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MedicalIAmA nurse who has worked in just about every specialty, AMA (unless it violates HIPAA)

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

Proof: http://i.imgur.com/J3GboNi.jpg

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

Q:

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?"

"Sure."

(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'!'"

A:

Omg! I'm so sorry but I just laughed so hard at that! I'm glad your mom would have appreciated that :)


Q:

I love that story too! It's just like- "Well OF COURSE she looked like shit! OF COURSE I lied!"

Thanks for laughing along. I think I love you. God bless!

A:

Hahahahahahhaaa!


Q:

/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

A:

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


Q:

"Don't fuck with the people who's job is not only to save your life*, but who decide on how comfortable you are during it" feels apt.

A:

Omg! I love that! Hahahahahahhaaa! It's so true. Although I will say any nurse worth anything will treat you the same no matter what. That doesn't mean they won't request a different assignment tomorrow though!


Q:

OMG my first AMA request success ever!

OP: What nightmares do you have?

A:

That depends on what kind you're taking about. Actual horrific nightmares are one thing. Nightmare stories omg there so many... The guy who pooped out of his penis, The guy with an erection lasting longer than 4 hours, Prostitutes propositioning me while kicking her feet to her ears and calling me her jelly bean queen, Alcohol intoxications, STDs like you wouldn't believe, Crazy parents threatening to kill me in the parking lot, Crazy sundowning elderly people...

Edit: a word and punctuation Edit 2: fixed a preposition


Q:

He.. pooped out his penis?

A:

Omg yes! I about fell out of my chair in report. Took care of the guy a few separate times. Really nice guy young good-looking. Apparently he had like Crohn's disease or ulcerative colitis I can't remember it's been too long. Basically what happened is this guy's immune system attacked his intestines to the point that a canal formed between his bowels and his bladder allowing both fecal matter and gas to travel into his bladder. Dude literally pooped and farted out of his penis and had a raging urinary infection.


Q:

I mean, that's terrible... but something makes me happy that dick farts are something that happen.

A:

ME TOO! Any time I hate being a nurse I think of things like that to make me smile.


Q:

Dick farts happen when you get a catheter removed, by the way. :)

A:

They can buy that's more of a male queef I think.


Q:

Well the step up from fisting is fistula

A:

Idk, I have "fisted" a lot of women and I don't think I ever made a fistula (God I hope not)


Q:

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.

A:

Okay okay true true totally different meaning without the preposition. Sorry I'm typing this fast on my phone


Q:

Which units do you find the most emotionally tough, physically tough, and toughest on your knowledge?

A:

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


Q:

Any good stories of a patient who seems to “know more than you” because of the internet?

A:

Yes! I had a woman come in complaining of contractions at about 32 weeks so I have to do labor check. I know what the problem is the second I hit the door. If you've ever smelled trichomonas you'll never forget it. So I put her on the monitor everything looks fine some contractions a little pattern nothing too scary mostly irritability. I do all the lab work tell the doctor to run a test for trichomonas it comes back super positive we get the prescription to treat her and the order to send her home after treatment with follow-up instructions. So I go back in and discreetly explain to her that she has trichomonas and it is causing her uterus to contract. She told me she's known about the trichomonas but she's refusing treatment because she saw online that it might hurt her baby and that she had researched it and that she didn't want to take any medicine. I calmly explain to her that at her stage in pregnancy the medication was safer than delivering her baby. She argued with me for a while so I went and print it out my own crap from the interwebs to convince her to treat her STD. The worst part was having to do a manual vag check. I'm short and my face was in there. Ugh


Q:

Ok, well now I regret asking this question in a medical AMA. Loads different than an AMA at a mechanic shop or whatever.

A:

Ha!


Q:

I'm a Medical Technologist in the lab and I love watching those little boogers tumble around! I hope I you've gotten into the lab to see! I always try and call any students over and now that in work in a free standing emergency room I'll call the nurses too. Fun stuff!

A:

The lab is so cool! I always loved going to the lab! That's awesome that you include the new nurses so they have the opportunity to see how things work down there :)


Q:

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.

A:

The first time I saw somebody die was really difficult. My first job was in pediatric oncology and my patients died but I never was with them when it happened because we would send them up to ICU if they were going to die. Years later I still talk to a few of the parents and still cry on the anniversaries of some of their deaths. When I went into adult care I actually saw my first person died in front of me and it was really an odd experience. It felt kind of surreal like it wasn't really happening and I felt kind of disassociated from myself. I went home and cried after but we try to keep a strong face for the families. It doesn't ever get easier. I would still get scared at the bedside if a patient wasn't looking good I would still have problems and need to call in for mental health if somebody died even after years of Nursing. It does get easier to hide it from the family members while you're at work though. Maybe in emergency room or ICU it gets easier because they see it more but because I specialized primarily in children and labor death was especially hard


Q:

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.

