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Gross!!

Posted

Ok, so I had a pt who is s/p I&D of the finger. He is continually taking of his bandages and squeezing pus out of the wound. When I told him not to squeeze it, he said the doctor told him to do it. Not believing him, I called the doctor to clarify this. The doctor of course got pi**ed and said that YES, he told him to handle the wound and YES, he told him to "milk" the wound.

Gross gross gross! Besides the fact that the pt is obsessively playing with his nasty finger, this is a huge infection control issue! I gave him a big lecture on handwashing.

YUCK.

nursynurseRN

Specializes in TELEMETRY. Has 12 years experience.

THAT DOCTOR really needs to communicate with the nurses or write those kinds of orders!! that is so gross!!!

That sounds absolutely disgusting and the instructions that he had given the patient really should have been written down somewhere, such as the chart notes, to allow the other nurses to be aware of this so that they wouldn't have to call up to confirm the advice with the doctor like you had to. Advise the patient that even though he was told to milk the wound that he does not need to play with it in an obsessive manner and potentially create further problems if you feel that the patient is taking the advice a little too far. Good work on the hand washing lecture, That truly is disgusting. Give him some Detol to put on it too because it's not going to get any better by just milking it, especially if he ignores you advice and doesn't clean his hands. I'd hate to think of what can result if he doesn't do this in a sanitary hygenic manner.

nursel56

Specializes in Peds/outpatient FP,derm,allergy/private duty. Has 33 years experience.

That is. . . eewww. Does he wear gloves? Does he have any type of clean dressing supplies? He puts the icky bandage back on? Too bad he didn't just have an order to soak and redress at regular intervals by the nurses. huurrrllll

RNperdiem, RN

Has 14 years experience.

The handwashing talk was a good start. How about leaving him some 4 x4 gauze, some clean dressing supplies too?

I am a picker by nature, I probably would be trying to get anything yucky out of my wound rather than leaving it in.

1- Sounds like that finger needs to go before its the hand that gets infected.

2- Sounds like a failed I&D to me!

3- That's nasty, but also an infection introduction hazard!

Ok, so I had a pt who is s/p I&D of the finger. He is continually taking of his bandages and squeezing pus out of the wound. When I told him not to squeeze it, he said the doctor told him to do it. Not believing him, I called the doctor to clarify this. The doctor of course got pi**ed and said that YES, he told him to handle the wound and YES, he told him to "milk" the wound.

Gross gross gross! Besides the fact that the pt is obsessively playing with his nasty finger, this is a huge infection control issue! I gave him a big lecture on handwashing.

YUCK.

LOL:)))):heartbeat

sharpeimom

Specializes in ortho, hospice volunteer, psych,. Has 20 years experience.

:eek::eek::eek::eek::eek: :uhoh3::uhoh3::uhoh3::uhoh3::uhoh3: :barf02::barf02::barf02::barf02::barf02::chair::chair:

eeewwww! yuck! gross! barf! huuurrrllll!

send that doctor to a mandatory infection control inservice again and again until he gets it!!!

kathy

shar pei mom:paw::paw:

I gave the pt a handful of gloves and told him to USE them. Also told him to use the hand sanitizer liberally. AND gave him clean supplies.

GUESS WHAT???

He came back MRSA+

and was discharged home today.......*shudder*

nursel56

Specializes in Peds/outpatient FP,derm,allergy/private duty. Has 33 years experience.

Ew. :barf01: Ew. :barf01: Ew. :barf01: Ew. :barf01:

Hope you don't have a lot of this doctor's patients in your unit. Could get real nast with everybody squeezing MRSA pus out of their wounds.

Thankfully, no....we dont. My charting was pretty detailed too...."Per Dr. Idiot, pt has been instructed to "handle and milk his wound."

P_RN, ADN, RN

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89. Has 30 years experience.

My FIL always referred to that stuff as CORRUPTION FROM INSIDE, SOMETIMES AS FAR AS YOUR GUT."

My kids took it the heart, even eye boogers are NOT played with. Try it, it might work.

sharpeimom

Specializes in ortho, hospice volunteer, psych,. Has 20 years experience.

i gave the pt a handful of gloves and told him to use them. also told him to use the hand sanitizer liberally. and gave him clean supplies.

guess what???

he came back mrsa+

and was discharged home today.......*shudder*

:eek::eek::eek::eek::eek:

:barf02::barf02::barf02::barf02::barf02::barf02:

:chair::sofahider:chair::sofahider:grn:

eeeeeeeekkkkkkkkkkkkk! somehow that does not surprise me . . .

i think i'll go use a vat of hand sanitizer and then check to see how much we have left. :uhoh3:

kathy

shar pei mom:paw::paw:

nursel56

Specializes in Peds/outpatient FP,derm,allergy/private duty. Has 33 years experience.

=2shihtzus;4084257]Thankfully, no....we dont. My charting was pretty detailed too...."Per Dr. Idiot, pt has been instructed to "handle and milk his wound."

Gahhhh!!!!! Now I want to blow chunks all over again!! Think I'll just put this sandwich away until later. . .

RNperdiem, RN

Has 14 years experience.

Do you all really find that so gross? With all that nurses see, a little pus is nothing.

1- Sounds like that finger needs to go before its the hand that gets infected.

2- Sounds like a failed I&D to me!

3- That's nasty, but also an infection introduction hazard!

agree w/all 3, but 2...something's wrong, that's for sure.

why do dr's totally blow off infection precautions????

Hope you don't have a lot of this doctor's patients in your unit. Could get real nast with everybody squeezing MRSA pus out of their wounds.

can't pinpoint why, but i'm sitting here, making God-awful faces at this dr.:lol2:

betw the infection s/p i&d, then telling pt to milk wound (w/o an official order so it could be done correctly), i'm not feeling too positively towards this doc.

so yeah, having all his pts on the floor...

sounds like w/this guy, anything's a pussibility.:anpom:

leslie

sharpeimom

Specializes in ortho, hospice volunteer, psych,. Has 20 years experience.

agree w/all 3, but 2...something's wrong, that's for sure.

why do dr's totally blow off infection precautions????

sounds like w/this guy, anything's a pusolsibility.:anpom:

leslie

i knew i switched to psych for some reason... :D

pus up close isn't bad, it's just an expected part of the job. no biggie, but pus in the abstract is

gross and disgusting and revolting :uhoh3: :eek: ... for me anyway.

that doctor is a jerk! :confused:

kathy

shar pei mom:paw::paw:

nursel56

Specializes in Peds/outpatient FP,derm,allergy/private duty. Has 33 years experience.

agree w/all 3, but 2...something's wrong, that's for sure.

why do dr's totally blow off infection precautions????

can't pinpoint why, but i'm sitting here, making God-awful faces at this dr.:lol2:

betw the infection s/p i&d, then telling pt to milk wound (w/o an official order so it could be done correctly), i'm not feeling too positively towards this doc.

so yeah, having all his pts on the floor...

sounds like w/this guy, anything's a pussibility.:anpom:

leslie

. . .pphhhfffffffftt. . . . . soda spew!!!!!! :lol2: I did not see that one coming!!! lol

RNperdiem- it wasn't so much the pus as it was the mental image of a guy taking off his dressing, squeezing the pus out with dirty fingers, and then putting the same dressing back on. Over and over again without washing his hands- the OP had to teach him handwashing, which means essentially that he had MRSA pus all over his fingers, so again I say ick.