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I feel ya! This is actually a common occurance on my post-surgical floor. RIDICULOUS!!!:grn:

I'm glad to hear that other nurses are bothered by interruptions in report. Now, I am not so particular that someone can't pipe in when something is unclear. But like other people in the post have said, if I'm going to get to it, then don't interrupt. For example, at my facility we have a form that is used to report from. Most nurses give report by going down the form, filling in the blanks, and then doing a "narrative" type report on the patient after all the technical information (iv site, o2, etc) has been given. There is one nurse at my facility that is BAD about interrupting. I told her the name, the doctor, the diagnosis, then next on the form was the history. The pt had COPD. Immediately, she asked if they were on O2. Well, let me finish... I will most certainly get to that. Or another time that a patient was here for a surgical procedure and had been NPO. I tell her that the pt was scheduled for 0730 and she asks if the consent is signed and has she been NPO and.... Well, yes. If you hadn't stopped me, I would have told you that already! I feel your pain on this one. Yes, report is interactive. I don't think that anyone expects you to just sit there and take notes and never utter a word. Common courtesy does apply, though.

First of all, I wouldn't report it. (To answer the original question) But only because the patient in question didn't overhear anyone else's information, and I'm assuming that she didn't feel like someone else overheard hers. However, I do believe report at the nurses station is a no no. I don't care where you work, you should have an area, be it the breakroom, dictation room, etc. that is away from the public ear. Bedside report should be just that, bedside. You shouldn't be out in the halls around public ears. With patients in semiprivates, the verbal report should be done in a seperate (private) area, and then go to the room to look at drains/dressings/iv's. That being said, I'm suprised at some of the replies to this thread (as they seemed a little hostile to me)

An addendum to my previous entry... I can totally understand how a person who had never heard of a drug or seen it spelled out could spell it incorrectly. However, when you administer that drug on almost a daily basis, and look at it in your MAR spelled correctly, you should catch on. It's like she doesn't even care that she's spelling these things wrong!! It irks me sooooo bad!!! I just want to say, "PAY ATTENTION!!!!" I wish someone would make her go back and re-enter everything that she has spelled wrong. If she had to do that once or twice, maybe she'd start grabbing the drug book!!! Or LEARN to spell it!:hdvwl:

I have never laughed so hard in my life!!! Some of these people.... I'll share a few good lessons that my patients have taught me. Never, never, never masterbate with a raw hot dog. It will most certainly break if you try to "pinch" it to take it back out. Don't ever have sex on the floor if you have a pest control problem. Mice love the cozy warmth of a lady parts and may just "run up in there" if you aren't careful!!! If you are going to let someone put an object in your rectum, make sure it has a string or handle so that you can remove it when you are finished. And by all means, never let your drunk mistress try to remove said stuck object from your rectum with a pair of needlenose pliers. Those things pinch and tear out pieces of your rectum. And finally don't drive yourself to the ER, and expect a "quick-fix" so you can get home to "clean up the toys and blood" before your wife and 15 year old daughter get back from vacation. Always remember ladies, there is puppy formula at any veteranarians office in a case where your pet doberman cannot nurse her own puppies. Your 3 month old will not appreciate that she shared your breast with 5 puppies. And not to mention, puppies have sharp little teeth that may end up causing you a terrible case of mastitis that will forever alter the appearance of your goods. Also, never eat a whole bag of sunflower seeds (husks and all) in one sitting. You may end up with a softball-sized mass of husks and feces lodged at your orifice. Be careful before you sit down in a chair naked. You never know when there will be a wooden McIntosh apple in the EXACT area that your orifice will land. Never have someone defacate on your chest if you have a fresh incision there. It may get dirty. If you have just undergone a bowel resection, please understand that you are on a clear liquid diet for a reason. Do not expect to feel good on post op day #2 if you decided to have Domino's pizza for dinner. Never poke holes in your PCA tubing so your friends can share in the wealth. And if you do, advise your friends that taking iv morphine orally will most certainly lead to "a funny feeling in my mouth" and not to think they are having a stroke and go to ER. I'm very fortunate that these people were around so I could learn from thier mistakes.... where would I be without them????

Patient satting 95% on 50% "vinny" mask. Patient with history of "cabbage" in '07.

We use the GOMER too!! Awwww, here comes Gomer!!! And I had a tech tell me once that our new patient had a serious case of " ****doo " (Fill in stars with the nickname for Richard) Translated to mean "his belly sticks out farther than his (insert term here). And we get patients who have FMPS (fluff my pillow syndrome)

I once overheard a nurse who was in her patients room starting an IV say "CRAP!! Missed again!!! I'm sorry, honey, I'm not a very good nurse." I couldn't believe it!

No. Not all antibiotics are compatible. Infact, most manufacturers recommend that you hang EVERYTHING (all antibiotics) completely seperately. Zosyn (piperacillin) and Vanc are compatible. You are safe there. But don't just assume. Your Pocket guide will come in handy until you get familiar. Mine still hangs around in my locker incase i run up an a med I'm not familiar with!! BTW, backflushing is just taking the piggyback bag down (still attached) and holding it for a moment below the level of the primary bag. The piggyback tube and drip chamber will fill with the primary fluid.

