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Just realized today that I can't stand ostomy appliances. It's not the poop, it's just cutting and sizing the appliance and that messy paste. Tedious and irritating but somebody's gotta do it.
How about you?
Forgive my naivety, I didn't realize hospice pts had regular rectal exams. Is it because of the large amount of pain meds they're on?
Not usually, unless someone hasn't gone in 3-4 days, but I knew this one was lying through her teeth about her bowel status. Seriously, she had brown eyes before I disimpacted her-when I was done, they were blue!! 😆
1. I like trachs. Suctioning, cleaning, whatever. I DON'T like having to put a new one back in when pt decides they don't need it anymore and decannulates themselves, then they're bleeding and getting bronched.
2. Vomit. Just forget it. You get handed a basin and I'm out of the room.
3. NGT, mostly for reason number 2.
4. Abdominal fistulas. The leaking. The tedious process of finding a system that works. Pulling food out that's clogging said fistula. Changing the wound manager while abdominal contents spew out.
5. Getting pts oob to the chair. I just do.
Talking to unreasonable families, does that count????
If not, dealing with combative patients, especially those that are actually strong enough to kick my butt! Also, not a fan of vomit or feet/nails.
I've learned recently that I get a sick enjoyment out of trach care, suctioning, and placing foleys. God I love being a nurse. Must be the new grad in me.
NGT = archaic and abominably torturous. Don't we have something better in this day and age? Everything about it is totally gag-worthy. They would have to completely conk me out to get my 'cooperation'; because every time they calmly said "Swallow" , I would be retching and gagging, vomiting, hitting and kicking.....
It makes my throat tighten up just imagining it.
Also hate NGs. I've only ever had to place one (with the pt fighting every inch) but even just caring for them, ugh. I think I'm just always afraid the pt will pull it out somehow & I'll have to replace it. Vomit itself though doesn't typically bother me nor does any other type of poking or inserting other devices into people.
NGT = archaic and abominably torturous. Don't we have something better in this day and age? Everything about it is totally gag-worthy. They would have to completely conk me out to get my 'cooperation'; because every time they calmly said "Swallow" , I would be retching and gagging, vomiting, hitting and kicking.....It makes my throat tighten up just imagining it.
I suppose we could invent a way to go at it from the other end... haha!
xjamxtc
20 Posts
I think all patients- in fact all people should read this post before they graduate high school and at least once every year after...
and then once again before being released...
that only leaves the crying little snot monsters with green snot running out of their noses screaming at the top of their lungs... and you didn't even touch them yet..