Published
I can remember a few of these, and thought we'd all get a laugh from sharing. My most, most, MOST horrible one was this:
Working in a 60-bed nursing home, I was caring for a gentleman with terminal cancer. He was having the two-hourly S/C morphine, two hourly pressure care, the whole bit. He had been Cheynne-Stoking off and on for the last 24 hours, and the family was with him as he began to depart this life.
This morning I just knew that today was the day he would die. You just get that when you look at these people sometimes. There were four children, his wife, and several siblings around the bed, and I did my best to care for Stephen and his family, while not intruding too much on this painful moment. Came the time when he was due for he next dose of morphine and pressure care, my colleague and I had an intense discussion. Stephen was so far gone that I was concerned that he would die if we moved him, and I knew his family wanted to be with him for the moment of death. I delayed the pressure care for another hour, waiting for the inevitable. When Stephen was still going slowly, I decided that the need to move his emaciated body could not be put off much longer.
I went to the bed, and explained to the family that Stephen really did need to be rolled onto his other side, and that we would be very quick. They all trooped out, and my colleague and I set to work. First we gave the morphine, then gently placed our arms under Stephen to roll him. He have a loud "Aaa....hhhhhhh.......a." and stopped breathing. Cursing under my breath at the timing, I waited for several minutes to be sure that this wasn't just another episode of Cheynne-Stoking. I even got my stethescope and checked for a heartbeat. Nothing.
Feeling guilty and sad for the family, we settle Stephen onto his back, tidied him, and I went to break the news to the relatives. There was an understandable outpouring of cries and wails as they realized Stephen would never be with them again. They were not angry, just sad that he had finally gone. I stayed with them, and then offered to escort them into the room to say their last goodbyes.
All 8 relatives, weeping, followed me into the room to see Stephen peacefully relaxed on his back. They crowded around, touching him, and I stepped back to give them room, tears in my own eyes as I shared their grief.
To my shock and absolute horror, Stephen took one huge shuddering breath,...then another,...............and another! I stood there in utter shock, as this man 'came back from the dead'. The effect on his relatives was not pretty to watch. They were excited, happy, grieved, shocked, and confused. Again, they were not angry at me (must have been saints!), as I stood there watching. The only thing I could think of to say was "But he WAS dead!" :imbar (I'd verified it myself.)
I waited until the family had settled somewhat, then backed out of the room. I felt about two inches tall, and utterly confused!
I never wanted to look these people in the eye again. First I'd killed their dad, then told them he was dead and upset them all, then he came back to life!!
I cried in the toilet for a while, as you do, then went back to the nurses desk. Several minutes later, all the family silently trooped out of the room and towards the front door. They were calm and collected, one detached from the group and came towards me.
"He's gone now. He died about ten minutes after we went into the room. He just wanted to wait until we were all there before he went. That's why he came back for us all.":redpinkhe
I have NEVER experienced embarrassment at that level in my life, before or sice!
This was probably about a year ago. My team was empty so I saw a patient's name pop up on the board who was being registered out front. I'm sure we didn't have a triage nurse at that time so I grabbed the patient to triage them in the room. They were there for some low acuity reason, I forgot but it was the patient and their friend. Anyway I'm asking questions while taking vitals. So I notice the patient had 2 and 1/2 in long nails that are purple, pink, dark blue, etc so I ask when her last menstrual cycle was. The patient and the friend look at each other and start laughing. Turns out the patient was a man. Now up until this point I wasn't quite sure what gender the patient was. They had a non gender specific first name, they were larger, had hair pulled back in a pony tail, didn't necessarily have a masculine or feminine gait, etc. At any rate I couldn't really tell and was just looking for some type of clue lol. Anyway the patient and the friend weren't offended, I think he said he took it as a compliment. I was relieved they weren't upset but still felt a bit dumb.
One of them is a co-worker, but we still laugh about this- She was helping a post op patient get up for a walk, and he started kind of slurring his words and seeming unsteady on his feet and worrying he was going to pass out she said "okay we have to go back to your room, I don't want you going down on me!" He immediately smirks and starts laughing and she realized what it sounded like and she turned beet red, hahah.
One of mine, we had just implemented CPOE a few days before this, and one of our paediatricians with many years of experience told me he was discharging John Doe. I said "okay great, I guess it's fine for me to discontinue the IV then?" and he said "actually, I would like to do it for practice if that's okay" and a little confused I said sure.. while thinking to myself, why in the world would he need to practice taking out an IV, especially when he's been a doctor for 15+ years. Anyway, about 10 minutes later I checked the patient and the IV was still in. I said Dr. G, just wondering John Doe and his family are almost ready to go and his IV is still in, do you still want to discontinue it? He looks at me a little baffled and says "I meant I wanted to practice discontinuing it in the computer..." (i.e. entering the order to discontinue the IV). I burst out laughing and said okay I was kind of confused but thought for some reason you wanted to actually take the IV out yourself. We all had a great laugh about that.
