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.
Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
i can't top the maggots.
had a guy with dead bowel. they'd opened him, closed him, had him on a morphine drip and were just waiting for the eternal transfer. he pooped out what looked like his entire bowel. gross! the nurse manager happened to be on the unit "helping out" when i went into the room to clean him out. i saw that mess in the bed and started to gag. in the end, i was in the corner of the room barfing and the nurse manager and the respiratory therapist cleaned up the patient. they laughed at me the rest of the time i stayed at that hospital, but i just couldn't do it!
another hospital, way back in the early 80s. guy whose phrenic nerve got nicked in surgery and paralyzed his diaphragm. they had a rocking bed to help him breath. the thing tipped back and forth from a steep reverse t-berg to flat and back about 20 times a minute. the theory was that when he's upright, his diaphragm gets pulled down, and then he goes flat and the diaphragm goes up. it worked, after a fashion. he was breathing on his own. and he had this trach and a ton of secretions. he used to pull the trach mask off as he'd fly up and see how far he could eject the secretions. i was in the next room, caring for the patient and i hear a "splat" on the glass window between the rooms. he got so strong he was "splatting" 20x a minute, and the window was just dripping secretions.
I was looking after a woman who was unconscious and had some kind of temporary condition that caused her orifice to dilate (no idea what it was - a hundred years ago when I was just a young 'un). If you pushed on her belly, soft yellow and green fecal matter would squeeze out like toothpaste...
Aaany way. One night after the dilation began to resolve a friend and I were cleaning her up - me holding up her top leg, my friend face down in the peri region. We were chatting away and for some reason I said my friend's name and she jerked upright - just missing a mouthful of the soft fecal matter that was expelled with such force it hit the wall at the foot of the bed!
But I readily concede that that's no bowel and abdo full of maggots. Where's that vomit icon when you need it?
halitosis, I am not talking about your regular morning "dragon breath" I am talking about the gingivitis, never brush their teeth, rotten mouth...I could never be a dental hygenist...give with an incontinent patient who ran out of their chlorophyll anyday!
Nurdtonurse you do win!!!!!! Oh my goodness that is bad just read your post and I can't get it out of my mind. Poor guy as I read I couldn't help but feel bad for the man....very sad. But I must point out the part were you call the ER nurse made me laugh!!! leaving the toe in the shoe??? She probably knew.
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
I had a similar experience with oral care....it was like peeling wallpaper! Never again!!
I remember that I asked the attending surgeon how in the world the guy got that way. He smarted off and said the homeless guy didn't wear his undershorts. When I continued to stare at him, he said that from what he saw, he thought the guy had probably had really bleeding external hemorrhoids, flies landed on him in his sleep, and there ya go. I swear, I will remember that smell to the end of my life.
Oh.... I once was covering in the high dependancy unit and a guy there had a neucrotic scrotum... it was probably the thought that the neucrotic tissue was in that place that made the smell that much worse.... or ventilator breath... *shudder*
Patient with maggots in her lady parts-hadn't bathed in ...oh, I don't know
2 years!
Toenails curled so far back, they were cutting into his feet.
Little boy that put a bean up his nose about 6 months ago. It sprouted , took on a life of it's own. His parents couldn't figure out why his nose smelled so bad, not to mention the sound it made when the boy was breathing.
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I can cope with most anything: feces, vomit, strong body odors, tunneling decub, purulent pus, BUT GREEN PHLEM, will always kill me.
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Ruby Vee, BSN
17 Articles; 14,053 Posts
i can't top the maggots.
had a guy with dead bowel. they'd opened him, closed him, had him on a morphine drip and were just waiting for the eternal transfer. he pooped out what looked like his entire bowel. gross! the nurse manager happened to be on the unit "helping out" when i went into the room to clean him out. i saw that mess in the bed and started to gag. in the end, i was in the corner of the room barfing and the nurse manager and the respiratory therapist cleaned up the patient. they laughed at me the rest of the time i stayed at that hospital, but i just couldn't do it!
another hospital, way back in the early 80s. guy whose phrenic nerve got nicked in surgery and paralyzed his diaphragm. they had a rocking bed to help him breath. the thing tipped back and forth from a steep reverse t-berg to flat and back about 20 times a minute. the theory was that when he's upright, his diaphragm gets pulled down, and then he goes flat and the diaphragm goes up. it worked, after a fashion. he was breathing on his own. and he had this trach and a ton of secretions. he used to pull the trach mask off as he'd fly up and see how far he could eject the secretions. i was in the next room, caring for the patient and i hear a "splat" on the glass window between the rooms. he got so strong he was "splatting" 20x a minute, and the window was just dripping secretions.
ok, i'm gagging now!