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i have learned that the more asinine the complaint the longer a patient will wait in a busy er to be seen. [color=#48d1cc]i have also learned that the patient with the most asinine complaint will have a very very poor sense of personal hygiene. [color=#48d1cc]i have also learned that that same patient will visit you very often (sometimes daily) with many many many different complaints. "i stubbed my toe and i need dr. so&so to look at it" i have learned that the reason that asinine stinky pt knows that dr so&so is working is because he or she knows the doctors' cars. :icon_roll

while changing an iv bag in the middle of the night, "don't mind me i am just giving you some more "go" juice. you know so you will go and go and go" rolling eyes toward the bathroom. while a shy patient is undressing, "don't worry if you have something i have never seen before, i will shoot it!" removing anything sticky like tape or ekg pads etc, "don't worry we do not charge extra for hair removal."

i once worded a request to a md the wrong way. me:"doctor i was going to ask you if mr ***** could have a flutter valve after his breathing tx's." doc:"what changed your mind?" shocked me speachless and took me a full minute to say "can mr ***** have a flutter valve." whole nurses station busted up laughing mainly because they had never seen me speechless. when ed doc informed me of an admission to med/surg i said "ok but next admission gets your room." both laughed and i entered nurses station to discuss with cna where to put new admit, md overheard the discussion of 3 male beds left, 2 female beds left and all rooms "dirty." (meaning no place for something not infectious). md said, "you were serious weren't you." i said, "yep" funny enough no more admissions that night.

do not refrain from medicating a child's fever just because you want to show the staff "how high it really is." febrile seizures will scare you. do not ask the md for an increase in bp meds so you can eat more salt, especially do not make an ed visit in the middle of the night to ask this. the md will get mad. do not call 911 at 0300am and insist on transport to the ed for cc of "i cant make love to my wife." again the md will get mad, he might yell at you. in addition the entire nursing staff will remember you and tell the story everytime you come to the same small hospital ed. do not be seen by nursing staff eating an "alsups" burrito when you have been told repeatedly that you need an esphogeal dilitation and then call 911 in the middle of the night for cc chest pain. not only will we know it is bad reflux, but we will tell the story of you calling 911 for "i can't make love to my wife." and just for fun you will still get an 16g twin cath, after all you did complain of chest pain and we still have to follow cp protocol. do not liquify your durgesic patch and shoot it into you central line. three days worth of pain med all at once will cause you to stop breathing. do not get thrown in jail in the midst of a series of gender reassignment surgeries. if you do, do not slip and fall and knock your breast implants against a sink, knock it askew and insist to be taken to ed in the middle of the night. do not return two days later when said breast is now much smaller. the md will say the same both times. you need a plastic surgeon. it is not life threatening. no the county does not have to pay for it. the md will be mad when he says it both times in the middle of the night. dont forget to teach children at very young age that foreign objects do not belong in body cavities. do not forget to mention, ears, nose, belly buttons, and various openings in the nether regions. playdough smells bad after 1 week in a nostril. it turns black and becomes fuzzy. if child suddenly develops sever foul body odor despite multiple baths everyday, have md check said orifices. this thread has been tons of fun!!!

well thanks so much. as a matter of fact it was age-as they call it here. (acute gastroenteritis). and in fact when she came in they thought she was in dka because she was acidotic and her sugar was 305. however hbg a1c was normal and a dose of bicarb actually corrected her sugar without insulin being given and she was able to go home yesterday afternoon. her am lab did show an elevated potassium however and her fluids was changed in the early am. thanks for all your concern and help. zolo

thank you so much for your time. i appreciate the current information. my concern stemmed mainly from the fact that the child had 500ccns with 15meq of kcl running which i felt was extraordinally high for a child of 2 yrs old. i work night shift and it will be interesting to see how her labs looked this am. thanks again for your time.

it sucks giving dilantin iv, i once saw another nurse give it way too fast and we ended up coding the pt. slightly better in it's new form but still scares me. [color=#48d1cc] [color=#48d1cc]and i want to meet the nurse that likes giving stuff in orifices or stuff that makes stuff come out of orifices. actually maybe i should say i wouldn't want to meet that nurse. i don't think any of us like giving those kinds of meds.

greetings, [color=#48d1cc]it sounds as if you are all seasoned pediatric nurses. as for me, i recently moved. i was employed by a small rual hospital that serves pediatrics as well as geriatrics and everything in between. i floated between med/surg which includes pediatrics and er. i am currently in a similar situation. a small town hospital can be an advantage because generally our pt load is much smaller, however, one disadvantage is that we can not afford to specialize. we are jacks of all trades but masters of none. [color=#48d1cc]i was wondering if there is a contraindication in giving pediatric pt and specifically children under 2 ns for extended periods of time. the last place that i worked generally ordered d51/4ns for the pediatric pt. the doctors at this hospital generally order ns. i went to school 14 almost 15 years ago and i seem to remember that pediatrics shouldn't have ns for extended periods due to renal function. does anyone have any information on this, or a trusted website with information? [color=#48d1cc]thanks for your help [color=#48d1cc]zologista

greetings, [color=#48d1cc]it sounds as if you are all seasoned pediatric nurses. as for me, i recently moved. i was employed by a small rual hospital that serves pediatrics as well as geriatrics and everything in between. i floated between med/surg which includes pediatrics and er. i am currently in a similar situation. a small town hospital can be an advantage because generally our pt load is much smaller, however, one disadvantage is that we can not afford to specialize. we are jacks of all trades but masters of none. [color=#48d1cc]related to your question, we have a policy to use buretrols with pediatric pt under 70lbs. [color=#48d1cc]on a related subject, i was wondering if there is a contraindication in giving pediatric pt and specifically children under 2 ns for extended periods of time. the last place that i worked generally ordered d51/4ns for the pediatric pt. the doctors at this hospital generally order ns. i went to school 14 almost 15 years ago and i seem to remember that pediatrics shouldn't have ns for extended periods due to renal function. does anyone have any information on this, or a trusted website with information? [color=#48d1cc]thanks for your help [color=#48d1cc]zologista