Another one, I was very new at the time and was in the special care nursery, when suddenly the monitor started alarming V-tach. I was like OMG and yelled for the more senior nurse to come. As she was coming I grab the stethoscope and listen to the heart rate. I'm panicking thinking what do I do, and what will it sound like? When she starts laughing and pats me on the shoulder saying "It's okay! It's just a false alarm.." I was so relieved and busted out laughing along with her. I wasn't sure what I was going to hear but I have to give myself credit for at least thinking to at least auscultate in my time of panic!
Another one, a three in one One day the nurse supervisor had asked my coworker and myself to float down to medical floor because they were very busy and had a lot of sick calls. We went down and presented ourselves to the team leader and stated we were sent from peds to help. She was relieved and said "Please go to room 101, her name is Jane Doe and she is total care. She needs her breakfast fed to her, changed, bed bath, dressed and up in the lift into her wheelchair." We head into her room and begin helping this woman. The breakfast was fine. But it started going downhill from there.. It had been years since either of us had worked in long term, so while I used to be very adept at the best ways to wash and dress someone with minimal turns, the rustiness made us have a difficult time getting her dressed following washing up. It didn't help that her clothes were not split, so in short.. we had many more turns than most people would have had. At one point the poor woman looked at us and kind of smiled and said "It's okay girls, you can just put a johnny shirt on me if you want.." We felt so embarrassed! Haha.
- The same day, same situation on medical floor. After completing the cares for Jane Doe, we go back to the team leader (feeling very embarrassed how long it took us to get her ready..) she sends us into 105- It's John Doe, he needs help getting washed up, he is one of our palliative patients and he will probably rest in bed and visit with family for awhile after you are done. We head in and we introduce ourselves to John, saying we came from pediatrics to help for the day and we were here to help him get washed up. He looks at us skeptically and he says "Well you have to be very careful washing and turning me. Because I'm full of cancer, and if you turn me even a bit the wrong way I could have broken bones and live the rest of my short days in even more agony. Looking at my coworker in horror, I can tell she agrees and we tell John "um, we will back.." and we both back out. When we are out of earshot of the patient I say "there is no way we are washing him up, he needs to have someone much better with turning than us!" We told this to the team leader so she sent us to bathe a woman in the century tub.
(Part 3) We stated we hadn't used a century tub since nursing school and the ones we had used were in old facilities so not nearly the same. Impatiently she said "if I need someone to help and I get sent help from the supervisor, they will do what I need help with! It's very easy to use, you just have to look at the buttons! It's already filling!" We reluctantly agree. Before we took her in we made sure we knew how to use the chair lift, which we did. We took the woman in, and she gets seated and fastened. We raised her up, securely pushed her over the tub, then lowered her in. It got to the lowest position and the water only went up to her mid calf. Confused, we assume the seat must have to go over the lower end of the tub instead of the side to lower her properly. We apologize and as she laughs, we adjust the seat and move her to the end and lower her again. This time its even worse, the water is only to her ankles. Stumped, I look at my coworker and say "Well we are going to have to ask someone clearly.." as I apologize to the patient, who was very understanding and actually getting quite a kick out of it. My coworker was like "oh great, they already think we're idiots, and we look stupid enough as it is. But you're right. We've tried all the ways of putting the chair in and nothing works..." A few minutes later another staff member enters and as she glares at us like we are the biggest idiots in the world, she presses a button and the whole tub rises up and goes around the woman. We felt very dumb and humiliated.
(I know the last stories make us look pretty incompetent, but it's not very fair to expect people to go outside their specialty and do things like this, I would have felt much more comfortable helping a semi-mobile patient get washed up, etc. Ironically, our unit is always expected to go and help with things like this, but no one else in the hospital ever has to come help us (maternity, peds, special care nursery) because "they aren't trained in it" )
One of them is a co-worker, but we still laugh about this- She was helping a post op patient get up for a walk, and he started kind of slurring his words and seeming unsteady on his feet and worrying he was going to pass out she said "okay we have to go back to your room, I don't want you going down on me!" He immediately smirks and starts laughing and she realized what it sounded like and she turned beet red, hahah.One of mine, we had just implemented CPOE a few days before this, and one of our paediatricians with many years of experience told me he was discharging John Doe. I said "okay great, I guess it's fine for me to discontinue the IV then?" and he said "actually, I would like to do it for practice if that's okay" and a little confused I said sure.. while thinking to myself, why in the world would he need to practice taking out an IV, especially when he's been a doctor for 15+ years. Anyway, about 10 minutes later I checked the patient and the IV was still in. I said Dr. G, just wondering John Doe and his family are almost ready to go and his IV is still in, do you still want to discontinue it? He looks at me a little baffled and says "I meant I wanted to practice discontinuing it in the computer..." (i.e. entering the order to discontinue the IV). I burst out laughing and said okay I was kind of confused but thought for some reason you wanted to actually take the IV out yourself. We all had a great laugh about that.
