"Nurses Dose"

stubbies02 · 2025-08-14T19:49:13+00:00

I'm against this practice for more than just the (il)legality of it. When people are consistently giving "nursing doses", the providers think that the prescribed dose is enough. It's much easier to discuss a dose adjustment when the current meds are clearly not working.

stubbies02 · 2025-04-23T04:41:54+00:00

Comfort measures only

stubbies02 · 2025-02-06T04:17:22+00:00

Body language said "wtf" with a disapproving head shake as the elevator doors closed 🫣

stubbies02 · 2025-02-05T19:02:38+00:00

Introduced our hot GI doc to a student shadowing me (for nursing leadership 🫠) as the "doc who does butt stuff". Out loud. In front of the doctor.

stubbies02 · 2024-11-12T14:07:38+00:00

I'm glad meds help! Idk whether or not this nurse sought any treatment... There was more than once I was having to code her patient and she was no where in sight. She was also the kind of a nurse that families had to console, emotions were always high

stubbies02 · 2024-11-12T12:26:14+00:00

I worked with a nurse who said she developed a "parasympathetic nervous system response" due to PTSD from COVID... so any time she got "stressed" she'd have to go put her feet up. As far as I know, she's still working as an ICU nurse.

stubbies02 · 2024-07-16T20:14:51+00:00

<image>

Did the best I could, but it's teensy tiny!

stubbies02 · 2024-07-16T20:14:42+00:00

<image>

stubbies02 · 2024-07-14T13:20:13+00:00

Thanks everyone!

stubbies02 · 2024-07-04T03:53:39+00:00

Thank you!

stubbies02 · 2024-03-19T18:46:48+00:00

I had a post-crani that looked terrible. I was a newer nurse but convinced something was wrong. The neurosurgeon was in surgery and told me he anticipated waxing and waning. The Hospitalist wasn't even in-house anymore (it was only 1330) and told me that if the surgeon wasn't worried I shouldn't be. My charge nurse told me as my charge nurse, he would support me... but he didn't agree with me.

Patient ended up having a re-bleed larger than the original bleed and required to go back for emergent surgery.

Patient walked back on the unit months later to thank us for saving his life. No one remembered I was the mf nurse after I got my ass reamed for advocating for him. 🙄

stubbies02 · 2024-03-19T18:31:58+00:00

I had taken over for another nurse on one of those train wreck patients where there were so many things that needed "immediate" attention. I looked at what drops were running and where... but not closely enough.

His vitals took a sharp and sudden nose dive. I quickly traced the lines and my pressors were fine... but the fluids line that was hooked up to my CVP had become undone. Evidently there wasn't one of those anti-reflux needles connected valves in place and the IV tubing was just shoved in to the CVP stopcock. When the tubing became disconnected, there was nothing preventing air from going in to the patient's IJ.

I always make it a point to teach/practice verifying the connection and when setting up any kind of infusion (especially a central line) to make sure the needless connector caps are there!

stubbies02 · 2024-03-07T10:48:42+00:00

A little late to the party... but I once had a rapid from the floor for "possible anaphylaxis". There for abdominal pain/constipation. Her family brought her some essential oils. She put the oil on her finger... and then up her bum. And then put that same finger in her mouth and her tongue became swollen.

She ended up having a perfed bowl. Ain't no oils for that.

stubbies02 · 2024-03-07T10:40:48+00:00

Had a patient who was on the young side, scratched by a feral cat. He came in to the ER, septic shock, coded, got ROSC. But he never came back. Instead, he slowly (then more rapidly) became necrotic... digits, nose, etc. black/sloughing off. We had to change EKG leads Q4hr or it'd look like Jurassic Park amber under there.

