Rnannie94

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!

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!

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!!

The biggest offender where I work is a doctor that is male, not female. He comes to make rounds reeking of some of the worst smelling cologne! I can smell him from down the hall and I have an instant migraine. I refuse to make rounds with him because of this, and thankfully, my co-workers are able to step up for me and go with him (tho, truthfully, he often ends up making rounds alone). The smell is so bad that stepping into an elevator that he had recently rode is enough to make a person ill. Considering the number of women I work with, I can name only one other person that wore an obnoxious scent, and she quickly quit wearing it when she found out it made me sick.

boulergirl - i agree with the others, why would anyone else need to know you needed to see a doctor? and to start with, for an initial assesment, you can always see a general practioner, and if you need further evaluation, you can be referred to a psychologist if necessary. there are so many things that go along with serotonin deficiency and it can be a multitude of diagnoses. speaking from experience - i have a serotonin deficiency related to fibromyalgia. i couldn't make it through a day if i was not on treatment. good luck with your dilemma :icon_hug:

At our hospital, we do have only our first name with our title - RN, LVN, CNA, etc. If I understand our state board correctly, it is more concerned with identifying title than it is our full name. When I first started working there, we did have our full name on our badges, but that was changed after a nurse (who just so happens to be my aunt) was harassed by an irate husband of a patient. This guy was completely crazy and was suspected of leading to his wife's death - she was on peritoneal dialysis and he was adding insulin to her dialysis solution and not giving her sc insulin. What finally sent him completely over the edge was when the ICU nurse taking care of her called him to get phone consent for a blood transfusion for a critical low hemoglobin and he refused phone consent stating he would be in later. When it started approaching a couple hours, the nurse called his son and he gave phone consent for the transfusion. My aunt was not the one who called (nor could be mistaken for the other nurse - a guy.) He just happened to recognize her last name and he worked years ago with one of my uncles and he started calling our family and harassing. The last name is an unusual one, so it was easy for him to find her. For weeks after that, ICU had stationed security on the unit in case he decided to carry out some of the threats he made. Makes me nervous, we just did a merger and they are talking about adding our last names again. We have four nurses in our family that work at this facility and I can guarantee none of us will be quiet about it if they do try it!! :behindpc:

Yikes! I never give phenergan straight - always dilute it. Unfortunately, I can't seem to get this idea across to some of our other nurses and the vein becomes irritated and the phenergan burns even diluted. I have personal experience with phenergan burns - major phlebitis, luckily no thrombosis. I had several doses given without dilution in a wrist site and my arm was extremely sore and was red from the wrist to the antecubital area, about 3 inches across. I didn't realize how bad it was until I got up to go to the BR - had the lights dimmed in the room. Of course, I was blessed with an idiot nurse and told her I needed a new IV. She checked it for patency, blood return, and was going to leave it in :selfbonk: . I almost had to take it out myself to get it changed. It took a few weeks for all the redness and tenderness to resolve.

I've heard of that also. We had a nurse attempt to give a child a dose of motrin suspension via the iv line. Luckily she was caught before actually doing it. :selfbonk:

I'm not sure how many other antiemetics do this, but phenergan can't be given when an antibiotic is running because it will crystalize. You do have to be really careful about unhooking the line and flushing well to prevent it. Unfortunately, this was learned the hard way on my unit - luckily it didn't reach the patient - and we learned from someone else's faulty push.

i couldn't agree more. that is the feeling i got from reading the op. it does seem like guilt could be a part of their expression or it could be that they were actually putting on a show.

i took care of a patient when she got out of icu - she had inhaled the brillo pad used as a filter on her crack pipe. it stuck in the back of her throat and her boyfriend attempted to dislodge it using a screwdriver! she ended up with multiple lacerations and potentially life threatening swelling as a result. takes all kinds

:rotfl: :rotfl: :rotfl: your post was a hoot!! got a much needed laugh! thank you, thank you!!

We have a few interesting names here -- Dr Allred - ophthalmologist Dr Ngo - pronounced 'no' (wonderful pediatrician) Dr Oszczakiewicz - don't ask how to pronounce - he has us call him Dr Oz Dr Steven King - ER (kinda scary!) Dr Achilles - cardiologist (too bad not podiatry :chuckle ) and my all time favorite.... Dr Moses - ob-gyn. He actually has a sign in his office, and used to give out t-shirts to his new moms - MADE BY GOD, DELIVERED BY MOSES

I would have called the doctor, too. Just a thought - why is it that the docs in that group prefer the other hospital? Could it be that the nurses at your current hospital are hesitant to call the doc and are potentially placing the patients at risk? :uhoh21:

can i get a second to that motion? all of the above happens way too much! :stone

i don't know of any meds for bipolar that are safe to take during pregnancy. however, i do have a cousin who is bipolar and got off her meds during her two pregnancies. it took a while, but for some reason during pregnancy, she seemed to stabilize even off her meds. my aunt talked to her mhmr case worker and she said that many bipolar women stabilize during pregnancy, tho starting out may be difficult. and she needed to restart on her meds immediately after she gave birth (tho it unfortunately took a while to get them going thru the state -mhmr).

Julie, it is absolutely necessary that you tell the testing nurse what you are on. And bring proof of the prescriptions. You will be more likely to be disqualified if you try to hide what you are on. If they suspect that you are taking medications not prescribed... trouble! I do not have a psych situation, but I do have fibromyalgia. The treatments for fibromyalgia entail the use of antidepressants (to help restore levels of Serotonin), antianxiety meds (to aid in sleep), anticonvulsants (to help with nerve pain), and sometimes narcotic or nonnarcotic pain medications. Even tho the situation is different, many of the treatments are the same. And, due to the constant pain I was in before I was diagnosed and treatment began, I was depressed, moody, and generally just plain miserable. Like you, the meds have been life savers. Good luck in school! Don't be afraid of holding back on your dreams! :icon_hug:

I have not heard of problems with metabolites from demerol in the general population, but it is definitely a potential problem in sickle cell patient. On my pediatric unit, we never use it - always give dilaudid or morphine