Jul 11th 2017 by shinigamieyes23 • 58 Questions • 226 Points
I have worked in Labor & Delivery, Nicu, postpartum, nursery, general pediatrics, Pediatric oncology, Pediatric bone marrow transplant, adult general care, management, and now case management. I've seen all kinds of crazy stuff AMA
Edit: thank you so for your questions and stories :) this was unbelievably fun! I have to go to bed but I will check for any new questions in the morning :)
Edit 2: I'm back listening to a conference and answering my new questions
Fast story about when my mom was in ICU. (Now - my mom had a wicked sense of humor so I know she'd appreciate this.) I lived about 60 miles from the hospital, while my older brother lived right in town. So he was the primary family contact. I didn't get to see her towards the end but maybe 3-4 times a week, while David was there 2-3 times a day. So this one Tuesday morning, I tell my wife I had kind've a bad feeling and we should go visit Mom. I bang out of work and we drive in. It's about 10:30. Mom's sleeping as she always was lately. Not in a coma, but just sleeping 18-20 hours a day. But it's good they say to talk to them. So I do:
"Mom, you're really looking better today." "You know, when you get outta here, we're taking you to Coney Island so you can ride the Cyclone again! Won't that be great? Just like when you were a kid!" "Mom, you have to see our garden this year!"
Just then a nurse pops her head in the door:
"Um... can I talk to you for a second?"
(We step into the hall.)
"What's up? Is she ok?"
"Well... Your mother passed about 20 minutes ago. I'm sorry."
I could hear her laughing at me from Heaven! "You liar! I did not 'look better'!'"
Omg! I'm so sorry but I just laughed so hard at that! I'm glad your mom would have appreciated that :)
/cracks knuckles/ time to one up this fecker!
When my missus was admitted to the hospital 4 years ago, I hadn't heard from anyone in a while. When I asked a doc how she was he said.
SHE'S DEAD. D. E. A. D. DEAD. GOT IT ?
Then left in a huff. It really fucked with me. For a long time I contemplated going after him (I really hate typing that out, it sounds like online bravado, but, and this is gonna be more stupid bravado, but at that time in my life and my situation, it was a very valid avenue for me. I'm a better person now), but as the years have gone on I realised that his attitude and frustration was warranted. My missus died due to misadventure with drugs
Oh. My. God. I am so sorry this happened to you. That is terrible. That doctor had no right to treat you that way no matter what the circumstance. I'm so sorry
Dick farts happen when you get a catheter removed, by the way. :)
They can buy that's more of a male queef I think.
Wait. In case anyone else was confused about this, he didn't "poop out his penis," he "pooped out OF his penis." Both very WTF, but pooping out your own penis would require that you had previously ingested said penis, right? Another story entirely. So that's why I was confused.
Okay okay true true totally different meaning without the preposition. Sorry I'm typing this fast on my phone
Which units do you find the most emotionally tough, physically tough, and toughest on your knowledge?
Emotionally difficult was peds oncology and peds bone marrow.. I loved the kids but that ended up killing me so I had to get out. Physically difficult was regular adult medical-surgical. I'm a small girl and I had to move some big people. Mentally challenging - I would say each had its own difficulties. General pediatrics is probably the most difficult die to a large part of the population but being able to speak or advocate for themselves. It takes a lot of background knowledge to know what you're looking for. And with general peds there are a lot of possible problems with a lot of different systems that I would need to know about and know what to look for with each different scenario.
Edit: a word
What was it like the first time you witnessed a patient die? How about now? Does it just become another aspect of the job? I'd understand that I think.
Aww :) thank you. I try really hard not to be a jerk. It is really hard. People come in with so much happiness and hope for the little one. When things go badly, it's horrific.
Has the Filipino mafia accepted you into their circle yet?
Hahaha! Omg! No I was not accepted into the Phillipino mafia. Not many in my specialties or my area. I always saw them working in cardiac units. I do have one good friend from the Phillipines and she is an amazing nurse. Much better than me.
I'm thinking of going to school for respiratory therapy. Observed any reason I shouldn't? What's the working relationship with nurses like?
Respiratory therapy is awesome! I absolutely love my RTs! Respiratory and nursing get along great. Smart nurses know to take care of their therapists because they're the ones that save her ass when things go downhill. It is a really cool job but it can be very stressful because RT gets called for all the codes including NICU C-section room. So respiratory sees some bad things. I know a few who've gone into nursing for the pay. The demand isn't as high as for nursing and a lot of my therapist friends had to have multiple jobs working part-time at different places. All in all I still think it's better than being a nurse.
Not sure if you're still answering, but I hope you write back!
My wife will have our first boy in a few weeks. He has a birth defect that causes his bladder to be really full. We have two different diagnosis possibilities, Prune Belly Syndrome and Posterior Urethral Valve.
