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Discussion

What would you do...?

We had a man in for a hernia repair yesterday. Not an inguinal hernia but upper gastric...about 2-3 inches above the navel. The warming blanket was on and after removing his gown from under the blanket, I noticed that he was wearing underwear. I mentioned that to the surgeon he said "it's ok, we're not going down that far". I wasn't sure if he said that for the pts. benefit because he was still awake at this point. I didn't say anything else. I was thinking of asking again when the pt. was under but changed my mind. Prepping was a bit more difficult than it had to be but we managed. No foley but prepping from nipple to navel where the shorts had to be moved aside to avoid getting the color changed from gray to "betadine purple". I'm only 8 months into this and haven't seen it before. What would you have done...? :nono:

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Tonight at work we got a patient from the ER who had a colonoscopy yesterday and they thought she may have been perforated. The patient was brought right to the room and was completely dressed. I'm talking jeans, shirt underwear, the works. She said that the nurses in the ER told her she didn't need to take her clothes off!:confused: They have a habit of sending up patients without proper paperwork, documentation etc. but this was ridiculous.

Our ER is extremely bad about this. I could see it if they were busy, but they haven't been lately, surprisingly.

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Tonight at work we got a patient from the ER who had a colonoscopy yesterday and they thought she may have been perforated. The patient was brought right to the room and was completely dressed. I'm talking jeans, shirt underwear, the works. She said that the nurses in the ER told her she didn't need to take her clothes off!:confused: They have a habit of sending up patients without proper paperwork, documentation etc. but this was ridiculous.

I could probably deal with the need to get the pt. into a gown but without paperwork or documentation...umm...are you supposed to take verbal instructions from the pt....? Heck, if you give them a local, they could even assist with the procedure.:lol2:

I could probably deal with the need to get the pt. into a gown but without paperwork or documentation...umm...are you supposed to take verbal instructions from the pt....? Heck, if you give them a local, they could even assist with the procedure.:lol2:

Nursing shortage solved! "Mr Smith, reach up here and hold this deaver..."

Heck, make their arm be the post for the Bookwalter.

Heck, make their arm be the post for the Bookwalter.

Perfect plan! Next time we have an emergency lap to open conversion and I'm running dow the hall carrying that d:angryfire thing, it will be so much lighter!!

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