Another one, I was very new at the time and was in the special care nursery, when suddenly the monitor started alarming V-tach. I was like OMG and yelled for the more senior nurse to come. As she was coming I grab the stethoscope and listen to the heart rate. I'm panicking thinking what do I do, and what will it sound like? When she starts laughing and pats me on the shoulder saying "It's okay! It's just a false alarm.." I was so relieved and busted out laughing along with her. I wasn't sure what I was going to hear but I have to give myself credit for at least thinking to at least auscultate in my time of panic!
Another one, a three in one
One day the nurse supervisor had asked my coworker and myself to float down to medical floor because they were very busy and had a lot of sick calls. We went down and presented ourselves to the team leader and stated we were sent from peds to help. She was relieved and said "Please go to room 101, her name is Jane Doe and she is total care. She needs her breakfast fed to her, changed, bed bath, dressed and up in the lift into her wheelchair." We head into her room and begin helping this woman. The breakfast was fine. But it started going downhill from there.. It had been years since either of us had worked in long term, so while I used to be very adept at the best ways to wash and dress someone with minimal turns, the rustiness made us have a difficult time getting her dressed following washing up. It didn't help that her clothes were not split, so in short.. we had many more turns than most people would have had. At one point the poor woman looked at us and kind of smiled and said "It's okay girls, you can just put a johnny shirt on me if you want.." We felt so embarrassed! Haha.
- The same day, same situation on medical floor. After completing the cares for Jane Doe, we go back to the team leader (feeling very embarrassed how long it took us to get her ready..) she sends us into 105- It's John Doe, he needs help getting washed up, he is one of our palliative patients and he will probably rest in bed and visit with family for awhile after you are done. We head in and we introduce ourselves to John, saying we came from pediatrics to help for the day and we were here to help him get washed up. He looks at us skeptically and he says "Well you have to be very careful washing and turning me. Because I'm full of cancer, and if you turn me even a bit the wrong way I could have broken bones and live the rest of my short days in even more agony. Looking at my coworker in horror, I can tell she agrees and we tell John "um, we will back.." and we both back out. When we are out of earshot of the patient I say "there is no way we are washing him up, he needs to have someone much better with turning than us!" We told this to the team leader so she sent us to bathe a woman in the century tub.
(Part 3) We stated we hadn't used a century tub since nursing school and the ones we had used were in old facilities so not nearly the same. Impatiently she said "if I need someone to help and I get sent help from the supervisor, they will do what I need help with! It's very easy to use, you just have to look at the buttons! It's already filling!" We reluctantly agree. Before we took her in we made sure we knew how to use the chair lift, which we did. We took the woman in, and she gets seated and fastened. We raised her up, securely pushed her over the tub, then lowered her in. It got to the lowest position and the water only went up to her mid calf. Confused, we assume the seat must have to go over the lower end of the tub instead of the side to lower her properly. We apologize and as she laughs, we adjust the seat and move her to the end and lower her again. This time its even worse, the water is only to her ankles. Stumped, I look at my coworker and say "Well we are going to have to ask someone clearly.." as I apologize to the patient, who was very understanding and actually getting quite a kick out of it. My coworker was like "oh great, they already think we're idiots, and we look stupid enough as it is. But you're right. We've tried all the ways of putting the chair in and nothing works..." A few minutes later another staff member enters and as she glares at us like we are the biggest idiots in the world, she presses a button and the whole tub rises up and goes around the woman. We felt very dumb and humiliated.
(I know the last stories make us look pretty incompetent, but it's not very fair to expect people to go outside their specialty and do things like this, I would have felt much more comfortable helping a semi-mobile patient get washed up, etc. Ironically, our unit is always expected to go and help with things like this, but no one else in the hospital ever has to come help us (maternity, peds, special care nursery) because "they aren't trained in it"
)
Reminds me of the time they floated me from CCU to Rehab for the night. I received the same number of patients as everyone else -- 10 or 15, I don't remember. "And rooms 13, 17, 23,25 and 27 need to be bathed and gotten up." WOW! Five baths. That's a lot. I started at 3 AM, and I got all five patients bathed, dressed and in the chair. When I reported off to the charge nurse, she said "And how much did they do for themselves?"