A:

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.


Q:

Funniest encounter with a patient? Also would you say you nurses have a dark sense of humor on the job?

A:

Funniest encounter with a patient I guess there would be two. First would be the guy who had priapism and had to have surgery to help get the blood back out so he could retain function of his unit. Poor guy was early thirties attractive and well endowed. It didn't help that he had a continual raging boner. I had to do wound dressing changes on his penis head with my face down in his crotch while dressing his fully erect penis. Then I had to discuss milking exercises which were very similar to a masturbatory motion in order for him to move the blood from the penis. The second one would have to be the prostitute who was in for generalized abscesses from who knows what, some kind of MRSA. She at one point propositioned me, called me her Jelly Bean Queen, and then wanted me to look at something she was worried about near her vagina and proceeded to put her feet behind her head to show me yuck. And yeah nurses have a really dark sense of humor after doing the job for a couple years


Q:

Jelly Bean Queen?!?! I gotta remember that one!

A:

Yeah idk about that one. I laughed pretty hard. I doubt I'll ever forget that


Q:

When my wife gives birth, if it’s not a cesarean, how long does it take for all the afterbirth to come out, generally?

A:

It's usually pretty quick within a few minutes. If it didn't come out right away that might be a problem. Generally speaking it's almost immediate like within a minute or two of cutting the cord


Q:

Is that with synotcinon? Is third stage usually managed?

A:

Yeah we'll leave the pitocin on through the whole thing and once the placenta comes out we open it full bore to clamp down the uterus. It will usually come out quickly either way. If it didn't come out within a reasonable amount of time they'd have to do a manual removal or maybe go to the or. As long as that placenta is up there the mom continues to bleed so they're highly motivated to get it out in a reasonable amount of time. If it doesn't come out within a few minutes of birth the doctor will start doing different things trying to help it along. We wouldn't give too much pitocin before it came out because we wouldn't want the uterus to clamp down with the placenta inside.


Q:

Has the Filipino mafia accepted you into their circle yet?

A:

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.


Q:

I am a new RN and working a post-op floor. My goal is to get to ER eventually. Any advice on what makes a good ER nurse?

A:

Actually yes a little bit. One of my good friends that I trained as a GN years ago ended up making the change to emergency room. You will get a lot of good experience on a surgical floor. One thing I can tell you is that it is stressful you have to learn to prioritize and time manage which you'll get a lot of that to start in your new position. Do you remember that in the course of a career you will probably do a bunch of different nursing jobs if you go to emergency and don't like it it's okay you can always pick a new job. If you can get in at a magnet hospital or teaching Hospital that is the best experience you can get and you get a lot of support so that you're not just thrown in the deep end. Always remember to keep your boundaries advocate for yourself and your patient and in order to do emergency you're going to have to learn to be okay with a lot of really ugly things including children who had bad things happen


Q:

Thanks!

A:

Of course :) also learn toet the crap roll off. If you're a girl, try not to be an angry crier (I am) the supply closet is a great place to collect yourself. If you're a guy, try to Keri the attitude in check. People will be jerks, drs will be assholes. The most important thing in that environment is learning to keep that straight face and remember to keep your eye on the patient. The rest will work itself out. It's a high stress environment and conflict will happen. Just work through it and engender the only thing in life you can control is yourself. Please don't be afraid to call pediatrics for help with IV sticks on fat babies if u need to. Remember iv sticks are hard at first but the I my way you'll get good is to try every single patient at least once. You'll blow some veins that's ok


Q:

Thanks!

A:

If there's anything I can help you with pm me


Q:

I'm thinking of going to school for respiratory therapy. Observed any reason I shouldn't? What's the working relationship with nurses like?

A:

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.


Q:

Thanks for the reply. I'm a 35 year old recovering addict and I'd like to find a career path that I can start soon, help people and makes decent money. The program where I am only accepts 16 people a year so I pretty much have to go all in.

A:

I am so happy to hear that you're in recovery! Congratulations and I know it's a really hard Road. I really think you'll like it. If you want something less hectic and frantic look into speech therapy occupational therapy or physical therapy. It's a little calmer and school doesn't take long. You can help a lot of people doing that too.


Q:

RT is the only associates program offered where I am aside from physical therapy, but being a college football town, there are plenty of those.

A:

I think you will do amazing!


Q:

How many patients have died due to administration related understaffing?

A:

That's a really good question. None that I've taken care of but I am very protective of my license and will go toe to toe with management because I know my nurse practice acts. I have known a few nurses that it happened to. Adverse events are much more common and unsafe staffing at some hospitals is nearly constant. I'm a big advocate for legislation regarding nursing ratios. I have walked into some cluster fucks and upper management is only worried about numbers, not safety.