Any advice on how to help my wife through delivery and his diagnosis? Any experience with these in defects in your career?
Yeah the wavy abdomen is suspicious for prune belly. Well they be directly transferring him to the other Dr or will that be after discharge? I'm glad the AFI is good that's a blessing. I hope for a natural birth for her sake. C sections are tough. Well they let you room in for a time if she's going to breast feed or is it immediate discharge? You might ask to receive that's a possibility
What do you think of the other professionals (respiratory tech, X-ray tech etc) you work alongside? I'm interested because I work in veterinary medicine and we just don't have much of that level of specialty.
I love my RTs they are awesome. I don't work to much with imaging but when I du they are always cool. Super nice people in imaging who never get upset when is can turn in at 3 am for a stat ultrasound. Most other staff that works with nursing is amazing and usually all work together as a team. Sometimes lab gets annoying when they try to tell me a sample is hemolyzed. Like really? You spilled it, just admit it! Lol!
OK, so have you had a creepiest patient? Wanna see if it beats my creepiest call!
Ok so this one was waaayyy back in nursing school during my psych rotation. There was this kid in the unit. He was about 10. He was in for attempted suicide (tried to hang himself with a belt) he was creepy as fuck. He was completely flat in affect and just calmly told me about how he tried to kill himself and how he was going to kill his mom. The next day was this grown man wit cuts all over his arms in for suicide attempt. He got upset about a board game and grabbed my arm HARD when I went to move a piece on the board. He never said anything but stared at me with glaring eyes. I almost peed my pants and decided I wanted nothing to do with psych nursing
Has there been moments where you just wanted to quit from stress?
Oh my god yes. There was a year where I cried every day going to work. My search results had all varieties of what do I do with a nursing degree if I hate nursing. Lol! I have almost walked out before, only stayed for the patients. Usually when I would have to go against upper management regarding unsafe staffing. I have to say nursing is good in that if a job is really bad there always another job somewhere.
I've done some floating to emergency and it's just not my thing. I am fine with codes and emergencies but the people in ed are hard core. Also I hate dealing with old guy butt/balls etc. I'm happy staying with kiddos and moms.
What was the most unexpected case that you've come across? Something you never could have imagined ever happening
Oh man, had a mom who had been in a few times for labor checks. Prenatal care no red flags everything looked good, everything measuring to dates no worries. Saw her one night checked her and sent her home. The next week she came in again, still a bit early I expected to check her and send her home. It her in the monitor and it was bad. Really bad. Call the Dr, he won't come. Call the Dr he won't come. Finally after like 4 hours he comes dicks around then calls a stat section. I'm circulating, baby comes out, is not good and is tiny, like 4 lbs smaller than expected. Skin and bones. Baby codes. I'm doing compressions while nicu bags so RT can get ready to intubate. Baby came through, we shipped. I never saw that one coming.
Another time of man who can't walk suddenly can run like a damn jungle cat (sundowned-demented old people can go crazy once it's dark ) I mean this guy can't even get to a bed side toilet without help and he's like springing down the hall. Had to chase him down and get him in bed with an alarm. No one warned me the guy got super powers at night!
Hi! I was wondering which specialty had the best residents that you've encountered? Do you have any funny stories of interns/residents you've worked with? Thanks for doing this AMA.
Omg the peds bmtu. They were the best. They were on the ball but still respected nursing because we knew our shit better than they did for the population. One time I had a 1st year try to prescribe ibuprofen for a kid who came in with fever neutropenia. I politely took her aside once we left the room and we amended the order. We were bad sometimes. In the days before ofirmev we would see if we could get orders for iv Tylenol :p we once got an order written for I. B. Proten... It was just silly and fun.
Do you mind sharing your educational background?
I’ve been thinking about getting a nursing degree and I’m curious the schooling.
Of course. I got my ASN (RN) at Santa Fe (community) College in Gainesville. Then I got my BSN through UCF. I'm now working on my MSN Ed. Through UCF as well. I pretty much made the same as an ASN as a BSN maybe just like 50 cents less per hour. The BSN is worth it if you want to progress but the ASN is great and you can work making good money while you get the BSN. Most hospitals with bsn requirement will hire with an ASN and give you a year to begin classes.
My husband will finish up Nursing school in May of next year. Any advice for a new nurse that I can pass on to him?
Oh man. Being a GN is tough. Very through the first year and you'll be good. Everyone has it tough at first it gets easier. Everyone is terrified they are going to kill someone for the first 6 months or so that's normal and it gets better! Try to let it roll off your back if your preceptor is a bitch. Nurses eat their young. Just keep it up, you'll get it! And when you go through the funk keep something good in mind. Everyone goes through the period of hating nursing that's normal too! It always gets easier and better!
I have always heard there is a stigma against male nurses and a culture akin to a female being in a traditionally male workplace. What changes have you seen for good and bad on this?
