You know you are going to have an interesting day when you get report that . . .

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Feel free to add your own, thought this might be kinda fun. I feel so sorry when I see the looks on the oncoming nurses' faces when I give report and hand-off on patients and they realize what kind of day it's going to be.

I probably had one of those looks when I got report that I had one patient in a Posey Bed with a sitter who needed frequent PRN Ativan. The next patient was a total care on Ketogenic diet which means crushing lots and lots of bedtime meds and giving things like 0.67 tablet of this, and 0.35 tablet of that, and needing to watch carefully, do labs and replace electrolytes as needed. And then am told by charge nurse that my next patient is in the ED, they are waiting for another Posey bed and a sitter to become available before sending them up, and family will not be at bedside. :wacky:

I survived the night, as always. But felt so sorry for oncoming nurse.

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means crushing lots and lots of bedtime meds and giving things like 0.67 tablet of this, and 0.35 tablet of that,

this sounds like a bad nursing school math problem...

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Basically if it's like 0.67 of a tablet, I crush the whole thing and mix it with 10mL water in a syringe, then push out all but 0.67 mL. The patient was tube-fed so that helped.

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Specializes in NICU, ICU, PICU, Academia.

[h=1]You know you are going to have an interesting day when you get report that . . . Your patient got gored by a bull at the rodeo. (True story -- This was the VERY FIRST patient my oldest daughter got as a travel nurse in Winston-Salem, NC.)[/h]

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Specializes in PACU, pre/postoperative, ortho.

It's before I even get report. I step off the elevator & hear: "Got your running shoes on?" Or: "Thank God!"

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It's before I even get report. I step off the elevator & hear: "Got your running shoes on?" Or: "Thank God!"

Yeah those are phases to be worried about. They make you just want to turn around and head back home.. :)

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Specializes in retired LTC.
It's before I even get report. I step off the elevator & hear: "Got your running shoes on?" Or: "Thank God!"
And they start blowing kisses your way!
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Specializes in PACU, pre/postoperative, ortho.

Sometimes it's just a visual aid:

Hands thrown straight up in the air like your team just scored a touchdown....in the superbowl.

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"I just gave your 350 lb total care kayexalate" or "the ward clerk called in and er says they have several admissions coming" or "we had to call the police to the family members"....or any combination of these... Yup, it's going to be a long night lol

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Specializes in LTC.
Basically if it's like 0.67 of a tablet, I crush the whole thing and mix it with 10mL water in a syringe, then push out all but 0.67 mL. The patient was tube-fed so that helped.

Math is wrong on this one, you would push all but 3.4 mL. Just sayin

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Math is wrong on this one, you would push all but 3.4 mL. Just sayin

But it would also depend on the concentration. 3.4mL might not always be right. What if it's a 10mg tab in 10mL H2O? That's 1:1. Right?

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Last week I walk in to get report and I overhear one of the nurses say "she screams every time I walk in the room, it's going to be a nightmare trying to give her IVIG with all those vitals tonight" I tell her oh is that room ***? Because I have her. she goes "oh boy I didn't mean for you to hear that. " Ha ha and sure enough it was a crazy night.

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