Most ridiculous question from a nurse while on call

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Dude, you have more posts on this thread than anyone else, and they're all negative. Just pointing that out.
 
What is your question ?
 
southerndoc said:
Yea, he sure did show everyone... that he doesn't care about your questions.
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f_w said:
What is your question ?
Click to expand...

yeah clearly he doesn't care. you must enjoy failure.

as to f_w, the question is ' what question was asked by southerndoc as an attempt to catch a mistaken order?' since you say that his post was in the context of the thread and the thread is about questions asked that are actually attempts to catch mistaken orders.
 
You lost me.
 
well you said that i should read his post in the greater context of the thread. and that the context of the thread was that there are questions that sound dumb are actually sincere atempts to catch serious mistakes. thats from your post. so fine then how does his little anecdote fit into that context?

if his story was merely about a mistaken identity then why did he not say that? the first story made that clear, his story just said 'oh yeah there was this cards guy who tried to give my gi bleeder with a crit of 16 anticoagulants ha ha ha ha ha' and then nothing until i busted on him and all of a sudden he said he forgot to mention that it was just the guy clicking on the wrong name and he wasnt taking care of that patient actually. big difference in the story with that missing detail.
 
Oh, ok you 'busted' him. Now I get it.
 
I thought this was supposed to a be a funny thread? 😴
 
APACHE3 said:
I thought this was supposed to a be a funny thread? 😴
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You know, there's one thing I've noticed (well, many things) on SDN:

1. thread about nurse's foibles on a doctor's board - one or more nurses goes bat**** crazy, no humor, and derails the thread

2. thread about doctor's foibles on a doctor's board - doctors line up to tell embarassing/stupid stories about their colleagues or themselves

3. from what I've heard, go to a nurse's board and say ANYTHING that may be construed as even possibly, obliquely anti-nurse - banned immediately

Despite my anecdotal evidence that the nurses I work with (young, old, male, female, married/single/divorced/widowed, new grad, experienced) are people I can joke with (even inappropriately - shockingly so - in muffled tones or whispered in the ear), whom I trust, and enjoy seeing, beyond working with, SDN seems to show insecure, defensive, humorless people.
 
mmmmdonuts said:
if his story was merely about a mistaken identity then why did he not say that? the first story made that clear, his story just said 'oh yeah there was this cards guy who tried to give my gi bleeder with a crit of 16 anticoagulants ha ha ha ha ha' and then nothing until i busted on him and all of a sudden he said he forgot to mention that it was just the guy clicking on the wrong name and he wasnt taking care of that patient actually. big difference in the story with that missing detail.
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"CCU boarder"
 
Apollyon said:
1. thread about nurse's foibles on a doctor's board - one or more nurses goes bat**** crazy, no humor, and derails the thread

2. thread about doctor's foibles on a doctor's board - doctors line up to tell embarassing/stupid stories about their colleagues or themselves
Click to expand...

nurses are trained with the mentality of 'us against the world'. its ridiculous. plus doctors are trained to self-critique. nurses arent. thats just the plain honest truth. not saying that doctors are perfect in self criticism but they sure put a lot more effort into it than any nurse.
 
mmmmdonuts said:
nurses are trained with the mentality of 'us against the world'. its ridiculous. plus doctors are trained to self-critique. nurses arent. thats just the plain honest truth. not saying that doctors are perfect in self criticism but they sure put a lot more effort into it than any nurse.
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Why are you so angry and full of negativity? What specialty are you in?
You just don't seem like a nice person.
You've made your points, get on with it. Please.
Be happy! 😍
 
penguins said:
Why are you so angry and full of negativity?
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what exactly do you mean? do you mean you disagree with what i say and that nurses are equally into self-critique as doctors are? or is it that you disagree with appolyons original statement that i merely gave my opinions about? or is it that you dont disagree with the statement i made but that you wish i didnt say it? because if it is the last one, then how are you any less 'negative" just because you think it but dont say it? if it is either of the first two then please elaborate and i will be happy to listen to what you have to say.
 
mmmmdonuts said:
what exactly do you mean? do you mean you disagree with what i say and that nurses are equally into self-critique as doctors are? or is it that you disagree with appolyons original statement that i merely gave my opinions about? or is it that you dont disagree with the statement i made but that you wish i didnt say it? because if it is the last one, then how are you any less 'negative" just because you think it but dont say it? if it is either of the first two then please elaborate and i will be happy to listen to what you have to say.
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Seriously, I think it is the manner in which you are saying these things. I don't really care what you think of nurses and I don't even understand the cardiac fellow comments. You have every right to say/type anything you want - of course. It seems like you are stirring things up on purpose.

