What I learned this week (7/11/15)

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This week, I learned......

1. When a person is anuric, a fentanyl drip may not be the most appropriate option for them.

2. Patients seriously get spoiled in ICU. Boy do they get disappointed when they go out today the floor with 4:1 and higher ratios.

3. "Fever of unknown origin" is not the best possible admission diagnosis for your first ever needle stick.

4. If you're going to give a non-responsive patient a t**** twister to attempt to make them responsive, you should really warn the other people in the room first.

5. I am seriously getting tired of getting off work hours after my shift was supposed to end.

6. My family is out of town this weekend, and I have been working, so clearly, my dog has decided she is dying.

7. So.....apparently 11:30 on a Saturday night is the best time to take the family out to shop at Walmart.

8. If a nurse calls you for narcan, just say yes.

9. It sort of feels amazing to have a respected colleague say you'd be perfect for ICU. At least, I hope it was a compliment. That's a compliment, right?

10. It's crushing to see a person who did everything right in life slowly lose every piece of themselves to random illnesses that hit and leave damage.

11. Wegener's Granulomatosis is evil.

12. My milkshake brings all the boys to the yard.

Man I had a whole list of good stuff a couple of days ago and now I am drawing a blank. I'll have to comment bomb as I remember.

What did you learn this week?

I learned that worrying about your virtual friends sucks just as much as worrying about your IRL friends.

I learned that I missed my nurse buddies!

Also that San Francisco is amazing and beach sand can and will get inside your suit into private areas :eek:

Psssh. In-landers.

Welcome back, Oodles!

Psssh. In-landers.

Welcome back, Oodles!

I know, right?

I weekended in the Outer Banks frequently as a kid. Did you know that sand can actually embed under your toenails and take weeks to grow out? Like, fused to the toenail, underneath it in the nailbed. Boogie board accidents can really get sand in some interesting places. I really hate it in the gums and sinuses. Ugh.

I snotted shells for a week once.

Oh, and welcome back Forever Ood.

Specializes in ICU.
I learned that you could push Kayexelate through a foley catheter into someone's rectum during CPR.

My hospital doesn't keep enema supplies on the unit. To get an enema kit, I have to fill out a form, fax to central supply, wait forever, and hopefully actually get the item. Sometimes I have to fax the form multiple times and call multiple people to ensure it got where it's supposed to be. Sometimes it never comes even if I do all of that.

I confess that I have started to just go ahead and use foleys for enemas without even trying to get a hold of central supply at all - ain't nobody got time for that. You just inflate the balloon and clamp the hemostat for a retention enema - works well if your person doesn't have a super loose butt.

... super loose butt.

BWWWAAAAAAHAAAAAHAAAAHAAA!

Best spit list entry EVER!!

:roflmao::lol2::roflmao::lol2:

My hospital doesn't keep enema supplies on the unit. To get an enema kit, I have to fill out a form, fax to central supply, wait forever, and hopefully actually get the item. Sometimes I have to fax the form multiple times and call multiple people to ensure it got where it's supposed to be. Sometimes it never comes even if I do all of that.

I confess that I have started to just go ahead and use foleys for enemas without even trying to get a hold of central supply at all - ain't nobody got time for that. You just inflate the balloon and clamp the hemostat for a retention enema - works well if your person doesn't have a super loose butt.

:roflmao: I needed that laugh on this crummy Monday!!

Specializes in ICU.
BWWWAAAAAAHAAAAAHAAAAHAAA!

Best spit list entry EVER!!

:roflmao::lol2::roflmao::lol2:

Yeah, could've said "decreased rectal tone," but "super loose butt" just made me happier. I'm glad you enjoyed it. ;)

Specializes in Med/Surg/ICU/Stepdown.

1. I can greatly loathe a physician to the point of not being able to communicate effectively with them.

2. The right hospitalist can make or break my weekend shift. I had an AWESOME weekend.

3. If the only way a patient will take his medications is crushed in ice cream, then it's perfectly appropriate to have chocolate ice cream for breakfast.

4. I should have listened to my clinical instructors when they said "save your back." I'm only 30 and mine is starting to wear out on me greatly.

5. I value my PCA's more than I think I value anyone else in the entire hospital.

6. I work much more effectively being away from the nurses' station. It's nice not listening to gossip and gripe all day long.

7. My OCD far surpasses things in my home.

8. I need to update my resume.

9. My future may not lie in ER nursing but rather PICU.

10. A bed alarm does not stop someone from falling on the floor. It alerts you to the fact that they may already be there.

1. I can greatly loathe a physician to the point of not being able to communicate effectively with them.

I feel the same way every time a certain anesthesiologist is on call with me.

I also learnt I will never ever feel comfortable working with this certain anesthesiologist and I'm okay with that. Because once I get comfortable, SHTF and he will get away with a bad outcome and I will be forced to leave nursing in disgrace. Fear keeps me on my toes.

Specializes in orthopedic/trauma, Informatics, diabetes.

i learned this week that I get a little too excited about advocating for pts to get their pain better managed and that I took way too much pleasure in a patient relations person reduce an arrogant "Richard" of an attending to doing what I wanted. This July, it is not the residents that are driving me nuts

Specializes in OR, Nursing Professional Development.

That things I thought were going well aren't what they seemed. That things at work can mess up my time at home after work. That I'm just having a hard time dealing with some crap right now.

Specializes in Oncology; medical specialty website.

Wow...I can't believe anyone would do #4. How about a good sternal rub instead?

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