Q:

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?

A:

So is there oligohydramnios? The valve is more likely. I've never seen prune belly in person. All you can do is be there, help her with recovery and be supportive. You'll need some support as well. This is a stressful time. Don't be afraid to ask for support when you need it. The prognosis and treatments will depend on what is going on and how bad the disease is. Both have good treatment options but surgery is likely for either and little one will probably be in NICU for a while. Sirens as much time as you can bonding with the little one. Take some FMLA if you can to support mom and for yourself as well. We'll get be scheduling a c section? I hope you're going to a regional hospital with a big nicu and peds department. I'm sorry you're going through this. I know it is difficult. Try to stay positive for mom and baby.


Q:

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?

A:

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


Q:

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.

A:

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!


Q:

OK, so have you had a creepiest patient? Wanna see if it beats my creepiest call!

A:

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


Q:

Oh wow, a 10 y/o??? Holy crap! Yeah, i was always uncomfortable around psych patients after one went from calm to pining me down in the back the unit. So i can about imagine having someone put a death grip on your arm and give you the look. Have to go look for my creepiest.

A:

Yeah scary crap. The kid was way scarier than the adult I swear he's a future serial killer


Q:

Has there been moments where you just wanted to quit from stress?

A:

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.


Q:

Hi! I'm starting nursing school in about a month for my BSN. What is something about nursing that truly makes you say "I really picked the right job" ?

A:

When I get a hug from a kiddo, see a mommy I delivered that remembers me, or truly help a patient /family. It feels very rewarding


Q:

Awh this makes me so excited! Thank you:)

A:

Good luck with the BSN! It's definitely the way to go


Q:

I used to know a nurse and had a lot of stories of druggies who would turn the iv up they ended up having to lock the iv knob. Is this a common thing in other hospitals?

A:

Oh yeah. The key is kept locked up and there are secret codes to the pump. IVDA is rampant here. I've had them trying to get stuff out of the sharps container sigh


Q:

Why have you not worked in the emergency?

A:

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.


Q:

So having dealt with all sorts, do you think there are some people just too dumb to ever help?

A:

Once in a while you meet one. Had a few that liked to fake seizures to get Ativan. One girl was so committed to the act that she faked a seizure and urinated on herself to make it "believable" sigh another one faked a seizure but I had an order to discharge no matter what. (the Dr was expecting him to act up at discharge and ordered accordingly) I yelled that it was a code and we needed to intubate, he stopped "seizing" jerk almost hit his pregnant girlfriend in the belly thrashing. I put his ass in the wheelchair and sent him home.


Q:

Hi! Just wondering, how long were your shifts normally? And did you work 5 days out of the week, or was it less?

Thank you!

A:

I worked 3-12 hours shifts in the hospital. With report and all it would be 7 to like 7:30-8. I worked overnights forever. I would usually have a call shift every few weeks for 12 hours and would occasionally pick up extra. After going to management I went 8-5 a week and now i work from home and in the field .my hours are still 8-5 but that varies depending on what i need to do


Q:

Are there any nursing jobs that don't deal with gross stuff?

Also is it true that hospitals are requiring a BSN degree instead of just the associates now?

A:

Yes there are. Pediatrics isn't too gross. OR /pacu isn't bad either. If you want to move totally away from that kind of thing them community health (like health dept or clinic work) is very nice and can be very interesting especially working with communicable disease populations. Case management is very nice as well as nursing education.


Q:

What was the most unexpected case that you've come across? Something you never could have imagined ever happening

A:

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!


Q:

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.

A:

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.


Q:

Do you mind sharing your educational background?

I’ve been thinking about getting a nursing degree and I’m curious the schooling.

A:

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.


Q:

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?

A:

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!


Q:

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?

A:

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 :)


Q:

Do you ever interact with infection prevention teams? I am studying hospital epidemiology in grad school and am curious what actual interactions look like.

A:

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


Q:

Everytime I read about violating HIPAA I can't help but imagine a poor hippo who just had the worst handler...

ANYWAY:

What's the funniest birth you've witnessed ?

A:

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


Q:

I am absolutely batshit terrified of needles. How much do you hate me? And what can I do to make necessary medical visits easier on myself, and the people that have to care for me?

A:

Not at all. I used to cry when I had to get stuck. Remember the needle is tiny and is only there very briefly. Let the person know you are scared of needles. We understand. Look away and he's the important part BREATHE AND RELAX. Clamping down or tensing up makes it hurt and bruise more and makes us miss. Whatever you do DON'T MOVE or you will probably have to get a second one. Drink plenty of water to plump the veins if you can and let us know if there are particularly good it bad ones from the past :) if you can relax and focus on something else sometimes you won't even feel it.


Q:

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

A:

Hahaha! I agree, or are they more narcissistic?


