Gross!!

[2shihtzus]

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]

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

[S.Gettes]

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]

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]

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.

[shiccy]

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!

[Blackheartednurse]

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]

:eek::eek: :uhoh3::uhoh3: :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:

[2shihtzus]

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]

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.

[2shihtzus]

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]

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.