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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:
Okay, this is a contest I didn't want to win, but I may have....
Had a pt come in, homeless, alcohol/substance abuse, sleeping in the woods, had infected feet from untreated DM. Took one look at the feet and thought to myself, double BKA, if not double AKA. He'd kept his feet in the same shoes so long, he left his little toe in the shoe. I mean, black, necrotic, bad feet. Got one of the CNA's to help me bathe him, and when we turned him over....
Don't eat and read the next part...
Maggots. He had maggots in his orifice, and they just came boiling out as we turned him. I got a couple of 10cc flushes, and was kinda "hosing off" the maggots, and they were actively exiting the rectum. The smell was incredible, sort of like the cancer smell you get off someone with mets'd cancer at the skin surface crossed with a GI bleed. The CNA excused herself, and went in the bathroom and threw up. Several other nurses and the chief CNA came in and we tried to clean up the guy. These were not pinworms or round worms, these were freakin' maggots. I wanted to get the ER nurse down there and make her clean him, since the only problem she stated was his feet; she also left the little toe in his shoe for me to find, nice....
I called his doc, and told him the situation. They did a stat CT of the pelvis and abdomen, and apparently, they guy was just full of them. They did surgery, removed a chunk of colon and rectum, as well as both feet, one AKA and one BKA, but the guy ended up coding and dying in ICU from sepsis and untreated DM.
I actually went and took a bath and changed into scrubs from the OR to drive home, because I had the stench in my hair and on my clothes.
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
Oh my gosh, do you wanna hear something REALLY gross????? Okay, we're all nurses and were used to the gross stuff, so here it is...
One morning our charge nurse decided to do mouth care on one of her dying patients (oncology floor). It was OBVIOUS that this patient had NOT had mouth care done on him in a *VERY* long time, because what my charge nurse pulled out of this patient's mouth, looked like a large hairy spider that had crawled up in there and died, several days ago.
On that note, I have finally decided what, on a TYPICAL day, grosses me out more than ANYTHING.... cleaning dentures!!!!! YUCK!!!!
Eek, and I thought my story about the nasty stuff in the guys mouth was "Too Hot For Allnurses!"... THAT takes the cake, my friend. My hats off to you for living to tell the tale...
Okay, this is a contest I didn't want to win, but I may have....Had a pt come in, homeless, alcohol/substance abuse, sleeping in the woods, had infected feet from untreated DM. Took one look at the feet and thought to myself, double BKA, if not double AKA. He'd kept his feet in the same shoes so long, he left his little toe in the shoe. I mean, black, necrotic, bad feet. Got one of the CNA's to help me bathe him, and when we turned him over....
Don't eat and read the next part...
Maggots. He had maggots in his orifice, and they just came boiling out as we turned him. I got a couple of 10cc flushes, and was kinda "hosing off" the maggots, and they were actively exiting the rectum. The smell was incredible, sort of like the cancer smell you get off someone with mets'd cancer at the skin surface crossed with a GI bleed. The CNA excused herself, and went in the bathroom and threw up. Several other nurses and the chief CNA came in and we tried to clean up the guy. These were not pinworms or round worms, these were freakin' maggots. I wanted to get the ER nurse down there and make her clean him, since the only problem she stated was his feet; she also left the little toe in his shoe for me to find, nice....
I called his doc, and told him the situation. They did a stat CT of the pelvis and abdomen, and apparently, they guy was just full of them. They did surgery, removed a chunk of colon and rectum, as well as both feet, one AKA and one BKA, but the guy ended up coding and dying in ICU from sepsis and untreated DM.
I actually went and took a bath and changed into scrubs from the OR to drive home, because I had the stench in my hair and on my clothes.
linzz
931 Posts
False teeth that don't get cleaned properly, that are brown because they never get soaked in polident overnight. Yuck.