Greatest code brown stories!

Nurses General Nursing

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Please share with me your greatest code brown stories!

Mine happened too be when i was a nurse's aid and i was taking care of a woman who would call her bms her babies. She would only pass once a month and they were the size of a large grapefruit, the actual bm had to be broken up to go down the toilet when flushed.

Or........Maybe it was when my dear nursing school days when a nurses aid was doing an rectal irrigation ordered by the doctor and i was told, "oh the bm wouldn't come out right away, shouldn't be too big of a mess". It shot right back out and almost right into my face.

Specializes in Cardiac Telemetry/PCU, SNF.

My preceptor and I were giving our morning meds to our patient in a sitter room when we began to notice a very strong and, well, offensive odor (nothing really fazes me, but this was bad) coming from the guy in bed 2. The poor sitter was all alone dealing with this guy (closed head wound) and then he just let loose. I mean all over the bed.

So we help out and start working on getting him clean. We had gotten halfway, when he lets loose again. And again. It took three sets of sheets and about 20 minutes to finally get him cleaned up, on fresh sheets and doing ok.

Come to find out from the sitter that he hadn't gone in several days and they had given him "Colon-Blow™" (lactulose) to open him up. Needless to say when we went back out to the nurse's station and found his nurse, it went like this, "Hey C, y'know Mr. X in room 1111, yeah, he's not constipated anymore!"

All three of us though in that room nearly lost it from the smell, and we've been doing this for awhile, but it was just that bad!

Tom

i work in a mental health/behavioral health unit of LTC, we have one patient, male who has an extremely high sex drive.....he is in his room as much as possible making love to his 'matress wife'....one night as i was doing fsbs checks,,,i went to his room....knocked on the door, opened it and started in.....as i did i saw him on his stomach, with his butt up in the air and he was 'going at it'...it was not until i told him that i needed to check his sugar, did i pay enough attention to him to notice the rock hard, long piece of poo sticking straight up out of his butt...it was pointed straight at the ceiling....i was mortified....especially when he put his hand between his legs and said 'pick a finger'......

i left the room, told him to get cleaned up, shower and then come to the ns and i would check his finger...man what a night that was.:rotfl:

:rotfl: :rotfl: :uhoh21: :uhoh21: Okaaaaaaaaaay......thats the winner of the entire thread!!!!!! I wasnt even there, and I dont think I will ever forget this one!!!!! Im kind of crossed between amused and mortified all at the same time...................:imbar Thanks for sharing......:rotfl:

Specializes in Emergency Room.

this story is kind of sad actually. i work in the ED and we get alot of patients from a local home service that cares for mentally delayed people only. well my patient was mentally delayed because of a head injury years ago. she was in the ED for abd cramping/bloating. her abd was HUGE and rock hard, it was pretty obvious that she was full of poop. she repeatedly kept saying "i have baby, i have baby" and patting her tummy. well i gave her a fleets enema followed by mag citrate and 30 minutes later she passed a formed stool that was probably 10lbs. i didn't think that was possible. after that happened the patient sad "i had the baby". her caregiver shared with me that years ago before her head injury the patient had several micarriages.

Specializes in everywhere.

Working as a LVN while going for my RN, I have had several of this type of episodes with patients, I think the worst Code Browns are the mag citrate and the Lacutlose patients. I had a lactulose inmate as a patient once, and let me tell you, trying to clean him up in the bed (the guards wouldn't release the chains) was something else. And yes, I did report the guards to their supervisor (another long story), this patient was comatose, where did they think he was going?

Specializes in LDRP.

One 94 year old man. Went all over the bed. Loose, tube feeding stool. Got him cleaned up, then OT came in to help him get up to the chair. Got him standing up, and he went again. All over the floor. The OT was so grossed out, it was hilarious.

76 year old confused woman. She'd poop in the bed. Couldn't ring call bell, so she'd yell "help" when she pooped. Of course, after a while, she decided not to call for help, but instead start face painting with her poop.

Specializes in Medical Telemetry, LTC,AlF, Skilled care.

hahaha! These are great! This past August when I was still orientating at the skilled nursing facility I work at, me and this CNA were changing this lady and we had her stand up in the BR took off her diaper and sat her on the toilet. The woman I was with had the diaper and a solid large brick of stool fell out of the diaper and when it hit the floor sounded like a basketball was dribbled! It was huge!!! Upon the seeing it the pt chuckled and simply said, "God, no wonder I was hurting." Heck I felt relief just seeing it! :chuckle

Specializes in LTC, med-surg, critial care.

I work in LTC and around Christmas we get a lot of church members wanting to come in and sing for members of their church. One group came around nine in the evening (bad move considering most of our residents chose to sleep at about eight) asking for a certian resident. I told them I would check to see if it was alright with her and her roomates.

