tangrene

Thanks everyone!! I feel better knowing that they are not being letting her get too low. She has been unable to get out of bed and walk, but she was able to sit up in a bedside chair for a short while but was too weak to hold the babies for more than a min. They are going to send her home with my mom who is also a nurse who went there to help. So the plan is to just deliver babies to her in bed while mom and dad change and bath babies till she is able to be less symptomatic. ------------------ ********Current motto: It's even worse than it appears.

Years ago when penile implant surgery was fairly new I had a patient that I got the FIRST DAY I was floated to the outpatient clinic. ( don't ask me why the dr sent patient here instead of ER, I was just the nurse) This patient had been discharged recently and was recooperating nicely but he was in a tad of a hurry to try it out....so when his wife went to Safeway to shop, he pumped up his penile implant. However it started to hurt, and he panics and forgets how to depress the implant so he calls SAFEWAY and has his wife paged overhead. (Would have loved to heard that conversation!) It is after office hours OF COURSE, but the Dr. had them meet him in the outpatient clinic where we was finishing up our usual post-ops and transfusions. It was rather hard to keep a straight face when getting the history of the problem and he said " I just wanted to see if it worked". ------------------ ********Current motto: It's even worse than it appears.

UHHH could the patient have had a nose bleed or some sort of facial injuries?? Foleys work great to put pressure in areas you can't pack with guaze easily. Remember the Caldwell Lucs?

OR he wanted to irrigate the patient! IV BAG of 1000cc or 3000cc of ns, depends on how much you want to irrigate. IV is just a standard term in charting in this case. Or maybe the patient didn't have a Foley... LOL. Connect IV to F/C I guess he had recycling on his mind! Current motto: It's even worse than it appears.

Hon, you don't worry about it. Remember your psych nursing, chances are you got a manipulative patient, and you will have company soon in those complaints. Remember, they like to stir things up and make complaints about day shift to evening shift, and evening shift to nights. Their way of getting more attention than the other patients. IF it is a patient getting narcotics, well you already know what the patient is shooting for. Good luck!!

Without a doubt, roppy sputum from a trach!! I can handle any amount of blood, drainage, and wounds..........but I have trouble not heaving when I encouter a trach with thick and roppy sputum that doesn't want to budge. I will never get used to it!

HELP! I am a surgical RN, with no recent OB-GYN experience. My sister had a c-section for twin girls, her hematocrit is only 6 and they are not insisting on transfusion for her. Needless to say her heart rae is over 110 constantly, and crit only went up to 7 24 hrs postop. This is a VERY small rural hospital.....and I am worried. Can anyone remember not transfusing a mom with crits that low?? I am hesitant to speak up not knowing what other parts of the country is accepting as OK to not transfuse. I have always transfused crits of 12-17 in the surgical areas unless religious objections. Is OB that much different?