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I’m trying and failing to interpret this photo. Their SCDs are not functioning properly because the valve is not open?
Or no wait it’s the knot in some tube. An NG sump? ???
Prompted by me finding this on rounds today, hit me with your patient care pet peeves.
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Prompted by me finding this on rounds today, hit me with your patient care pet peeves.
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Prompted by me finding this on rounds today, hit me with your patient care pet peeves.
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Does your hospital have those terrible caps they put on the end? It's supposed to allow air to vent, but they never work.
Does your hospital have those terrible caps they put on the end? It's supposed to allow air to vent, but they never work.
Order: “ do not titrate oxygen to room air; leave at minimum 2 lpm”. NC off, nursing documenting patient on Room Air
Removing drains (or asking to remove drains) before discharge. WTF? Has any gen surg patient had a JP removed on POD 1?
Telling patients wrong info esp about limb restrictions s/p breast surgery, failing to accurately teach drain care
Yes!!Oh then I thought of one. Order wean O2 to off for sat 88-92. COPD pt 98% on 3L x8 hours. I said Wean dammit!! Wean! 90% is fine!
"You ordered ancef but the patient is PCN allergic"----separate conversations with, or pages from, every pharmacist, pre-anesthesia testing RN, RN in ambulatory surgery, and circulating RN taking care of a patient with PCN allergy with documented reaction of "rash", "itching" or "nausea". Drives me absolutely CRAZY!
Prompted by me finding this on rounds today, hit me with your patient care pet peeves.
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I frequently write “dc Foley at midnight” for patients who should go home on POD1. NEVER GETS DONE.
Yes, nurse, I know the patient was sleeping. I asked you to dc their Foley at midnight so they could void by the time I round and go home in an appropriate time frame.
Saw the thread title and this was instantly my first thought. I used to carry trauma shears, not so much for the traumas but mostly so that I could cut the tubing in the ngt every time I saw thatPrompted by me finding this on rounds today, hit me with your patient care pet peeves.
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It's such an insane "solution" to a problem. If the sump is leaking it means the tube isnt working. Tying a knot in it is about as effective a solution as just shutting the patients door, or going home.My life would flash before my eyes and I would see red everytime I saw a NG tube sump tied off like that. Needed a few minutes before having an educational session with as many of the floor nurses as humanely possible.
This has me curious...why would you put in an order to maintain 2LNC regardless of sat? Is there some data about flap perfusion and aggressive o2 saturation? Not being sarcastic I am way out of the loop on breast stuffOrder: “ do not titrate oxygen to room air; leave at minimum 2 lpm”. NC off, nursing documenting patient on Room Air
Removing drains (or asking to remove drains) before discharge. WTF? Has any gen surg patient had a JP removed on POD 1?
Telling patients wrong info esp about limb restrictions s/p breast surgery, failing to accurately teach drain care
It's such an insane "solution" to a problem. If the sump is leaking it means the tube isnt working. Tying a knot in it is about as effective a solution as just shutting the patients door, or going home.
What are you supposed to do with it?
What are you supposed to do with it?
Flush the sump port with air until it is working. Flush the main port with air/saline/water as well. If you can hear a sound from the sump port, you know its working.
Or at worst, page surgery to let them know their tube isn't doing squat.
ThisFlush the sump port with air until it is working. Flush the main port with air/saline/water as well. If you can hear a sound from the sump port, you know its working.
It is not rocket science. Thus, why I cut the knot off with suture scissors. I then get calls like “it’s leaking”, to which I reply the tube is not working and tell them above instructions.Flush the sump port with air until it is working. Flush the main port with air/saline/water as well. If you can hear a sound from the sump port, you know its working.
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I wrote this order. What do you think was the outcome?
View attachment 232750 View attachment 232749
I wrote this order. What do you think was the outcome?
Called into principals office, mandatory sensitivity training?View attachment 232750 View attachment 232749
I wrote this order. What do you think was the outcome?
It's really something the nurse should be able to do...
You seem to be entirely discounting the possibility that this nurse has an identical (evil) twinJust yesterday, I took a wound culture from a neck abscess at the bedside. Told the nurse I was going to do it. She asked if I wanted her to do it later that day, but I know how that turns out. So I said "no, don't worry about it, I'll do it right now." Took the culture. Labeled the tube. put it in a bio bag. Handed it to the same nurse and told her directly "this is the wound culture for Mrs. so-and-so in room 1014. Please send it to the lab."
Called today for a different reason. Same nurse. She says "Are you going to take that culture from Mrs. so-and-so's neck? The order has been in since yesterday."
Now...she put in the order, not me. She put in the order AFTER I gave her he culture tube, because it wasn't in there immediately after I took the culture.....So she took the tube, entered the order, and then apparently either threw the tube away or perhaps stuck it somewhere....we'll never know....
A culture-keistering twin....of course!!You seem to be entirely discounting the possibility that this nurse has an identical (evil) twin
Yes.This has me curious...why would you put in an order to maintain 2LNC regardless of sat? Is there some data about flap perfusion and aggressive o2 saturation? Not being sarcastic I am way out of the loop on breast stuff