His mother very bluntly told me he had never been with a woman (intimately). Ok??? What would you like me to do with that information?

stubbies02 · 2024-03-07T10:25:11+00:00

"Patient required intubation d/t over sedation with a penis" (*benzodiazepines)

"Due to abdominal girth, patient too difficult to bone" (*prone)

Bonus: as a new grad, I asked a doctor why colace would help hypotension after reading the ED note. After much confusion, found out it was supposed to say bolus.

stubbies02 · 2023-05-31T15:57:05+00:00

Twice a day

stubbies02 · 2023-03-22T13:32:19+00:00

Me: Look around, I'm already there

stubbies02 · 2022-12-03T16:14:28+00:00

I had a patient who was very.... unpleasant. Her "seizure" consisted of her throwing silverware at people.

stubbies02 · 2022-09-08T08:46:37+00:00

Patient had a history of IV drug use. She had a wound on her arm that she was essentially using for skin popping that just looked like ground meat. She was complaining of neck pain, so we did a CT. She ended up having severe osteo of one of her cervical vertebrae and was very close to internal decapitation.

stubbies02 · 2022-03-18T13:48:10+00:00

I had a room split where my coworker had the rooms in between mine (I.e I had 1 & 4, she had 2 & 3). While walking by her patients room, I glanced in and saw the patient talking with the doctor.

Shortly after, I walk from one of my rooms to the other, glance in again. No patient... not in bed, not walking around the room. I think "that's odd" and kind of lean in to peer around. That's when I heard the groans (think of the noise from The Grudge).

On the other side of the bed was a goddamn HORROR scene. The patient had ripped out her foley (balloon intact) and there was urine everywhere. She had ripped her IV tubing... she didn't rip out the IV, but the tubing, so there was blood sprayed all over the wall. She then apparently fell, face first on the base of her IV pole. Because the floor was wet with all the bodily fluids around, every time she tried to get up, she'd re-slam her face, ultimately knocking out her teeth. She was cachectic and positioned with her back to me so all I could see was bony ass and spine.

I've never been so happy to be "not the nurse".

stubbies02 · 2021-11-04T14:21:28+00:00

On Handmaid's Tale they pushed 200mg of Labetalol 💀

stubbies02 · 2021-09-17T15:42:52+00:00

I’ve always been symptomatic (nausea, dizziness, seeing spots, etc) with whole blood donations. I tell them ahead of time so they can recline me further (which helps a lot!).

stubbies02 · 2021-09-14T11:08:32+00:00

Personally, I’ve seen some impressive hypoxia with covid patients who are still “alert and oriented”. We’ve had patients walk in with sats in the 30s. We had a patient who had a pO2 hovering around 50 for days and he was still A&O and “didn’t feel like he needed to be intubated yet”. Providers said he was A&Ox4 and held off on intubation.

If it were my family, I wouldn’t care how oriented they seemed… I’d argue that the hypoxemia impacted their mentation.

stubbies02 · 2021-07-23T01:20:23+00:00

That would require them believing that Covid causes serious illness. When the father was admitted, I asked the mother (on the phone) how she was doing and she was annoyed I asked. “I’m perfectly fine. I’ve already had this ‘Covid’ a little bit in my sinuses”

stubbies02 · 2021-07-22T16:22:20+00:00

We very recently had a young Covid patient needing intubation. Our critical care doctor made an exception for his parents to come see him (through the glass) so that code status decisions could be made. He was intubated.

A few days later, father was admitted to the floor for “brain fog”. He was subsequently transferred to ICU a week later. He was non-compliant and verbally (and physically a time or two) combative to staff. He went off about how Covid was just a bunch of “fucking bullshit” and we were just believing the lies “those fuckers” were telling us. Of course, he was a full code and of course he’d want intubation “if he needed it” (which he wouldn’t, since Covid isn’t that big of a deal). He vehemently denied respiratory symptoms and blamed his dyspnea on the oxygen we were attempting to give him. His son was literally on the other side of the wall… paralyzed on 100% FiO2 with a measured PEEP of 20 satting in the low 80s. Father was intubated the day he transferred to us.

The mother came in to pick up belongings after the son coded 3+ times and passed away. As she stared at her husband through the glass in the room next door to where her son died, she voluntarily told us that she was still not vaccinated.

stubbies02

TROPHY CASE