Published
Trach's that have more secretions than I can possibly suction in a day. I did actually watch one guy shoot phlegm so far that I literally had to clean it off his foot....... and then go vomit
The family member that is "In the field" Come to find out they were a CNA at a nursing home 20 years ago, yet they are telling you your job as a nurse in ICU.
C-Diff
Trach's that have more secretions than I can possibly suction in a day. I did actually watch one guy shoot phlegm so far that I literally had to clean it off his foot....... and then go vomit
I had one lady who coughed so hard during trach care that the nickel sized blob of phlegm hit the wall opposite the bed...a foot and a half down from the ceiling.
I dread taking care of post op patients who are used to taking MS Contin (or other SR morphine). I know that pain control is going to be incredibly difficult for these patients. I'm now a firm believer that these drugs should only be used as an absolute last resort. Also, surgeons should be far better at explaining what sorts of pain these patients will be likely to experience. Thankfully, we've started consulting pain management specialists, but even with their help, pain control is tough. I hate it b/c it makes me feel helpless as a nurse.
Detoxers. Period and hands down my least favorite type of patient. And the family members who think WE are abusing the patient by restraining them.
I don't mind ours. The patients themselves have usually burnt so many bridges that we don't have to deal with family. And they're usually so out of it that they can't complain to PR or will even remember you after they're sober. They can get mean and aggressive but I'm quick to deal with any physical aggression (4-points, haldol) and I can discount the meanness on account of the altered mental status. Quibbling with their hallucinations can be amusing with the DTers who aren't ******** on the ceiling. (My fav. DT pt was a guy who was convinced that there was a cooler of ice-cold Buds sitting on his window ledge. We had many conversations about this & what I wouldn't have given for the same!)
30-40-something year old female with vague abdominal pain.
If I have a choice, I will choose the 85 year old dementia patient with the broken hip over that one-or the detoxer.
Changing wound vacs-I just don't do it enough to feel qualified, and when I'm done, it looks like a 5 year old's paper mache project.
JZ_RN
590 Posts
I'll start with people who say "I went to nursing school" Okay, but are you a nurse?
I need my meds today. Also I can't pay for them.
Moms who let their kids run wild and scream. I get that stuff hurts, go ahead and cry. No need to run like a wile monkey or screech like you're dying, I assure you that if you were dying you'd have no time to yell like that.
And let's not get started on the drug-seekers!