There are just too many exciting things going on outside in July. So when it gets hot, this nurse heads inside and surfs away. Here are a few of the interesting tidbits I've run into lately.
Enjoy wherever you are!
More Big Brother?
Someone is always talking about new accessibility tools in rehab. If you can't move a finger, there's a tool somewhere for you. Now, as these tools become more advanced, there are new issues. The next hacking frontier: your brain? (from www.cnn.com) talks about hacking and security for new neural tools.
Supporting nurses
As you know, a lot of nurses work to improve their practice by getting certified in their specialty. This article discusses the importance of support in nurse certification: Study Finds Work Satisfaction Tied to Certification Support (from www.nurse.com).
From the blogosphere...
I have to confess. I really love ImpactEDnurse. Those stories from the ED are just too funny. Here are a couple of my recent favorites:
What men really want in a hospital urinal
The well flocked swab
Maha at Call Bells Make Me Nervous has this great post about the q word (I'm not saying it!)
Psych Doc from Serenity Hospital has a great post about life in the clinic in Clinic Fun.
Showing posts with label swab. Show all posts
Showing posts with label swab. Show all posts
Monday, July 13, 2009
Tuesday, October 14, 2008
Dumb, de dumb, dum...
That was a lot of my night last night. Dumb, crazy stuff happening. Can I just blame it on the upcoming full moon? Nope, probably has something to do with the fact that I was just tired with a capital T last night and required several caffeine infusions to get rolling.
Here's a list of some of the dumb things that happened on my last spate of evenings.
1. While I was driving the med cart one night, I noticed that one of my patients had an order for Mupirocin to his nose. The order wasn't really specific in the med software, so I had to open the charting software to see what was happening.
From the MD's note, the Mupirocin is being used for MRSA prophylaxis. When I went to administer this to the patient, I explained the procedure I was going to use (put it on a swab and swab inside his nose). The patient then proceeds to tell me that the other nurses put the Mupirocin ON the outside of his nose.
This is just more evidence of why we need more in-services on how to do the cultures and the treatment for MRSA. It also helped that the pharmacist added the important details (put in nose) and it now shows up in red on the screen when it's due.
2. Another classic case of don't look it up and learn. I just heard about this one last night.
We have another patient on Lidoderm patches. One of our very experienced nurses only looked up lidocaine and saw an odd side effect. She called the doc and he screamed at her, telling her that there should be none of those side effects because the lidocaine was not going directly into a vein.
Thankfully, I used Lidoderm patches a lot at Saintarama, but I wasn't working that day to pass that helpful information along.
3. Don't adjust the roller clamp, don't get any IV going.
I hate it when pumps go off all the time. One of my patients, Mr. AB #1 who's going back to the western state he came from today kept having problems with his IV pump last night. I kept missing releasing the roller clamp before I got the pump started. His tube feeding pump was also acting crazy, but I managed to fix that.
4. Just put one pad beneath the guy you just gave a gallon of GoLytely to five minutes ago.
That's just horrible. One of our new nurses (literally--one year in December) had this guy in the AM and K. the LPN got lucky and got this guy padded up before the first explosion. He still was messy, though. Colonoscopy preps are just a nightmare, not just for the nurses, but for the roommates, too. You'd think they'd put all the colo prep people in the same room. Our patients come in two to three days ahead for prep so they can keep their skin intact. It is very hard for SCI patients to do this at home without 24/7 support.
Now that I've created some interesting pictures, I'm heading out to go run more errands and clean more stuff. Back to work tomorrow, so more excitement ahead. Stay tuned!
Here's a list of some of the dumb things that happened on my last spate of evenings.
1. While I was driving the med cart one night, I noticed that one of my patients had an order for Mupirocin to his nose. The order wasn't really specific in the med software, so I had to open the charting software to see what was happening.
From the MD's note, the Mupirocin is being used for MRSA prophylaxis. When I went to administer this to the patient, I explained the procedure I was going to use (put it on a swab and swab inside his nose). The patient then proceeds to tell me that the other nurses put the Mupirocin ON the outside of his nose.
This is just more evidence of why we need more in-services on how to do the cultures and the treatment for MRSA. It also helped that the pharmacist added the important details (put in nose) and it now shows up in red on the screen when it's due.
2. Another classic case of don't look it up and learn. I just heard about this one last night.
We have another patient on Lidoderm patches. One of our very experienced nurses only looked up lidocaine and saw an odd side effect. She called the doc and he screamed at her, telling her that there should be none of those side effects because the lidocaine was not going directly into a vein.
Thankfully, I used Lidoderm patches a lot at Saintarama, but I wasn't working that day to pass that helpful information along.
3. Don't adjust the roller clamp, don't get any IV going.
I hate it when pumps go off all the time. One of my patients, Mr. AB #1 who's going back to the western state he came from today kept having problems with his IV pump last night. I kept missing releasing the roller clamp before I got the pump started. His tube feeding pump was also acting crazy, but I managed to fix that.
4. Just put one pad beneath the guy you just gave a gallon of GoLytely to five minutes ago.
That's just horrible. One of our new nurses (literally--one year in December) had this guy in the AM and K. the LPN got lucky and got this guy padded up before the first explosion. He still was messy, though. Colonoscopy preps are just a nightmare, not just for the nurses, but for the roommates, too. You'd think they'd put all the colo prep people in the same room. Our patients come in two to three days ahead for prep so they can keep their skin intact. It is very hard for SCI patients to do this at home without 24/7 support.
Now that I've created some interesting pictures, I'm heading out to go run more errands and clean more stuff. Back to work tomorrow, so more excitement ahead. Stay tuned!
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