Showing posts with label urology. Show all posts
Showing posts with label urology. Show all posts

Monday, May 14, 2012

In the notes

Since I don't always see everyone in the Hotel in the SU, but I'm still on the team, I have to read the notes to stay current on all the patients we take care of. To do so, I skim the notes.

This was my favorite from one of our consults to audiology (who never tells their patients that they're really in the basement next door and half of them end up in my office...).

"Patient's bilateral ears full of cerumen. Please irrigate and re-consult this service, as testing cannot occur at this time."

Hello?! WT...? Nice. I know the NP who's in charge of ear wax removal, is going to love this one. I'll bet we're not going to send anyone to Ms. Audiology without those Debrox drops first!

Another favorite: we had  a patient who needs a urology service consult while he/she is an in-patient. Patient is leaving for the great Rocky Mountain state next week.

RN in charge of this clinic writes in the consult (for the secretary to schedule):

"Please schedule xx urology procedure at earliest date, as patient to discharge by 5/21."

When does the stellar secretary schedule? Consult read: "Patient scheduled at 0930 on 7/30/12 per request". (head plants firmly in desk)

Urology's idea of urgent, surely isn't mine or this patients,  either.

I only made it halfway through the patients before I had to get away....stay tuned.

Tuesday, March 16, 2010

Nuggets for March 16

Ah, yes, it's eagerly anticipated in our house...the month of March. Birthdays, St. Patrick's Day parties and most of all, basketball. Dahey looks so happy to grab the paper each day to read the latest and follow his faves online. While his teams didn't make it this year, he's eagerly following the fun.

So while yours truly is a basketball widow for a while, I'm surfing the 'net looking for goodies. Here they are in no particular order.

Another reason why I'm glad I'm not in the ER
With Medicaid cuts, doctors and patients drop out (from www.nytimes.com)
What comes first, the chicken or the egg strikes again. Hello, all you folks in the state legislatures, give the ER people a break. Give enough reimbursement to the docs so at least some of the people will stop using the ER as primary care.

From the blogosphere...
Some things aren't what they seem, according to this recent post from Maha at Call Bells Make Me Nervous. No one EVER does that here do they? (fingers crossed and tongue firmly in cheek).

It's short, sweet and to the point. I love it when Tex has a great post like this one called Band-Aid Bunny.

ER stories had a great one recently about the guy who just has to go to the bris. Could be a damper if he does. I'm with you, doc!

NYC RN retells his muffin top story, and it's not taking place at Panera Bread, or your favorite bakery, either.

In the news
Sure the 2010 Winter Olympic Games may be over, but check out the 2010 Paralympics for some great coverage of winter sports for people in wheelchairs that is running in Vancouver from March 12 to March 21.

It's no urban legend
Some urologists are marketing vasectomies during March Madness. Doesn't hurt to stay home and watch TV while something good is on TV, now, does it?

Happy March Madness to all and to all a good night!

Saturday, March 28, 2009

Cookin'

Yes, literally and figuratively, I've been cooking and baking for Dahey's party today. He's celebrating his upcoming natal day with a gathering of his friends at the house. Thankfully, we have a place to put all of them while they're eating, drinking and being merry.

Work was hot, but not as bad as it has been. The spring is turning back into winter again as we get that old, crazy weather back again. One day, it's 80, the next, 30 with snow. I just make sure I have a coat handy to handle everything!

I've kept busy reading the charts again, since I'm prepping for a couple of exams. I've decided I'd better take the GRE since I need it for most grad schools. I'll be doing that in a couple of months and I've sunk my money into the exam, so now I'm stuck! Guess I'll really have to read those study guides!

My first certification exam will be the week following the GRE and hopefully, it will include another conference trip. After all that, I'm sure my head will explode in mid-air sometime around June 1. If all goes well, I'll round out the year by testing for the CRRN. This week I found out I'll be working on some stuff for the October annual conference, so that was really exciting.

Since I'm always nosing around to learn something new when I'm not pestering the specialists who visit us, here are a few things I've turned up recently.

One patient of ours had a nasty case of pyocystitis. Another we read about another who suffered a traumatic intraperitoneal rupture of the bladder (due to accident). This Google Book on Urology called the House Officer series, has a lot of interesting information on urological topics.

Finally, I got to look up some drugs. I'd say 90% of our people take similar stuff. Baclofen (or Lioresal) is pretty much the drug of choice on our unit for a variety of patients. I wish I had a $1 US for every Baclofen I've given since I became a nurse. (It hasn't been long, but boy, do we hand them out!) This week's excursions into the drug lists included Forteo (aka teriparatide, which is a drug used for osteoporosis) and prazosin, an anti-hypertensive.

Gotta go back to the party...stay tuned!