Odd interactions

amoLucia · Oct 16, 2015

OP - my lady pt was elderly and in my LTC for rehab. Was alert, oriented and could walk to the BR with just the minimal-est assist of 1. Really she was just supervision.

My CNA was a task-master. She had the all the able pts get up to walk - when she was on, they HAD to walk. Well, the pt just wanted to pee the bed so she could sleep for large blocks of time. She confided in me that issue one time when I went to get her to walk (just like my CNA made her do !). She also said it felt nice and warm in the wet bed!?!?

I asked her about home and she was like your pt but she lived at her dtr's. I changed her perspective when I told her that new incontinency could delay her discharge and 'if she didn't use it, she could lose it', meaning the normal wakeup and urge to void sensations could be compromised. I questioned if her dtr could safeguard the LR couch and her bed/mattress from urinary incontinence. Like who wants a peed LR couch?!

Boy, she never peed the bed again!!

That peed-on couch scenario works very well for motivation!!! Sadly, that type of weird, odd episode occurs often enough that it stiopped surprising me.

lavenderskies, BSN · Oct 16, 2015

Farawyn

lavenderskies: Did you knock?

Haha! I don't recall exactly but I said something along the lines of "well ok. He needs to go back to sleep too."

Farawyn · Oct 16, 2015

Farawyn
Haha! I don't recall exactly but I said something along the lines of "well ok. He needs to go back to sleep too."

Hahahahhahaha!

sailornurse · Oct 16, 2015

I was trying to place a Foley in a "turtled" old man

I totally get this! Can we make this a new AN Favorite Phrase, Please?

Farawyn · Oct 16, 2015

I totally get this! Can we make this a new AN Favorite Phrase, Please?

We have to ask Acute. He's in charge of that department. I don't know if this makes the cut.

DowntheRiver · Oct 16, 2015

I had a TB read the other day. This woman handed me a paper that had a 90's birth date/M on it and she was clearly late thirties/F. I asked if it was her name, and she told me it was her son....

....who was at home.

She wanted me to read a TB on a person that she didn't bring to the clinic. I'm pretty awesome at keeping a straight face but I had a hard time trying to not laugh.

I can't make this stuff up.

allnurses Guide · Oct 16, 2015

I had a TB read the other day. This woman handed me a paper that had a 90's birth date/M on it and she was clearly late thirties/F. I asked if it was her name, and she told me it was her son....
....who was at home.

Reminds me of an incident along those lines . .not a patient but two old guys on a bus where one tells the other "Did you know they now can actually fax a human being?" The other was suitably impressed "Oh, really?" "Yeah!"

Weird.

Farawyn · Oct 16, 2015

The Jesus one is still making me giggle.

RNsRWe, ASN, RN · Oct 16, 2015

I once had a patient who "Presented Butt". Meaning that when she got herself up from the bedside commode, she would stick her butt out and lean forward on the over-the-bed table to have someone WIPE her BACKSIDE.

She was there for an ORIF of her ankle.

I asked what she did at home when she needed her butt wiped, who did it there? She said she did. "Okay, then, you can do it here, too" and handed her the toilet paper, left to see to someone else.

She actually complained about it....unit manager not amused, told her that since her ARMS were not affected by the surgery, she should have no trouble with her personal hygiene....and *I* had the pleasure of following up with her to let her know that it was our job to keep her functioning at the maximum level of ability she had. Which, in this case, included wiping her OWN butt!

Seriously, can you imagine REQUESTING that kind of personal care when it isn't at all necessary??

whichone'spink, BSN, RN · Oct 16, 2015

Why was the lap chole in the hospital in the first place? We let most of our lap choles go home unless they were already inpatient to begin with. In some cases I've even discharged formerly inpatient patients back home after they finished with the lap chole.

RNsRWe, ASN, RN · Oct 16, 2015

Why was the lap chole in the hospital in the first place? We let most of our lap choles go home unless they were already inpatient to begin with. In some cases I've even discharged formerly inpatient patients back home after they finished with the lap chole.

Lap choles are commonly 23 hour admits. So...you get them overnight.

lavenderskies, BSN · Oct 16, 2015

Farawyn

The Jesus one is still making me giggle.

It mostly weirded me out. :blink:

I had two other weird experiences at the same place.

30-something guy in for a LE fx. Nights again, I was rounding in the middle of the night and found him with a clean cut IV line IVF and blood everywhere.

I turned on the lights to investigate the mess and I'm thinking ***. He's laying there all innocent with no comment. I found bandage scissors at the bedside (not immediately obvious because he had other things there) left from day/evening shift. Ugh.

And another super weird. I took an admit on nights for I forget what exactly. Three times she pulled out her IV when I was out of the room and "no idea" how it happened when asked. WTH? OK when I woke up from sleeping after that shift the light bulb was clear as day she was having early DT Sx but at the time no clear indicators from her history or otherwise. Ugh. Night shift in that hospital only lasted 4 (too long) months for me. It was in a very wealthy area and the patients were unpredictably odd. Had one surgeon that would do "complimentary tummy tucks" when you were getting your chole' or other unrelated non plastics procedure. Yes this was a loooong time ago. Weird weird weird.