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Strange things found on (or in) a pt.
Ok, have a few. I work pedi- kids do the darndest things!!! Had a kid come - about 3-4 yrs old - as a visitor. Mom asked if I could take his temp (don't usually, but he was burning up!) Temp was 105, so I sent mom and kid to ER. He was subsequently admitted with pneumonia... secondary to an aspirated diamond stud earring! Also had a kid with an aspirated safety pin, opened up in lung, with pointed end up. His was a little more complicated extrication than the earring was! My own nephew (just turned 4) had recurring/ongoing sinus infections for several months in spite of antibiotics - always on one side. I went to a follow up with the ENT with him and he was scheduled for surgery to scope his sinus passages. Doc found a crayon tip in his nostril. Worse yet, the Doc told us one reason he wanted to scope him was related to another pt experience. He had a 25 yr old woman who came to see him who stated she could never remember being able to breathe thru one nostril. He did surgery and found a large calcified mass. He removed it, sent it to pathology - report came back as a crayon at the center of the mass. Yuck!! I wonder how long it had been there! One of the most unusual pt problem I've seen was the 29 yr old who had a throat hemorrhage - caused by the attempted removal of a brillo pad from the back of her throat. She was smoking crack, filtered thru the brillo pad came loose and embedded in the back of her throat. Her dear boyfriend attempted to remove it using a screwdiver, hence the tears to the back of throat, causing said hemorrhage. Geez, what some people won't do!
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Best-smelling liquid meds!
Aldex dm smells great! (grape flavor) Worst smell? Cleocin po by far - smells like bug spray. Procalamine smells horrible - had an not so brilliant pharmacy tech send us a glass bottle thru our pneumatic tube chute. The bottle broke when it landed, surprise! That was over a year ago and our chute still smells - reminds me of stale urine!
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The next shift nurse
Unfortunately, some nurses are this way.... and they shouldn't be. Nursing is 24hr care - and just one nurse is not expected to provide that care. At my hospital, our policy is if an admit comes at the half hour mark before the next shift (ie, 0630), the admit is to be completed by the oncoming shift. Our only responsibility is making sure the pt is settled, immediate concerns addressed, but the rest is the next shift's responsibility. If the pt was in distress, had high fever, of course we would address it, but the rest gets passed on. Try not to let her get to you. I know it's tough when someone has that kind of attitude, but you can't help the timing. If she gives you too much trouble, you may want to speak to your manager about expectations, cutoff times for admits, etc. If you don't feel comfortable w/ stating a particular nurse is giving you problems, maybe address it as a general concern for clarification. Good Luck!!