You just come across as not a nice person in general and you appear to be very negative. Obviously, these are anonymous posts so it is difficult to get "tone" across and some people might be using this as a way to express themselves in a completely different way than they do in real life.
I'm not trying to be mean, but your posts are just so rude and negative lately that nothing you say really carries much weight.
 
I'll try ...when I was a tech (many moons ago before med school) this one nurse just hated the idea I was premed, gung-ho medicine, etc. She wrote me up for flushing the art-line after I drew morning labs. She said I was not licensed to give meds and that the saline was technically a med. The nurse manager and the attending told her to jump off a bridge. She did again during a code because I was passing drugs from the crash cart to the other nurses and docs, because there was no other person there (or I was closest to cart, I cant remember). Boy ..its hard to mix those pretty boxes of purple, red and ,yellow, etc.!! Anyway, I usually tried to avoid her, and I never really understood why she disliked me so much, because I did everything the nurses asked me, including code browns, bathing etc. Oh well, not so funny, but I tried!! 😎
 
APACHE3 said:
I'll try ...when I was a tech (many moons ago before med school) this one nurse just hated the idea I was premed, gung-ho medicine, etc. She wrote me up for flushing the art-line after I drew morning labs. She said I was not licensed to give meds and that the saline was technically a med.
Click to expand...

Wow,

That is bull. Being a tech you can use most lines that have a flush connected directly to them. Such as A-lines, CVP (RA and PA) as long as you know how to draw out of each line safely.
 
Heh. An OR nurse tried to report me for drinking water in the OR once. Meanwhile, an attending is eating an apple without a cap or mask on in his room WITH the patient. Ah, politics.
 
usually less intelligent people have very low insight
 
southerndoc said:
Yes, that's why I'm at my little podunk residency training site. Nothing like the lowest tier of training hospitals. I enjoy failure!
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Ummm...I coud be a failure with a little effort. Do you think you could hook me up with your little podunk spot when you are done?
 
man. i get back on this thread because it was pretty damn funny, but i see that 80% is totally fvcking gay. Why don't you guys PM each other that way i don't have to search around in between all your crap to find something funny. that basically goes to anyone not having anything to do with the ORIGINAL POSTER'S THREAD INTENT. totally hijacked thread.
 
FrkyBgStok said:
man. i get back on this thread because it was pretty damn funny, but i see that 80% is totally fvcking gay. Why don't you guys PM each other that way i don't have to search around in between all your crap to find something funny. that basically goes to anyone not having anything to do with the ORIGINAL POSTER'S THREAD INTENT. totally hijacked thread.
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Agreed, can we close this thread so not another soul wastes perfectly good time looking for funny posts when, in fact, there are none???
 
footcramp said:
usually less intelligent people have very low insight
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Your signature reminds me of those VW commercials with the "un-pimp the auto" thing. They ask what that thing is on the hood and the guy goes "it sucks in air", and the girl goes "it's definitely sucking."

They then proceed to destroy his rice rocket. Gotta love it.
 
a_ditchdoc said:
Ummm...I coud be a failure with a little effort. Do you think you could hook me up with your little podunk spot when you are done?
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Sure, I can do that. It's pretty competitive, but we do have someone from your medical school in our residency program. He's very intelligent and well trained.
 
dont you find it a little sad that your defense for making a pretty dumb statement was 'oh excuse me let me start talking with false modesty about where i work'?
 
listen, i'm all about being nice to nurses and all that stuff, but lets get back to the original post and here some funny ****. i can't help but laugh at this stuff. nothing personal nurses, so lighten up! 🙂 and if any of you nurses are that pissed off, then come into my call room and i'll teach you what Kluver-Bucy syndrome is all about 😉 :laugh:
 
KluverBucy said:
listen, i'm all about being nice to nurses and all that stuff, but lets get back to the original post and here some funny ****. i can't help but laugh at this stuff. nothing personal nurses, so lighten up! 🙂 and if any of you nurses are that pissed off, then come into my call room and i'll teach you what Kluver-Bucy syndrome is all about 😉 :laugh:
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:laugh: :laugh: :laugh:
 
Interesting article posted about nurse specialists recently:

Then the asthma nurse arrived. She was "much friendlier" than the doctor. She had half hour appointments. She did "more sophisticated" breathing tests than the doctor. Last year, she told David that he did not need all the preventative treatment, and could just use the reliever (the salbutamol) as necessary but not more than every four hours.