I go in, she's asleep but her roomate is up covered head to toe in poop. I've got about 15 church members standing behind me (I asked them to wait in the lobby but they didn't listen to me) while this woman is naked, blanket/sheet on the floor and wiping poop in her hair. I quickly shut the door and inform the group that they'll have to visit another day. Thank God I checked instead of letting them find the room themselves.

i have a couple of stories:

- i had a hospice patient who was on a high dosage of narcs followed by a rigorous bowel regimen. yet she remained impacted. you could see the part of her colon where the stool was lodged. one noc i gave her a cocktail of mineral oil & lactulose, followed by an enema. a few hrs later the stool had moved to the rectal vault. i started to disimpact her, removing hard balls. suddenly and w/o warning, she expelled a lg amt of gas followed by projectile diarrhea. it landed in my face, hair, neck and part of my scrubs!! i swear, it seemed to be close to a gallon's worth of liquid stool. from thereonin, my reflexes have improved tenfold.:)

- another hospice patient who consistently disimpacted herself and would prefer to eat her own stool rather than any meal offered. one day i had to go into her top drawer, where i found approx a dozen napkins. in each napkin was dried, hard stool....probably for a midnight snack.:imbar

leslie

76 year old confused woman. She'd poop in the bed. Couldn't ring call bell, so she'd yell "help" when she pooped. Of course, after a while, she decided not to call for help, but instead start face painting with her poop.

I had a 50 something patient with dementia. She couldn't remember how to use the call bell. Instead, she would climb over the bedrails and squat in the middle of the room to do her "business". The first time I found her, she had urinated on the floor. I cleaned her and the room up and about an hour later, I go to check on her, and can smell "the odor" coming from her room. I go back in and she is squatting on the floor having a BM.

After that, I felt bad, but I felt like I was housebreaking a pet. I went into her room each hour and escorted her to the bathroom, and kept reminding her to go "potty".

It did cut down on the number of "accidents", I had to deal with .

After nearly eight years of working in LTC as a CNA, I finally managed to break free from working with adults as I now work totally with peds. However, I take with me many "code brown" stories, a few of which I'll share here with you.

1) There was a gentleman on my assignment one night who had acquired a random stomach bug that caused him to have to run to the potty several times within an hour. If that wasn't bad enough, compounding that was that he had to be assisted to transfer from w/c to commode, as he'd had a stroke and had total left side paralysis. He was also non-verbal, well that's not entirely true. He could get your attention and convey his thoughts through gestures and such. Anyhow, he caught me coming down the hall one night and began frantically pointing towards his bathroom and pulling at my scrub top while crying out "G*d**n!" (He couldn't really speak coherently, but that was the one word that came out loud and clear when he was frustrated.) I wheeled him into the bathroom and he pulled himself up on the handrail while I pulled his pants down so he could sit on the commode. The minute the air hit his buttcheeks, the most foul spray of stool shot out of him and consequently all over me. So, here we are...a stroke patient who is relieved and horrified both at the same time and a CNA who is grossed out, covered in stool and is at the moment, holding the poor man up and puking in the toilet behind him. I managed to get a coworker's attention and she came and cleaned my resident up while I went to the shower and stripped down. My charge nurse called my husband who brought me a clean change of clothes and a pair of clean shoes.

2) Another resident was infamous for not pooping for three or four days and then on that fifth day, would pass a large mass of poop roughly nine inches long and seven inches across. She never complained or anything. She would simply say, "I just had my baby."

3) Then there was the great C. diff. epidemic of 2003. Everyone on our hall seemed to have it. Slimy, egg-white consistency poop that smelled like rotting death. I think I lost fifty pounds in a month from not having an appetite.

There you have it, some of my more memorable "code brown" stories.

my worst code brown happened at home. I was changing the baby's diaper-holding the feet up to elevate his little hiney. I bent over to retrieve the diaper I dropped and was "shot" by projectile diarrhea. It was on my face and in my hair! I finished changing the diaper while I was dripping w/ poo and got in the shower to clean us both up. Then my little bundle of joy proceeds to let loose again- all over his momma! EEEW!:uhoh21:

I think I posted this on another thread, but it bears repeating...

Back in my cna days, in a nursing home, I was working night shift. I had this one poor old lady who was basically comatose, on a feeding tube,on one of those clinitron beds, AND had C DIFF. and a bunch of other barrier precaution worthy issues...... well anyway, I'm in my mask, gown, everything.....and I go to do vitals, reposition, etc...but the whole bed was COVERED in c diff stool.Know the aroma? Well, this aroma is about one of the only things I cannot tolerate. On top of this, the room was about 90 degrees, plus that bed threw off more heat, and I just lost it and puked RIGHT IN MY MASK. And.... I WAS RELIEVED, BECAUSE MY VOMIT WAS THE LESSER OF THOSE TWO EVILS!!!!! I finished cleaning her, the bed, doing everything I needed to do right with that mask on, I wasnt about to leave and regown and then come back to smell that again.

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