...that you can get a first-year resident to run around really fast w/ a panic-stricken look on his face when you sit at the telemetry control monitor at the ED desk flipping a drunk patient's monitor from lead to lead really fast. and that it is best for you & your co-workers to slouch down low & hide so said resident doesn't witness you laughing so hard that you fall out of your chairs.
the resident was a good sport, btw. and the patient slept through all of it, snoring contentedly.
try this it works like a charm. tap fast but lightly on the RA lead. It looks like VFib on the scope. Better yet, do it w/ a portable tele and tap as you walk around, ask the resident to help find the pt. in VFIB.
also learned these tid bits from residents on hospital personal relationships:
1) If you are going to sleep with a nurses aide then don't let your wife find out or she may come into the hospital and attack that aide.
2) If you are going to carry on multiple trysts at the same time w/ various staff members, don't let them find out or they may get into a fist fight w/ one another.
3) If you are really horny and can't wait or are too cheap to spring for a hotel room, then don't go to your car (with your flavor of the day) which so happens to be parked right under a security camera. Your buttocks may just be recognised on the tape that is making its rounds amongst the entire hospital staff
try this it works like a charm. tap fast but lightly on the RA lead. It looks like VFib on the scope. Better yet, do it w/ a portable tele and tap as you walk around, ask the resident to help find the pt. in VFIB.
LOL! I remember in my teaching hospital we would play tricks on one another and this was one of the faves to pull on the new nurses and residents. We made sure to let them know it was a
prank before things got too far though...:chuckle
Maybe we should make a thread of the pranks we pulled...almost like a ritual type of hazing now that I think back...but it was in good fun (mostly) and nobody got hurt. (other than the pride of a few of the more arrogant ones)
You know, What's really funny is I don't remember what happened to that jerk...I do remember the geeky, sweet chief attending who calmly pulled the curatain after politely asking that the room be emptied of visitors and then proceeded to replace all the lines and tubes even before the patient was picked up off the floor.
Luckily the patient never knew this happened and was not any worse for wear...not that you could BE any worse after a wrecking ball hits you midcenter, crushing the pelvis and doing much, much harm to the abdomen.
God Bless Dr. A.T. wherever he has retired to!!
Ya know if a nurse did this she's lose her job and license (and probably everything she owned) The doc is probably still practicing.
So true to form that the doc would try to shift blame to the NURSE in this incident.....
Thought of another 'teachable moment'...this was an experienced cardiologist too not a resident.His femoral aline is probably NOT one if 1) no wave and 2)you have to pull back dark blood (with a recently documented good ABG). He argued with me a good while before I convinced him my equipment was not bad and yes I knew how to set up the equipment correctly.
In the ED on the order board never write..."Lortab 7.5mg IM"..it is way confusing to the nurse!. Actually really great doc just a busy night...We had to play it out so myself and another RN put a lortab in a syringe and went to him and said..."Ummm I don't think THIS is going to fit through the needle"..took him awhile to live that one down!!
It does not matter that if the patient maybe bleeding out during a procedure and survival looks a little grime that you do not have to discuss code status with the family. They can save them because they are the ICU residents- they can save everyone. :roll
When defibrillating a prisoner, take off the handcuffs and ankle bracelets first.
It is not wise to defibrillate a patient lying in a bathtub full of water even if your ACLS manual DOES say to defibrillate pulseless VT.
:rotfl: :rotfl: Oh Ruby, thanks for those, those were great! Obviously common sense and 2.5 years of med school are not necessarily compatible with each other!
if a resident orders haldol IM for a patient who is 200 pounds more than me, agotated. combative and hallucinating, he can come and give it himself. I'm not getting next to that patient unless it's a reallyl long needle and I can use from the doorway...
If a little old lady comes into the ED c/o acute GB pain and is given MS..it is not a good idea to tell the nurse. "just give her another 10" when the pt's respirations are 8...Don't worry I did NOT give it!! ...I mention the name Kervorkian to him tho...
if a resident orders haldol IM for a patient who is 200 pounds more than me, agotated. combative and hallucinating, he can come and give it himself. I'm not getting next to that patient unless it's a reallyl long needle and I can use from the doorway...
Perhaps "blow-darts" would be helpful here???....hee hee:roll :chuckle :kiss
When a resident is trying to run a code and place a line... then gets the bright idea to shock while suturing that line in place. GO AHEAD AND DO IT :) He IS the doctor, and therefor "KNOW's" what he's doing. So what if he doesn't know that CLEAR means he needs to let go a minute. Once he gets jolted back about two feet, he'll learn something.
Dave, who LOVES the idea about flicking the lead and asking the resident to find the patient in V-Fib. Dave also thinks he's going to try that... very...very...soon!
harry Krishna
67 Posts
try this it works like a charm. tap fast but lightly on the RA lead. It looks like VFib on the scope. Better yet, do it w/ a portable tele and tap as you walk around, ask the resident to help find the pt. in VFIB.