BJRN76

We all got a good laugh at work after reading a consultation from our ID doctor. She wrote...pt has large amount of ***** drainage... we decided that purulent might look better. (Keep in mind it was a slow day)

It never fails to amaze me what will come out of patients and families mouths. I work in a busy CCU and the other day I admitted a patient who had failed TPA and came back from cath lab very unstable and bleeding like a stuck pig. As I hung my fourth vasopressor the wife said " I've been waiting to get something to drink and the nurses downstairs said you would get me anything that I needed " (note to self kill cath lab RN) I said very "sweetly" that when I got done saving her husbands life I would see what I could find her to drink. It shut her up for a while and made me feel better!! By the way I am still looking for that cath lab RN

I wanted to post a question to the board and get a feel for what is being done in other institutions. I work in busy CCU unit. We routinely care for IABP patients. We have a new cardiologist on staff who thinks that the bedside nurse should D/C the IABP's when ordered without a physcian present or potentialy even in house . Currently our policy is to have a physcian D/C pumps. Our nurses do have a lot of autonomy, more than any other CCU I've been in. So I'm wondering if this is common practice in other CCU's or if we are getting into murky waters. Thanks for your input.