Due to the nature of rehab nursing I occasionally have to do things I really don't like. For those things, I am sorry.
I really didn't want you to be in pain when I put in that catheter, but the fact that we had orders to catheterize you every four hours made me lobby with the physician that perhaps a Foley is not inhumane when you have a horrific case of prostatitis and an equally neurogenic bladder. No one needs that trauma every four frickin' hours when you're pushing 80 years old and are otherwise in good shape.
And yes, Dr. So and So, if you get your derriere chewed because you gave me an order for a lidocaine urojet so I could at least alleviate a little of the pain when putting in the catheter, please call me, and I'll offer to cath the non-impaired culprit WITHOUT it.
I'm not the greatest IV stick in the world. Thanks for understanding when I had to poke you twice to get you that IV for your infection, since we had no oral meds that would work equally well. I'm a "three strikes you're out" kind of girl, so if I don't get you in three, you're getting a nurse who's better at it than me.
Finally, folks, don't make fun of me giving patients suppositories and relieving impactions that come from having to take lots of narcotics to at least knock the edge of your pain for you to function in rehab. I'll order lidocaine for this too, if you need it, because I'm sure it hurts.
And I'd want someone to do the same for me.
1 comment:
i'd want you to be my nurse, that's for sure! Q4H straight caths for a man w/ prostatitis - gotta be some increased infection risk there (vs foley) with that fragile, inflamed tissue, and the fact that pain does not improve immune function! i bet if that urologist were on the receiving end of the Q4H straight caths, he'd be getting lidocaine fer sure!
Stinks when all the drama queens get going at once, on staff and in the beds! You seem good as staying focused, which is great. Always enjoy your stories.
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