This is a continuation of another thread that got comical (and as per requested by mama_d)...what would you like to chart if you can get away with it?
Here are some of mine; "Idiot resident placed in ridiculous order that would kill patient. Decided that I love my license better than this and decided not to do it, but will if he gives me HIS arm rather than the patient's. Collaborated with DON, Nsg. Supervisor and got a good laugh" signed...LPN who will keep her license at all costs:typing:nurse:
Or: "Patient requested for nursing staff to go to McDonald's for the Big Mac special to relieve his distress (this actually happened, folks). Informed that errand running off the grounds is not within scope of practice or hospital policy.
Patient has PCA, using well as he/she is a frequent flyer. Laughing and talking on phone saying how good he/she feels. Nurse enters room and patient well deserving of Oscar Award for a stellar performance. Patient now crying and writhing in pain, rates pain at a 20/10 and must have the Dilaudid and Oxycodone. 3 mg dilaudid IVP given and scheduled oxycodone. Patient now requesting Ativan as well!!!! Patient overheard again on phone stating no pain and feeling good. Nurse enters room and the drama resumes. Patient complaining to nurse we are not doing enough for the pain. Nurse told patient there is a hospital in town that he/she could try. Patient in with I & D of left index finger. Which we usually send ptaient home same day.
Specializes in Onco, palliative care, PCU, HH, hospice.
Pt admitted from ED with diagnosis of AMS secondary to ETOH withdraw, pt has bizarre affect and resembles Linda Blair from 'The Excorcist'. ER nurse states in report that pt's DT's have rendered him endlessly irritating. Pt is now cackling while urinating on the floor and walls. MD ordered 0.5mg Ativan IV Now x1 Nursing dose of 2mg Ativan administered IV. Pt is smearing feces on face and hands while singing, DNR order obtained, Charge RN to initiate emergency Pillow Therapy per PIA Patient Protocol.
Dementia patient, bedbound, no BM for several days. Caregiver encouraged to use OTC laxatives as suggested by physician. Caregiver calls nurse's boss and demands number for physician because nurse doesn't 'do' anything. Caregiver full of ........will disimpact with PRN ativan and a stiff drink.
Pt admitted from ED with diagnosis of AMS secondary to ETOH withdraw, pt has bizarre affect and resembles Linda Blair from 'The Excorcist'. ER nurse states in report that pt's DT's have rendered him endlessly irritating. Pt is now cackling while urinating on the floor and walls. MD ordered 0.5mg Ativan IV Now x1 Nursing dose of 2mg Ativan administered IV. Pt is smearing feces on face and hands while singing, DNR order obtained, Charge RN to initiate emergency Pillow Therapy per PIA Patient Protocol.
Data - Recieved patient in bed, alert and screaming repeatedly, "oh god, my baby is dead, my baby dead". Patient disoriented and was unable to explain to nurse why she was screaming. As per outgoing nurse report, Patient's FAS baby just expired in NICU.
Action - Patient was oriented to place, person and time. Calm approach maintained and emotional support provided. Patient was educated on how to drink water and not alcohol whenever she is pregnant. Also explained to patient that baby is with those who deserve her.
Response - Patient is no longer screaming but still very upset. Will reinforce teaching on how to drink water but alcohol whenever she is pregnant.
Arrived at pts home for home follow up diabetes teaching visit:
Patient found eating McDonald's Big Mac, large fries, large milk shake, and 4 apple pies!!!!!! Nurse removed all inappropriate foods from home and replaced with ADA recommended diet. Insulin teaching reinforced, oral hypoglycemic teaching reinforced. Patient told if he wants McDonalds again he has to lose enough weight to fit through the door first.
Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
pt admitted with gsw to left chest; states "i was just standing on my front stoop minding my business when some dude up and shot me." returned from surgery at 0100. awake and extubated at 0400, restraints removed per protocol. at 0415, patient found pulling on lines and tubes. restrained for safety of patient. at 0430, nurse left room to get ativan, returned to find restraint in shreds and chest tube in patient's hand. patient complaining that he is unable to breathe, stating "some dude came in here and pulled that thing out." cxr done, surgical fellow called and new chest tube placed.
at 0515, patient calm, restrained with good o2 sats. nurse emptied foley bag and left room briefly to dump contents into hopper. returned to room at 0517 to find right radial art line in patient's teeth, blood decorating most of the bed, the patient's face and the near walls. patient states "some dude came in here and pulled that sucker out." fentanyl 100 mcg. iv, versed 2 mg. iv and surgical resident called to room.
search of the unit for "some dude" was not fruitful. nursing staff concludes that "some dude" must be a pretty dangerous guy and gets around a lot! he also appears to be invisible.
nurse planning to attend liver rounds at local tavern at 0800.
Melinurse
2,040 Posts
Patient has PCA, using well as he/she is a frequent flyer. Laughing and talking on phone saying how good he/she feels. Nurse enters room and patient well deserving of Oscar Award for a stellar performance. Patient now crying and writhing in pain, rates pain at a 20/10 and must have the Dilaudid and Oxycodone. 3 mg dilaudid IVP given and scheduled oxycodone. Patient now requesting Ativan as well!!!! Patient overheard again on phone stating no pain and feeling good. Nurse enters room and the drama resumes. Patient complaining to nurse we are not doing enough for the pain. Nurse told patient there is a hospital in town that he/she could try. Patient in with I & D of left index finger. Which we usually send ptaient home same day.