When you come on the floor, could you actually talk? Grunting and pointing are things Bubba did when he was three years old. Besides, you're not in the OR with a mask on any more. It scares the patients. They think you never smile. (BTW I win bets when you do.)
And finally, please, please, please, do not poke around on folks who have pressure ulcers near bones.
I do not like finding out a patient is in a pool of blood when I turn him/her for the other provider to see his/her wounds because you were just poking around to see what would happen. (Just ask me--I've seen exsanguination like this before.) Dr. X can't see anything with all the blood and I have to get our people to get your people, and then you can't take off on time to go eat your lunch on the veranda with your wife.
It is not fun to volume deplete someone here at the Hotel when getting blood products here is a major, hours long ordeal. We don't have an ICU, so if you screw up, we call 911 and pray.
Thanking you in advance (and I promise I won't trip you in the hallway),
Sincerely not,
RehabRN
Showing posts with label smile. Show all posts
Showing posts with label smile. Show all posts
Wednesday, May 27, 2015
Sunday, November 10, 2013
What's what: this week's Sunday Stealing
Getting ready for the week and Veterans' Day. Here's the latest meme from Sunday Stealing. Enjoy!
What is on your bed right now?
Dahey. He's asleep.
What is the best ice cream flavor?
Hmm...pistachio
Did you wake up smiling this morning?
I woke up in a hurry, so I don't remember.
What time do you wake up on a typical morning?
Between 4 and 7 a.m. (varies, but alarm assisted during the week.)
What holiday makes you sad?
It depends on who is with (or not) with you.
Where does a good night’s sleep rank on your priorities?
Top 2. Must have sleep!
One song that makes you cry?
"I drive your truck" is one that gets me.
What food do you find disgusting?
Liver. Just don't like it.
What is on your bed right now?
Dahey. He's asleep.
What is the best ice cream flavor?
Hmm...pistachio
Did you wake up smiling this morning?
I woke up in a hurry, so I don't remember.
What time do you wake up on a typical morning?
Between 4 and 7 a.m. (varies, but alarm assisted during the week.)
What holiday makes you sad?
It depends on who is with (or not) with you.
Where does a good night’s sleep rank on your priorities?
Top 2. Must have sleep!
One song that makes you cry?
"I drive your truck" is one that gets me.
What food do you find disgusting?
Liver. Just don't like it.
Saturday, October 25, 2008
Heard on the unit...
Yes, I haven't had an installment of this in a while, so here goes...
"I'm so happy to see your smiling face." Mr. J.
Some people love to see you come back to work. Others...well, they aren't exactly thrilled. Mr. J. is a riot and he's always got a funny perspective on things. I think some of that has to do with his previous job--police detective.
"It really smells down here." Nursing supervisor last night when he was on the unit.
"That's the smell of success." Yours truly (RehabRN)
Yes, it's not really a secret, but to all of you nursing students going to rehab, especially with SCI patients, evening shifts tend to be...shall we say, aromatic. Many patients who do active rehab have bowel programs in the evenings, usually immediately (30-60 minutes) following dinner. The reason? This allows the patients to get the most out of therapy, particularly, in terms of time, since while nurses work 24/7, therapists do not. Most of them work the day shift Monday through Friday and usually they rotate the weekends, where they work a max of four to eight hours, depending on the rules of the unit, etc.
If you smell something, that means we have people with good, working bowels. If they're consistent, this also means that they won't have accidents in between, either and will get the most out of therapy. We start everyone on bowel routines daily, and then after two weeks, they will move to qod (or every other day). Some people do well like that, and if that doesn't work, they stay on a daily schedule.
"I don't know what her (MD's) rationale is, but I'm getting out of here on Monday." Mr. R.
I admitted this guy on Tuesday. Sure he's in for a short trip, but for some reason, we get a lot of patients who get sick once they arrive and then they have to stay with us. Mr. R. is very impatient to leave, which is pretty unusual for most of our patients. We tend to keep people a long time.
"I'm so happy to see your smiling face." Mr. J.
Some people love to see you come back to work. Others...well, they aren't exactly thrilled. Mr. J. is a riot and he's always got a funny perspective on things. I think some of that has to do with his previous job--police detective.
"It really smells down here." Nursing supervisor last night when he was on the unit.
"That's the smell of success." Yours truly (RehabRN)
Yes, it's not really a secret, but to all of you nursing students going to rehab, especially with SCI patients, evening shifts tend to be...shall we say, aromatic. Many patients who do active rehab have bowel programs in the evenings, usually immediately (30-60 minutes) following dinner. The reason? This allows the patients to get the most out of therapy, particularly, in terms of time, since while nurses work 24/7, therapists do not. Most of them work the day shift Monday through Friday and usually they rotate the weekends, where they work a max of four to eight hours, depending on the rules of the unit, etc.
If you smell something, that means we have people with good, working bowels. If they're consistent, this also means that they won't have accidents in between, either and will get the most out of therapy. We start everyone on bowel routines daily, and then after two weeks, they will move to qod (or every other day). Some people do well like that, and if that doesn't work, they stay on a daily schedule.
"I don't know what her (MD's) rationale is, but I'm getting out of here on Monday." Mr. R.
I admitted this guy on Tuesday. Sure he's in for a short trip, but for some reason, we get a lot of patients who get sick once they arrive and then they have to stay with us. Mr. R. is very impatient to leave, which is pretty unusual for most of our patients. We tend to keep people a long time.
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