topics like this gives me ideas and this is a great tool for learning as well.
  11. by   momrn50
    My first IM injection to an 8 month old baby boy.....or almost passing out at seeing a C section...those were the days!!!
  12. by   Heather56
    I don't think that "Firsts" ever end in our field! Even after 10 years in neuro I keep coming across them. I believe the day that I think I've seen it all is the day I'll have to quit.
  13. by   MommyRn39
    I had two experiences that I will never forget. One was really great and the other was really awful.

    The great one was when I was doing my obs rotation. I was able to stay with a first time mom from the moment she came into the hospital until her baby was born. Afterwards, she sent me a thank you note and sent a really nice letter to my school saying how much help I was. I was sooo touched.

    The second was horrible and resulted in my failing the last semester of my last year. I arrived on the floor one morning to find that my assignment was changed. Instead I was given a rather sick lady with a couple of IVs and a chest tube. I had never seen a chest tube before and even though I knew what it was, I didn't know how to care for it. My instructor disappeared for most of the morning and even though I did ask several of the staff nurses for help, I ended up making a mistake which resulted in my patient nearly developing a pneumothorax.

    The head nurse was furious and had me kicked off the floor. My instructor raked me over the coals and backed the head nurse up. My school washed their hands of me saying that they use the hospital's resources and they can't go against what they say.

    I was weeks from graduation when that happened.

    I nearly gave up on nursing right there and then. Took me a whole year to get up the courage to go back and finish. I'm glad I did too.