you know you are in for trouble when..... - page 4
I was just thinking about the family of a recent admission.We knew we were in trouble when we met the adult children. The #1 contact had tardive dyskinesia and it quickly became clear that... Read More
May 15, '09Specialty: 5 year(s) of experience ; From: US ; Joined: Mar '07; Posts: 654; Likes: 892Getting report from the ED: "24 year old male was polishing his handgun when..."
May 15, '09Occupation: Staff nurse From: US ; Joined: Jul '05; Posts: 1,335; Likes: 817Quote from JennRN65You know when you are in for trouble when:
The first family member you meet apologizes in advance for the behavior of family members yet to come.....
I've called and talked to my family member's nurse and first thing I usually do is apologise for the behavior of a particular family member who will be there more frequently than I can be. I then give "survival tips" to the nurse to pass along with report. Just doing my duty as a fellow nurse.
May 15, '09Joined: Jun '04; Posts: 534; Likes: 701This is one fun thread! I really needed the laugh therapy todat
May 15, '09Occupation: Director of nursing Specialty: 26 year(s) of experience in LTC, geriatric, psych, rehab ; From: US ; Joined: Jan '09; Posts: 229; Likes: 427Quote from WarEagle4LifeI cannot tell you how much I have enjoyed it! It got me started off this morning on what felt like such a tough day. Got to work, and things got bad again, even if I did have on my big girl panties. So I got on the computer and read these posts again, just to have another laugh. "Code Brown" got my best laugh. How many times at the nursing home I've walked into that!!!This is one fun thread! I really needed the laugh therapy todat
May 16, '09Occupation: psychiatric nurse Specialty: 9 year(s) of experience in Psychiatric ; From: US ; Joined: Apr '03; Posts: 668; Likes: 3741. You get paperwork for a new patient and highlighted in the history is 'He spent 3 years in XYZ State Hospital, where he nearly bludgeoned a nurse to death with a shower nozzle hidden in a sock'....GREAT...can't WAIT to meet him!
2. You pick up the phone for report from the ER and the nurse on the other end says 'We've already given him 100mg Benadryl and 10mg Haldol AND he's in 4-point leathers and a spit mask...'
3. You get a call from the front desk receptionist who says 'XYZ is here and he says he wants to throw you out the window...do you want to see him or not?'
May 16, '09Joined: Mar '09; Posts: 266; Likes: 179Coming on here makes me feel closer to people that truly understand me . LOLOL It is a great feeling to have again. I feel thay AN gives the nurses a message that they are not alone and can come in here and share issues and have their peers understand what they are dealing with, whether it be emotional, spiritual, or even financial. I thank-you all for being a nursing friend to people of like mind.
May 16, '09Occupation: Hospice Specialty: 2 year(s) of experience ; Joined: Sep '08; Posts: 686; Likes: 982Quote from 2ndwindOften?And, whats really bad... often they are lying about the "I used to be a nurse thing."
They may once have volunteered in HS to go to a LTC, or went to CNA classes (never finished of course).
In the old comedy, "How To Succeed In Business Without Really Trying," a "junior executive" was defined as any male in an office who sits down.
The equivalent for the "I used to be a nurse" set is any female who was once inside a hospital for any reason.
May 16, '09Occupation: Hospice Specialty: 2 year(s) of experience ; Joined: Sep '08; Posts: 686; Likes: 982Quote from ShayRNThis is when it helps to have plenty of PTO in the bank, so you can be off tomorrow.Report starts with:
-the family isn't all onboard with hospice
-the family says they will sue if morphine is given
-the DPOA wants to follow the patent's wishes, but the sister out west (who hasn't seen the patient in 10 years) wants to continue aggresive treatment. She is flying in tomarrow.
Having an alcoholic friend of the alcoholic Pt (the friend was already booted out of the Pt's LTC for being threatening and disruptive to staff) say they are going to kill you if you give Haldol.Last edit by rngolfer53 on May 16, '09
May 16, '09Occupation: Assessment Nurse Specialty: 39 year(s) of experience in Case Management, Home Health, UM ; Joined: Apr '02; Posts: 2,611; Likes: 940"We really couldn't afford you, when we hired you".
May 16, '09From: US ; Joined: Feb '09; Posts: 54; Likes: 19in the pt chart, the doctor refers to pt as "interesting."
This was a referral for a new admit to LTC. Note that we already had experience with non-English speaking residents, we had experience with residents weighing 400 or more lbs whose family members had been repeatedly warned about bringing snacks to the pt, etc. The doctor referring to this one as "interesting" made the hair stand up on back of our necks.
May 16, '09Joined: Oct '04; Posts: 8,567; Likes: 9,683You have patients for so long, that are so demanding that the regular unit staff and float pool staff refuse the assignment. Then you get a call offereing you overtime...
Yup, the unit figured out that only those on double time deserve to be stuck with these patients. Because every other nurse on the service has said you can't pay me enough to look after those two.
May 16, '09Specialty: 5 year(s) of experience ; From: US ; Joined: Mar '07; Posts: 654; Likes: 892[QUOTE]Quote from sparky99This is hilariousin the pt chart, the doctor refers to pt as "interesting."
I was reading a patient's chart before the start of my shift--the previous nurse had written "patient is loud in all that he does"
It was an objective, non-judgmental, but exquisitely accurate assessment.
May 16, '09Joined: Mar '09; Posts: 266; Likes: 179Are the people posting this thread, and I wonder on all of this sight, nurses being just themselves? The thought that they are not makes the hair on the back of my neck raise.