Things that gross me out....

[2shihtzus]

So I get report on a little lady and the nurse says she has decreased urine output. Her foley had been leaking the night before, but I added some water to the baloon and it seemed to be ok afterwards. The nurse said the CNA swore up and down that the foley was NOT leaking, so she called the doctor about the "decreased urine output."

I go into assess the pt, and she is soaking wet, plus has dried poo on her (nice). I clean her up and change out her foley (no urine return either....I hate it when that happens!)

And hour later, there is STILL urine leaking around the foley! So I break out a grand-daddy 18fr and change the foley out again, and her urine came out in gross chunks.....literally. 500 cc's of it!!! Yuck yuck yuck!!! I hate chunky urine!!! Poor little lady.

:barf01:

[snowfreeze, BSN, RN]

Fresh trach patients airborn mucous that flies across the room everytime you try to clean their ever moist site.

[TazziRN, RN]

Anything from the nose or mouth.....even clear mucus

[BlueRidgeHomeRN]

bowel obstruction vomiting feces..

[nrsang97, BSN, RN]

bowel obstruction vomiting feces..

yep that will gross me out as well.

i also still hate suctioning trachs with copious secretions. i also can't stand mouth care on someone who hasn't had good mouth care in a while. pulling out all that gross stuff makes me wanna hurl. i start gagging and shuddering just thinking about it.

changing suction cannisters also grosses me out. i am so glad that the nurse assistants do that. when they aren't there i do it but am gagging the whole time. gross

[racing-mom4, BSN, RN]

Thick yellow snaggly toe nails

[UM Review RN, ASN, RN]

Urinals sitting next to dinner trays or water pitchers.

[KyPinkRN]

Urinals sitting next to dinner trays or water pitchers.

Totally with you on this one, in fact I encourage my patients to find an alternate location for their urinal. Some are reluctant which makes me wonder what their kitchen looks like... maybe we are better off not going there!

[CHATSDALE]

re mouth care

i was making rounds and the head nurse joined in because she was showing a new nun around the hospital

i went in a to do the oral care on patient, between the lip and the gum was a thick thick crud, on the roof of the mouth and the palate were a solid plate of residue of i don't know what the man had been on a peg for weeks, the wife's eyes got bigger and bigger and the head nurse lips got thinner and thinner

i was called aside when we left the room, i had not had the man as a patient before, he had been in hospital for about a week from a ltc

i guess that the nun and the head nurse had seen enough because they found something else they needed to do and me and my queasy stomach went on with the day

i don't know what was said to previous shift nurse but there was a paper on the wall the next day abut oral care q shift

[mpccrn, BSN, RN]

q shift? how about q 2hrs! i've lost SaO2 sats on people that had poor mouth care prior to me taking care of them. it had nothing to do with the ability to exchange gasses.....it was an obstructed airway from junk buildup in their oral pharynx. secreations coughed up but not expectorated turn to cement. it's important to look inside a person's mouth when doing mouth care......not just shove a swab in and call it a day. if done well and often, it'll actually save you allot of work later! but to things that gross me out.......bugs! leeches, sterile maggots.....there's just not enough money in the world!

[aeauooo]

...urine leaking around the foley! So I break out a grand-daddy 18fr and change the foley out again, and her urine came out in gross chunks.

Did you try flushing the catheter with saline before you changed it out?

[aeauooo]

Urinals sitting next to dinner trays or water pitchers.

More often than not, when I put the urinal some other place, the patient puts it back on the table next to the water pitcher.