Do for themselves? I'm from CCU. I bathed them, dressed them and got them up. What in the world was she talking about?
Duh. Rehab.
I am a hospice nurse and understand! The first time I pronounced a patient in nursing school the family was around and then the patient let out a long sigh.......didn't start to breathe again but startled me as my stethoscope was on his chest....it made me jump a mile high!!! What you experienced is not uncommon in death and dying.....very often people wait for their loved ones to arrive or in this case to return to the room.....some people don't want to die alone. Thanks for the post!
Oh I am laughing so hard here.
20 years ago, I was just a l'il baby nurse. A patient who had just been admitted to our floor was going sour, and I needed to call the Doc for orders. Quickly looking through the the chart, I found out his Dr's name. Dr. Erp. I quickly looked for Dr. Erp's number. No where to be found. I asked a colleague to help me. 'Dr. Erp? We don't have a Dr. Erp in this hospital. Show me'. And I did. She laughed. "Oh 'Dr: ERP.' EMERGENCY Room Physician"
i work ER now, and use 'ERP' constantly in my charting. I still smile. Every. Time. :)
So here I go with one I have, it was actually another nurse's patient, but I was there helping!
I was working an adult inpatient floor in a rural hospital, which had telemetry for patient's that had it ordered. A young male patient (who was on telemetry) was being visited by his mother in his room. They are small double occupancy rooms and the bathroom was right by the patient's bed. So we were all at the nurses' station, it was kind of slow that day. All of a sudden the bells ring and here goes the patient's monitor in VT and I rush with the patient's nurse to his room to find the patient's mother sitting in a chair quietly right by the bathroom door and the door is closed, the patient no where in the room. We knock on the bathroom door calling loudly to see if he was in there, no answer. Try the door, it's locked from the inside. I run to get the key that opens all the bathroom doors and give it to the patient's nurse who was waiting at the door to open it (all the while the monitor is still ringing VT). At my angle I didn't see what she saw, but I'm sure you can imagine what a young male patient might be doing in the bathroom that he didn't want anyone to see! So he stops now that he was caught, the monitor stops ringing, the nurse closes the door, the mother still sitting there, his nurse beet red in the face all the way back to the nurses' station. We laughed so hard about it.
I would tease her about it once in a while after that and she would get beet red in the face all over again every time!
Aright, so I don't know about y'all but around here people use the terms deaf and blind to describe patients who aren't necessarily either - but perhaps hard of hearing or vision. So this has happened twice to me, now where I assumed during report that's what was meant - I know now to clarify!
I was bring meds and a drink into a new patient's room. I had gotten in report that she was blind - but the way the nurse said it was really casual and sounds to me like perhaps she just had very poor vision and I wasn't really focusing on that. So I go in, and I'm chatting with her.. I have your meds, etc. And I reach out my arm to hand her the cup with water and just wait for her to take it. After a few silent seconds I'm like.. do you want to hold your water? And she goes "What water? You have to tell me when you're handing me something, because I'm blind." I felt so stupid!
Oh, and once I saw a call light so I popped into the room. It was an obese middle age woman who said she needed help going to the bathroom. So I aid her in standing, and she walks pretty steadily to the bathroom, does her thing, and comes out. She then says, "Oh dear, my socks are wet. Could you get me new ones?" So off I went, grabbed her a new pair and I knelt down to change her footies. Into. Her. Pee. Why this alert and Ox4 patient didn't mention that she had peed aaaall the way to the bathroom I'll never know. But I do know that one should always squat, never kneel! The pee soaked into my pant leg, down into my sock. I had to get OR scrubs and footies to wear for the rest of the night.
I work as a secretary in a NICU and we had a new mom who was paralyzed from the waist down and was obviously always in a wheel chair. The nurse was going over some basic orientation stuff with the mom and said something like "Most of this will be easier to do once you're out of that wheelchair." Luckily the mom had a good sense of humor and actually thought it was funny. Her response was "Oh honey, I don't think I'll be out of this chair anytime soon."
kk2021
20 Posts
I was doing a fundal massage on a patient who had just delivered her baby. Her family was in the room, so I was doing my best to keep her covered while still being able to asses her bleeding-which meant I was leaning forward a bit to see under the lifted sheet. When I pressed on her belly, it released a huge fart....right in my face! It scared me and I very obviously jumped back. I felt so bad!