Male nurses are becoming very widely accepted. I think it is a wonderful thing. Men seem to gravitate towards certain fields like ED, PACU, ICU and many times they really do well in the high pressure situations. I have known Pediatric male nurses that were just as caring and nurturing as Any female nurse. I think it's strange that it is fine for a male to be an obgyn but it is still seen as strange to have a male labor nurse. I hope that the culture continues to change for the better. I love having male nurses in the field. They act differently and think differently. I don't want to sound negative towards my gender in any way but sometimes it helps to break up the drama in the hen house. I hope that men in nursing becomes a non issue during my career and that more males start to look at nursing as a career. Maybe one day the numbers of males and females will be equal :)
Do you ever interact with infection prevention teams? I am studying hospital epidemiology in grad school and am curious what actual interactions look like.
Because I worked nights I had very little interaction with them. It was usually when I would be leaving and they would come to the unit to discuss things. Day shift would have a lot of interaction with infection control though. Usually the infection control nurse would get reports of all patients with any precautions and would review each case with nursing and physician staff to develop a plan moving forward. On night shift we would just put precautions in place if there was any questuin and let the infection team develop a plan when they came in. That being said, many of the units I worked in were considered clean units and many times any infection risks were transferred if at all possible to prevent cross contamination. I'm seeing great things coming out of infection control. Lots of new practices like only 1 cystic fibrosis patient per nurse or RT. It's a great field
Everytime I read about violating HIPAA I can't help but imagine a poor hippo who just had the worst handler...
What's the funniest birth you've witnessed ?
Lmbo! Omg that poor poor hippo. Hopefully it starts standing up for itself!
Let's see, the craziest birth... That's been a few. There was one I didn't witness where poor dad delivered the baby with EMS on the phone and cans in shell shocked. He did awesome by the way... Even had a local news article about it
There was this one night where I swear every pregnant woman decided to give birth at one and there were only 3 of us in staff. We called in nurses from other units just for extra hands. We would be delivering 1 and another was on the perineum (crowning) then we had a stat section and had to do that in between deliveries. EMS just kept bringing them in. We went from empty to full that night. I think the craziest was when we had a mom come in with twins at about 34 weeks. She was complete and ready to push. Twin was head down. Dr was on his way. We were calling everyone we needed and then We rushed the room to start ivs get assessment etc. Started prepping the OR. Dr took forever but made it in time for pushing. He kept calling us and telling to get her to the or and we were trying to explain we couldn't move her due to the baby coming out. Baby was delivered no problem. We were trying to ultrasound other twin to check lie and it was transverse (sideways) so we rush her to the or thank God anesthesia made it just in time out it could have been ugly. Baby was fine and both did great. It wasn't anything super abnormal it just felt like a 3 ring circus with the calls and yelling. All this happened in about 30 minutes from the time she hit the door. There's other crazy deliveries but I don't like those stories
Which group was the most sociopathic? In all my experience, I've gotta nominate the OR crew or the ER crew. I'm leaning towards ER
Hahaha! I agree, or are they more narcissistic?
I had one that got bruised and dad thought it was black, lost his mind. Nor just white with bruises. I had a Spanish baby to two white parents. Dad was in denial.
Hello. Are you retired or still practicing? I'm a retired military RN. I had a bunch of similar experiences, as we all do. I am only 50 yrs old, but military ages one very quick in a shorter period of time. Now I'm left with the aching body. I wouldn't trade my experiences at all, but know that I couldn't do another night shift in an ICU anymore or another long deployment. When I worked, the RNs did everything, no nurse's aides! We had the enlisted (they are great), but never enough of them. Now I'm studying to be a mechanic, my childhood passion. I guess it's a guy thing. I'll be getting my hands dirty with grease instead of "shit"! We are a special breed, the people who help the sick. I've never regretted the practice. I still keep the license active, just in case. ⚓️🇺🇸
Oh wow! That's amazing. I am still practicing. I moved into management but hated it. Now I do case management for medically fragile children making sure they get nursing services. In working on my masters in nursing education and am planning on teaching in the future. It is a true calling but it takes all you have body and soul for sure. I was always very careful with my back but have since shoulder issues from lifting and holding. Still worth it
Obviously, you wouldn't. But have you ever fantasized about murdering a patient and why?
Omg yes. It's usually the IV drug abusers who wanted to waste my time and go on long sob stories about the brown recluse that bit them and how much pain they are in. Omfg I know it's a needle site infection, I know there are no brown recuse in Florida. If they want the damned pain med just say so and I'll get it because I don't really care and I'm not going to judge but for Christ sake don't waste my time because I have other people who are really sick and need that 20 minutes I just spent listening to lies. Sigh. And then act like a baby when I need to start an IV. Really? They stick themselves with needles every day but then I come in to help (the needle queen-the one they called in when no one else can get an IV because there are no veins) and then they get scared of needles?!