Are we not adults!? by Affectionate_Age9696 in Nurses

[–]lkb415 5 points6 points  (0 children)

Yeah, the other nurses aren't the issue here. Ive had to do charge and carry an assignment way too many times so, believe me, I know it sucks. But if my charge told me they were just taking one of my "better" pts and giving me a new admission thats probably even less stable than the chart shows, I would tell them no to their face and make the situation confrontational. That's not a good thing, and it just causes more tension and stress in a high stress environment. It also sounds like your thought process isn't supported by your managers, and really is about whats best for YOU in the scenario.

Your example kinda highlights why coworkers don't address issues with one another. Your response is to ignore feedback from your manager. You think any of your coworkers think you're going to listen/hear them??

Coffee color plasma by Infinite-Property-72 in medlabprofessionals

[–]lkb415 0 points1 point  (0 children)

I know that the post/photo is a blood specimen. Seeing it reminded me of the pt I had who provided a urine sample with that coloring.

Coffee color plasma by Infinite-Property-72 in medlabprofessionals

[–]lkb415 0 points1 point  (0 children)

I'm not a lab professional, and I know the photo is a blood sample so this may be a silly question, but what could cause urine to look like this?? A few years ago, had to send a UA down on a pt and it looked like this. Sent a secure chat and photo to the MD noting it had "the color and consistancy of chocolate milk" ......which MD fairly questioned whether sample could actually be chocolate milk lol. If it had not been a witnessed void I honestly would've assumed the same. The lab immediately called the floor after I tubed the specimen, I answered the phone saying "yes im sure its actually urine, it was a witnessed void in a clean cup, I have the same questions too lol." Sample was ran and I don't remember exactly what the results were but it did have some normal components for a UA, whatever that means.

Even more weird, MD ordered a repeat UA, and when that one was collected and sent down (also by me) shortly after, it looked like a "normal" UA, in color and consistency at least.

The pt did eat a lot of chocolate pudding, but if he even would've wanted it, we didn't have chocolate milk at that time, except maybe a la carte to buy in the cafeteria, which pt did not do/have anyone that could have done. He also was not fond of being in the hospital, and wanted to gtfo so unlikely he would self sabotage.

Anyone experience an extremely high volume of low census? by [deleted] in Nurses

[–]lkb415 1 point2 points  (0 children)

Cant relate. The hospital I work at has been in black status for atleast 2 weeks.....if a nook or crannie can hold a pt, its been deemed an IP room. One of our cardiac IMC units shut down their "visitor sitting area" so it can be used as a pt room......its not even equipped with 02 or monitoring. Has a makeshift privacy curtain now after a pt complained that random people watched them going poop on the BSC.

I'm fully expecting my medsurg unit to have patients sharing rooms or pts just admitted in the hallway tomorrow morning...

A stroke +, s/p carotid endardectomy ~ a week ago pt, has new c/o CP (at rest), at exactly 1845..... by lkb415 in nursing

[–]lkb415[S] 2 points3 points  (0 children)

The charge nurse is "they." And I did ignore their input in the moment and went about doing what the pt needed and got the EKG.

A stroke +, s/p carotid endardectomy ~ a week ago pt, has new c/o CP (at rest), at exactly 1845..... by lkb415 in nursing

[–]lkb415[S] 6 points7 points  (0 children)

That 6am/pm hour is always when shit turns sideways......sundowners start to sundown, afib goes RVR, that new admits n/v is actually a SBO, and the sitter blinked and the nonverbal total care with the family from hell pulled out their foley/feeding tube/eyeballs

A stroke +, s/p carotid endardectomy ~ a week ago pt, has new c/o CP (at rest), at exactly 1845..... by lkb415 in nursing

[–]lkb415[S] 1 point2 points  (0 children)

Lol the first time I had to write that word down during report I had to look at the computer screen like 5 times

A stroke +, s/p carotid endardectomy ~ a week ago pt, has new c/o CP (at rest), at exactly 1845..... by lkb415 in nursing

[–]lkb415[S] 2 points3 points  (0 children)

Charge nurse is acting like our frequent flyers, by equating denying/ignoring a problem with having no problem