The quacktitioner knows that salbutamol should only be taken every four hours. It says so in her book. So that is what she tells the patients. Because she is a nurse, this advice is set in stone. There is no room for discretion.

In fact, salbutamol is one of the safest drugs around. If you are having a severe asthma attack, you can take salbutamol frequently. The point that the nurse-specialist has missed is not that it is dangerous to take salbutamol frequently but that if you are needing it more than every four hours, your asthma is out of control and you need to see a doctor.

The idea of an asthmatic wheezing his way to a lonely death, with his salbutamol in one hand and his stop watch in the other, waiting for the nurse’s four hours to pass is horrifying. But that is how it works in “Nurseworld”. If you do not believe me, when you are in hospital, try to get two paracetamol from a nurse for a persistent headache, or see how madwives (the archetypal nurse specialists) approach pain relief for women in labour

David always hated taking the beclomethasone. It’s a steroid, isn’t it? It made him think his asthma was severe, like his mother’s. So he jumped at the opportunity of stopping it. For the last six months, he has been using the reliever as necessary. Always before football, and occasionally during. A couple of puffs most mornings, when his chest is tight. Probably once or twice a day on average. He prefers this to “taking steroids”.

David thinks he has had much better treatment from the nurse specialist. She is friendlier than the doctor. She chats. She spends time with him. She has allowed him to stop those nasty steroids. This means his asthma must have improved and must not be serious like his mother’s.

If asthma is well controlled, you can stop taking the preventative treatment. If the grass is short, you can stop mowing the lawn. Life is so easy in Quacktitioner world. Family doctors see this sort of nonsense all the time. A patient has severe hypertension. You get it controlled, and it remains controlled, on two drugs. The patient then goes into hospital for something else. A nurse records a couple of normal blood pressures and says to the patient, “Why is your doctor prescribing all this for you when your BP is normal?”
 
Oh wow, that should start some interesting conversation...
 
Sounds like it is from the UK. I can't remember the drug being referred to as salbutamol in the US.
 
f_w said:
Sounds like it is from the UK. I can't remember the drug being referred to as salbutamol in the US.
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or paracetamol....
 
f_w said:
Sounds like it is from the UK. I can't remember the drug being referred to as salbutamol in the US.
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Those names are used in the UK as well as other places.

Albuterol sulfate is the official generic name in the United States. The World Health Organization recommended name for the drug is salbutamol sulfate.

The words acetaminophen and paracetamol both come from the chemical names for the compound: N-acetyl-para-aminophenol and para-acetyl-amino-phenol. In some contexts, it is shortened to APAP, for N-acetyl-para-amino-phenol.

And yes, I cut-and-pasted all of that from the referenced links. 😉
 
mysophobe said:
Your signature reminds me of those VW commercials with the "un-pimp the auto" thing. They ask what that thing is on the hood and the guy goes "it sucks in air", and the girl goes "it's definitely sucking."

They then proceed to destroy his rice rocket. Gotta love it.
Click to expand...

I love that one! Here's a link to the second and third commercials in the series. 🙂
 
bump...still could use some laughing 😉
 
That guy cracks me up.
 
A resident I work with got paged one evening...

Ring... ring...
Nurse: "5A"
Doctor: "Doctor ___ returning a page."
Nurse: "Hello doctor. Is Ms. ____ your patient?"
Doctor: "Yes..."
Nurse: "What is her code status?"
Doctor: "Full, I believe... why?"
<click>
Seconds later on the overhead:
"Code BLUE, 5A... Code Blue, 5A"

😱
 
Wahoo said:
A resident I work with got paged one evening...

Ring... ring...
Nurse: "5A"
Doctor: "Doctor ___ returning a page."
Nurse: "Hello doctor. Is Ms. ____ your patient?"
Doctor: "Yes..."
Nurse: "What is her code status?"
Doctor: "Full, I believe... why?"
<click>
Seconds later on the overhead:
"Code BLUE, 5A... Code Blue, 5A"

😱
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STFU!!!!!!! great, i luv it :laugh: :laugh:
 
Five pages within five minutes; I call back.

Nurse: "Patient x needs pain medication"

Me: "Ok, can you give him his PRN percocet?"

Nurse: "OK"


😡 If only that sort of thing was an isolated incident. I swear I get pages like this every couple of days.
 
