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

Nurses General Nursing

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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?

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.

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Specializes in M/S, LTC, Corrections, PDN & drug rehab.

That people feel very strongly about the PVT. :/ Woah.

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