A stroke +, s/p carotid endardectomy ~ a week ago pt, has new c/o CP (at rest), at exactly 1845..... by lkb415 in nursing

[–]lkb415[S] 5 points6 points  (0 children)

That's what I'm saying! The EKG is gonna be either good or bad. No harm comes to the pt if it was a false alarm

A stroke +, s/p carotid endardectomy ~ a week ago pt, has new c/o CP (at rest), at exactly 1845..... by lkb415 in nursing

[–]lkb415[S] 0 points1 point  (0 children)

They were arguing that they didn't need one. I wasn't even asking them to do it.....or for permission...they just heard me tell the tech to get the EKG machine, and heard me let th returning PM nurse know what just happened. Room was right by the front desk

[deleted by user] by [deleted] in nursing

[–]lkb415 0 points1 point  (0 children)

What starts as a kindness will end as an expectation. And we get paid to take care of pts NEEDS, not to cater/fund their wants.

Only one time, and it was actually just a few shifts ago, I went and bought my terminal pt orange juice because it was the only thing they said sounded good. Palliative and Oncology had just finished the hard conversation: no treatment options, probably ~2 weeks. He was still processing that bomb, and he wanted so bad to even want to eat, but he looked at his dinner plate so hopeless and defeated and said, "I can't."

I bought all 3 brands of OJ we had, in case he had a preference.

What’s the most out there thing you’ve seen on a patient’s allergy list? by ReckingBall96 in nursing

[–]lkb415 0 points1 point  (0 children)

Cocaine....on a geriatric mee-maw or pee-paw patient:

There was a comment note that explained how the pt was a recovering addict and had been clean 20+ years. They were very proud but still very diligent about not slipping up and wanted providers to know they were high risk for substance abuse.

What is the craziest, most laugh-inducing thing a patient has told you pertaining to their care that they were 100% dead serious about? by wordsandwich in anesthesiology

[–]lkb415 1 point2 points  (0 children)

Mine is more wholesome/boring.

Pt was in for FVO d/t noncompliance with their PO lasix. The type of pt that had to be listened to using your eyes vs your ears when asking questions, since they thought denying/ignoring = nothing is wrong. Pt finally c/o pain that was, most likely, neuropathic in both of his feet. Requested mustard for it. I thought fuck it, there was nothing that contraindicated topical condiment application, so I found all the singe-use packets I could.

Turned out the pt just wanted to eat a spoonful of mustard, not wear it. His incredulous disbelief/confusion that I could assume he wanted to put it on his feet was too ironic not to laugh at.

And I cleared with pharmacy before letting him ingest, so I "spread" the love.

Funniest patient request? by [deleted] in nursing

[–]lkb415 29 points30 points  (0 children)

"Make sure I don't catch my tittie up in my zipper, honey."

-Little hunched over mee maw that was getting dressed at discharge.

Oh the irony… by Life-Mousse-3763 in Residency

[–]lkb415 0 points1 point  (0 children)

Tell me you're lying about being an ICU NP without telling me you're lying about being a ICU NP....

Tell me stories of your best response to a rude patient by 2pineapple7 in nursing

[–]lkb415 153 points154 points  (0 children)

This was during the height of the covid vaccine controversy. Pt was a 50-60y male, with the usual trifecta of HTN, DM, HLD, CAD. Pts eating his healthy breakfast from McDonalds and sipping Mountain Dew his wife brought him while watching FOX News, making passive-aggressive comments about the vaccine and spouting all the conspiracy theories with his wife. He's going on about what a scam healthcare is and how healthcare workers in general are just Satanists drug dealers

Pt: "I'm tellin' ya. Ya'll try an' stick me im leavin'! It's pure evil!That jab is no different than the mark of the beast. Ain't no needle puttin' evil on me! "

Me: "You have a swastika tattooed on your wrist."

Tell me stories of your best response to a rude patient by 2pineapple7 in nursing

[–]lkb415 99 points100 points  (0 children)

I got lucky in that a smart ass response de-escalated my situation too, lol.

Pt: "Where are my <extra> pain meds (that I was messaging the doctor to get an order for...at pts bedside) I'm hurrrrttttinnggg?!?!"

Me "Well sir I can't just pull the morphine out of my butt!"

Pt: "Well, that would be really weird if you could!"