I got a page the other day that went something like this:

NURSE: Dr. the patient's PTT came back at___, what should I do with the heparin drip

ME: What doesn the heparin drip order sheet say to do?

NURSE: Well, it says to turn the drip off for one hour, then...."

ME: Okay, do that.


My senior told me he got a page once from a nurse because the patient's alk phos was low, and the nurse wanted to know if he wanted to supplement it.
 
4:30 in the morning:
Nurse----Dr X, pt in 232A is having an anxiety attack, her heart rate is 115 and she said she feels anxious
me-----okay, is this new or old, does she have anxiety attacks normally?
nurse----yeah, she has her prescription for 0.5mg xanax, I already gave it to her and she says that she is feeling better, I just wanted to call and let you know.
me----thanks👎 😕 😡 😱
 
With things like the alk phos story above, I've had good experience with taking a minute to educate the nurses (the same goes for unusual meds, unusual diseases, unusual treatment regimens, etc. -- it's usually pretty obvious when things are confusing). It's a win-win -- your patients get better care and you get paged less often.

My biggest source of annoyance is some peoples' persistent inability to read call schedules. Every other day I find half a dozen 3 am pages on my pager first thing in the morning on a non-call day (very bad -- this means delays in patient care and half of my service is in the ICU). That, and the pages about other teams' patients on non-call days because I happened to write the last order for the patient. All with on-call team pagers and team names clearly posted on charts and in front of every phone at the nurses stations.
 
Mumpu said:
...My biggest source of annoyance is some peoples' persistent inability to read call schedules....That, and the pages about other teams' patients on non-call days because I happened to write the last order for the patient...
Click to expand...

Amen to that. To take it one step further, I always end up on the "dictations pending" list in medical records because my name is the only name in the progress notes written legibly.
 
ckyuen said:
I much rather get a call asking me a question perceived as stupid then hear about it in the morning and find out it was something critical. Think about all the simple things you did not know as an ms 3 nurses can do. dosing of medications, starting an IV. And for me it was always better to get the nothing call and go back to sleep than get the call where a patient was crashing. in my internship we didn't sleep at night anyways so it didn't really matter. we had no caps on our night call, admitted 18 patients from 7 pm to 7 am one night by myself. most nights admitted more than 10. and ICU call we did all icu admissions for all services except general surgery, and cross covered all of the other floor patients except the oncall team. Remember you catch more flies with honey than vinegar, always be nice to nurses or it can bite you in the you know what. even now when i am in surgery and a scrub nurse completely screws up and loads my lenses upside down which is discoverable after the lens is injected in the eye and fails to unfold and I have to manipulate the lens and unfold the haptics in the bag all while trying not to break the 4 micron thick capsule. I tell them let me show you how I prefer to have the lens loaded next time instead of yelling at them which would do no good. After teaching them once they dont give it to me the wrong way again. Yell at them and they will just tremble and make more mistakes
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<3

As a nurse, I have made some really stupid calls. Sometimes I was chewed out or hung up on, other times I was just given orders, but when I was educated about a patient's current status as well as given orders, I was entirely grateful and am definitely a better nurse for it.
 
ok back to the original thread's purpose 🙂

3AM page
me: this is Dr so and so, I was paged
nurse: no this is Jessica
me: ummm this is Dr so and so I was paged
nurse: oh why were u paged
me: ummm I don't know I WAS PAGED
nurse: oh the patient can't sleep
me: neither can I now.....

bear in mind, the pager number was her personal nurse phone!

4AM
me: this is Dr so and so, I was paged
nurse: yes the patient has gas

after an endless call...pager goes off yet again
me: this is Dr so and so, I was paged
nurse: yes you ordered blood cultures on Mr X, why did u do that?
me: because he has 21000 WBC, had 103 of temp and was shivering
nurse: oh ok

1 am
me: this is Dr so and so, I was paged
nurse: yes the patient was NPO today, can we resume her diet
me what was she NPO for
nurse: EGD she already got it at 12 pm. she had dinner 2h ago and is doing fine
me: ummm ok....😡

3 more days of night float and I will be done with useless stupid pages😡
 
My favorite call from several months ago:

3:50am

Me: This is surgery returning a page.

Nurse: Oh my God, Doctor, these patient are stressing me out, I'm so stressed out I don't know what to do!!!

Me: Umm, okay...

silence....so I hang up the phone

I don't know what I did to piss her off! Its a nurse never met before on a floor I usually don't cover 😡
 
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