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TAM

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  1. Our facility allows any licensed staff member to pick up blood from the lab but two RNs or an MD and an RN must verify at the bedside. We check B/P temp, pulse, resp rate prior to infusion, q5min during the first 15 mins and the RN must remain at the bedside during this time (15 mins)then q 15 mins for the remaining hour (45 mins)then q 30 for the remaining infusion time. The most severe reactions will normally occur during the first 10 mins of a transfusion.
  2. then, there was a young lady in the OB/GYN office for a routine exam and the physician inquired "are you sexually active?" The lady replied "no, I usually just lay there"
  3. A young man being told by the surgeon he needed to have an operation questions the surgeon "are you going to have to cut me?"
  4. While working in the emergency room I was taking care of a 90 year old lady who came in by wheelchair from a local rest home. Her complaint was right leg swelling and we found an obvious deformity of the femur but she denied any pain. An x-ray revealed a femur facture and the orthopedist was called. It was quite a long wait and I heard the patient call out "nurse come in here". I went to her and she asked me to get her up into her wheelchair, I explained to her that her leg was broken and she needed to stay in bed. She replied very seriously "only one of them is broken I can still scoot around in my chair now get me up out of this bed!"

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