Best phone calls

[PropAlfenta]

3AM: "Patient c/o 10/10 pain has epidural we aren't allowed to give CD, please come assess."

Call back.

What surgery did patient have?

R total shoulder.

... And they have an epidural?

Yes.

It's a PNC please pay attention to the catheters you are bolus'ing.

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[Neogenesis]

Got asked by one of the pre-op holding nurses if I could please start an IV on a patient. She tried several times and was a difficult stick. Found this when I walked in (Please note that the tourniquet isn't even on )

 

[anbuitachi]

Got asked by one of the pre-op holding nurses if I could please start an IV on a patient. She tried several times and was a difficult stick. Found this when I walked in (Please note that the tourniquet isn't even on )

that vein looks like it may roll a little. i can see how an inexperienced nurse would mess it up hahaha

 

[Fajardo04]

While on call, we sometimes get pain patient calls for "urgent" matters.

This was my favorite 3AM phone call
Patient: I was just prescribed a new medication, a fentanyl patch, a couple days ago.
Me: Yes, what's the problem.
Patient: It just fell off. What should I do?
Me: Put it back on. Good night.

 

[sigrhoillusion]

Got asked by one of the pre-op holding nurses if I could please start an IV on a patient. She tried several times and was a difficult stick. Found this when I walked in (Please note that the tourniquet isn't even on )

I'd probably use an ultrasound for that vein, put a 20g in, wire it and then switch it out for a foley catheter...

 

[Pharmado]

I'd probably use an ultrasound for that vein, put a 20g in, wire it and then switch it out for a foley catheter...

It's too bad that wasn't in the PACU. It would have been the perfect opportunity to place a 24g IV and walk away laughing hysterically...

 

[dchz]

Got asked by one of the pre-op holding nurses if I could please start an IV on a patient. She tried several times and was a difficult stick. Found this when I walked in (Please note that the tourniquet isn't even on )

where do i get 12 gauge IVs?

 

[pgg]

where do i get 12 gauge IVs?

They're in the 8 Fr Arrow RIC kits.

 

[deleted171991]

But we all also know many good nurses that are worth their weight in gold.

Must be some really anorexic ones.

Just kidding, just kidding.

 

[d9sccr]

that vein looks like it may roll a little. i can see how an inexperienced nurse would mess it up hahaha

Seriously, we have nurses that go for (and miss) the AC in patients like this...that's always a fun convo

 

[DrZzZz]

Covering acute pain service, was woken by this page around 4am: "Just capped Patient X's ACNC for planned removal later today. FYI looks like there was fluid leaking around the catheter under the tegaderm"

 

[Psai]

Got asked by one of the pre-op holding nurses if I could please start an IV on a patient. She tried several times and was a difficult stick. Found this when I walked in (Please note that the tourniquet isn't even on )

could probably do dialysis through that thing

 

[Ronin786]

where do i get 12 gauge IVs?

We carry 10G at my shop. That would be a great candidate.