when the brand new whizz bang ED was about 6 months old the pipes couldn't cope with the extra pan washers!! LOL I am a colorectal & trauma nurse and the Alfred is defo the "ememy"!!
Specializes in Trauma Surgery, Nursing Management.
"We are fully staffed today, so I thought it would be a wonderful learning experience for you to teach our visiting nursing students how to do colostomy care. The ostomy nurse was kind enough to fax over a list of all of our colostomy patients throughout the hospital. Most of the students don't speak fluent English, but the interpreter will be able to help when she is available. Thanks!"
Specializes in psychiatry,geropsych,LTC/SNF, hospice.
For a SNF:
You have 6 admissions due in anytime now. Two are fresh knees but their CPMs aren't here yet and PT's leaving so you'll have to set them up when they get here. Oh, and we couldn't find the settings in the intake info so you might have to call the hospitals to get it.
One's a lol THR with a hx of sundowning that was 1:1 in the hospital, but we couldn't get the staffing to do so here. I'm sure she'll be fine with 15 min checks. Oh, but two aides called out.
The brittle diabetic in rm 123 was just dx with infectious process xyz so she's even more unstable and is refusing to eat.
The 97 year old man with stage 4 lung cancer with bone mets is actively dying, but the family still wants him to be a full code. Oh, and they want to d/c his roxanol because they think it'll kill him (that one drives me bonkers roxanol is a beautiful thing when used properly).
I am sorry that I have to leave; 1. all the new orders from the previous DAY need put into the system 2. so and so parents need called about the change in surgery time(family lives out town and is on their way in TODAY and surgery time changed yesterday)3. these meds need returned NOW to pharmacy, also they need to be called to pickup...etc...didnt even get a good reason why some of these weren't done that night, dont care..I just did what I could do...oh and State was due in..LOL that is why I went PT in homecare...although hey, that had it's issues too!
You need to do neuro observations on these patients - but there are no neuro ob torches - here is a large torch instead (true story - bought my own torch after that).
The lom (little old man) you've got with dementia keeps climbing over the bed rails, & there are no sitters for him. Keep an eye on hi, with ur 6 other equally confused patients. (Lom ended up climbing over his rails, pulled his catheter out, blood everywhere & probably broke a hip. Transferred to a larger hospital for ? surgery).
Surgeon: This patient I've just seen needs to be admitted TODAY & put him first on my surgical list - he has an urgent melanoma that requires attention.
Me: I just only now checked with the bed coordinator. There are no beds at all and we're unlikely to have any shortly. She's going to call me back if any are free.
Surgeon: But I NEED a bed!
Me: Who doesn't?
Surgeon: Well I suppose I could just set up an operating table in the car park, & tell the patient to go there - and do drive thru surgery!
(Later picture me running round the WHOLE 900+ bed hospital, desperately trying to get interns to discharge patients so I can get this patient a bed. And I succeeded but it took a lot of talking & begging! Not the first time I had to buy an intern a box of chocolates!)
First shift in a large, teaching hospital as a RN (& I wasn't too experienced): Here are your patients (gives handover). You have a new RN with you, and two RN students and you have to do teaching with them as well
Last thing i want to hear when i show up for work?
"Jenni, you are up for an admission"
"THANK GOD your here"
i also know its a terrible sign when you get on your shift and there are pumps beeping, call lights on, phones ringing but no one answering and no one is in sight. meaning....they are all too busy to be doing/answering those things!
I work on a SNF and this is my fav. "You're the only RN so you're charge tonight. Oh, they're 5 PICC lines and 5 central lines that you have to flush and the pt is room 28 is getting 4 units of blood. His first unit is ready to be picked up from the blood bank right now. Good luck!"
roxanol is a beautiful thing when used properly).
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K+MgSO4, BSN
1,753 Posts
Talaxandra are you working for the "enemy"? The Alfred I hear that they flood at the word rain! RMH has the decency to wait for a burst sewage pipe!!!