Foley, anyone, Foley?

That was my day today. I had three patients and I got to change two Foleys. Both of them needed it...they were gross! Each patient got a nice, clean, silicone catheter (a 16 and an 18). One I put in at a nice, leisurely pace, and the other I had to do in five minutes or less. Thankfully, I had most of the stuff already in the room.

One patient came in from out of town (Mr. Foley #2) early (no one noticed the error until he showed up) and my other patient came back from our mothership, Washington. Mr. AKA was happy as a clam to see us, even though he felt nauseated. His next door neighbor at Washington was a demented character who had a sitter but chose to yell all night and keep him awake.

Before he left Washington, the docs decided Mr. AKA needed an echocardiogram, so that slowed his return. Mr. AKA has hypokinesis and diastolic dysfunction. Being late was not a bad thing in hindsight, though, since the bed guy had not yet returned his low-air loss mattress as was promised earlier this morning.

Our PT doc assessed him and she was fried. She decided to admit too many patients (3 out of 4) and she was really snapping people's heads off left and right. She refused to let me look at the wounds with her, so I had to do my skin assessment and redress the wounds later. I was a bit irritated by that, but I survived. Mr. AKA felt a little better before I left, so I was happy and finished by 1615.

I got everything done and charted but I just don't feel like I did my best work. Hopefully, tomorrow is bit smoother. At least, we won't have four admissions like we did today!

Stay tuned...