:yeahthat:

I am essentially the only person on my floor who cares about how people spell and pronounce medical terms and medications. I am so glad to see that I have fellow nurses who can't stand when other nurses mispronounce things. There is one nurse on my floor who is absolutely the WORST. She says stats instead of sats (I've called her on it and she still screws it up. Spells Dilaudid "dalotid"- no joke Demerol is spelled "dimeral" according to her. Our pharmacy is at a loss and when she does the medication reconcilliation sheets, the docs can't believe their eyes. I've had a doc ask me to correct it in the computer and reprint it for him. She told me in report the other day that the surgeon, during a LAH-BSO, had sliced through the patients "udder". I was like "Her ureter?" "Whatever you call it." Grrrrr She calls TURP's trips. Prostate is Prostrate. She charted that her patient was on a "Vinny" mask. She does the "Pacifically" thing. She told me my patient had a CIB going. Meaning CBI for continuous bladder irrigation. In her admission history on a patient, she charted that he had a "cabbage" in '07 . There are soooooo many more. I can't think right now.

In my facility, we use both hourly rounding and bedside report. The term "bedside report" can be confusing, so make sure what your facility expects of you. On my floor, we give a complete verbal report and then go around to each room. In the room we do the following: Introduce the oncoming nurse. Visualize the IV site, tubes, drains, or any complicated dressings. Ask if they need anything. (This is where you have to have a backbone and call in your support staff for requests that they can accomodate. If you go fill pitchers and get people to the bathroom, you'll be there all day and the next nurse will get started late) This works... really. It is beneficial in many ways. It lets your patients know that his nurses are communicating. You'd be suprised how many of them think that we don't! If you are oncoming, you can make sure you aren't left with an infiltrated IV or a bone dry bag of fluids, or any other mess, for that matter. And it gives you an opportunity to "lay eyes" on all your patients at the very beginning. We are always taught to "prioritize" care, which is important. Without the walking rounds, most nurses would just go and assess and pass meds to their patients based on their acuity. (ie: my fresh post op bowel resection before my lap chole thats gonna leave today.) With the walking rounds, I still prioritize care, but I can "see" all my patients at the very start of the shift, then go get my stuff together and start my assessments and meds. As far as hourly rounding goes, it is beneficial too. But you need support staff. You can't do it all on your own. My load consists of between 6-9 post op patients. The techs and nurses rotate hourly rounds. We aren't on an "even hour, odd hour" schedule, per say, but we communicate to make sure that someone has rounded that hour. For the most part, our patients enjoy the hourly round EXCEPT at night. I am a huge fan of letting my people rest when I can. There are some patients who can't sleep through someone "peeking" in on them. Some can. The ones who sleep heavy don't mind, obviously, but I have had complaints from those who are light sleepers and have "adjusted" my rounding to accomodate their rest. (I didn't round hourly on them, shhhh)

OK. I totally disagree with this entire response. I know opinions are like buttholes, but I gotta share my on this one. First of all, a low grade temp is common in the first 24 hours post-op. It is your body's natural response to invasive procedures and stress. In my facility, we don't even treat with Tylenol until 100.5. The first temp, I don't treat at all. I monitor it. I don't want to be treating it if it's going to mask a problem. The first one should be left alone. If it creeps up over 101.5, start assessing your basics: are they using the IS, do or did they have a f/c, what does thier urine look like, have they been up yet? And for a temp of 101.5, our docs wanna know. And most of the time, they will order Blood Cultures, UA, CXR, and CBC. Cover the basics. Most post op temps are a body response. As far as the I&O comment in this post, I would hope that you strive to make your I&O accurate. Telling your patients to save their beverage containers and monitoring how many times you fill a pitcher is easy to do. I would also HOPE that you clear your pump. Fluid balance or more importantly IMBALANCE is essential to be aware of. It is a HUGE part of post op care and monitoring. If you are not keeping accurate I&O you are doing your post op patient an injustice. It may not seem all that important, but ask a surgeon. If he's a good doc, he will tell you that he looks at his patients I&O and fluid balance daily. And he would probably not appreciate it if you told him that you "don't bother" clearing your pumps. If he didn't care how much fluid went in, why would he order IVF's???? And LASTLY, there is ALWAYS time for quality care. If there's not, you MAKE it. I take care of 7-10 post op patients 3 nights a week. These are Bowel resections, joint replacements, hysterectomies, heart caths. Serious surgeries, time consuming patients. And I ALWAYS have time to clear my pumps and do an accurate fluid balance assessment.

How about "Advanced Age". No kidding. Had it more than once too. It's kind of like a cover term for "family can't take it anymore, needs NH placement" These people have no acute medical problems, just getting old. Our registration clerks type in diagnoses so we get a lot of interesting spellings and interpretations. I had a guy once whose dx read "growin abcess"- turns out he had an abcess in his "groin" Had a lady admitted with "blocked udder"- she had hydronephrosis from a kidney stone blocked in her "ureter" Had a woman admitted with "a cute lady parts" Of course she actually had acute "angina" Had to have been a type-o. Or a joke. Had a patient get angry once because his dx read "SOB". He thought we were calling him a son-of-a-*****. The diagnosis actually did fit (in more than one way).