Q:

Ever have a black child born from two white patents?

A:

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.


Q:

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. ⚓️🇺🇸

A:

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


Q:

Yeah, I liked my nursing job, but I chose the profession to pay the bills and save money. I fortunately retired without the typical injuries like back and shoulder problems. I had a car accident in '92 and my back muscles were affected, not the vertebrae. So, I had to do stretching continuously. Body mechanics were a must. I learned to pull the patient up in bed from the actual head of the bed and asking the younger more agile RNs to help. In the military, there was always some young buck that wanted to impress with his or her abilities. I was like, go right ahead and impress....pull this 100kg + patient up in bed or other. They were more than happy to do it. Unfortunately, there were not enough of them around. So, I resorted to machines or the clipboard RN supervisor to help. My family told me to go into RN supervisory job. I was like, and I'm not being rude, but once you're away from the bedside, you lose your skills. RN is one of the only jobs where advancement is an office job where one loses their talents. I learned a lot of skills in the ICU (my unit was the everything ICU!), but I wouldn't count on my skills now because they are not being polished. It's that IV, medications, hemodynamics, time management, charge nursing, etc..that needs to be juggled regularly to take a patient. I remember going on leave (vacation) and returning, just a week or so out of practice, would make me behind in my skills. I would return and my boss would say, "We got a new machine. Learn it now!" Funny, all that relaxing on the vacation went out the window in the first hour of a shift upon my return! I can't imagine what I would do now if I took patients. I read my critical care articles, but there's nothing like taking a patient or multiple. If I had to comment on anything, it's that nurses should consider bedside nursing just as prestigious as administration nursing. Sadly, that's not the case. In the military, it's expected to move away from the bedside in order to advance. My friend, who was higher ranking, once told me that her supervisor told her that helping with an IV was not her job. She was also told that her bedside nursing was finished in her career and the office was her new bedside. She replied, "IVs will always be my job!" If those example do not reveal the problem in RN, I don't know what else would. I am only guessing, but the doctor profession is not treated the same, that paper pushing is the only way to advance or best use of skills. I would again guess, if the doctor was in the office all the time, something bad happened. Whereas in RN, that situation is considered advancement. Sorry, due to my age and experience, I've become cynical. I hope the negativity hasn't darkened some young new grad. I'm just stating what I saw.

A:

You didn't fail them :(


Q:

Obviously, you wouldn't. But have you ever fantasized about murdering a patient and why?

A:

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?!


Q:

What was the craziest foreign object you had to get out of someone else's body and where was it?

A:

I didn't get it out (that will be the doctor's job) but there was a lady we had to call on. She was elderly and preoccupied with her bowel movements. She insisted she had a fecal impaction and lost a spoon from her dinner tray into her rectum trying to get her poop out. Needless to say, she had finger food on her trays after that.


Q:

LOL, well I guess so!!!! I'm a retired paramedic, mind if I add my most interesting object having to be removed by a doc from a pt i transported?

A:

Omg please do


Q:

Posted this recently to a similar question..... Former paramedic so i transported said patient to the E.R. was actually a legit patient but dumb as all hell. Was a brand new paramedic and got dispatched to a call of abdominal pain of a 33 y/o male. The location we were dispatched to was actually on a street corner. (Before cell phones, patient called from a payphone). Sure enough their was a guy standing there on the street corner and he didn't appear to be in any distress. He said he was having abdominal pain that started about 45 minutes prior to our arrival. He had no medical history, said there was no trauma involved and then he quit answering questions and said to just bring him to the E.R. We put him on the stretcher in the back of the unit and my pard went to feel his stomach for anything out the ordinary. As soon as his hand touched the patient, my pard literally jumped back and said something along the lines of WTF. Asked him what happened and he told me to feel the guys stomach. Even knowing something was up, as soon as I touched the patient I jumped back. Wasn't sure exactly what I felt. Guy refused to answer any more questions so we hauled him to the E.R. He was very uncooperative and wouldn't answer any of the nurses questions, so they just sent him straight to x-ray. A few minutes later when the x-ray tech was bringing the film's to the E.R he was laughing his ass off. So a whole group of us gathered around as the x-ray tech put the film on the lighted board. The entire group let out a collective gasp and we all looked at each other before we all just busted out laughing. There as plain as day was an 8" long dildo stuck so far up his ass it was in his abdominal cavity, and by the way his stomach felt it was obviously on the highest setting. The only way the docs were going to be able to get it out was to operate. They first had to wait for the batteries to die before they could bring him to the O.R. It was about 8:30 PM when we left the E.R. We transported another patient to the hospital about 6:30A.M and ole boy was still waiting in the E.R. for the batteries to die. Next shift we worked and transported someone to that hospital we asked the E.R. nurses what time ole boy finally made it to surgery, it wasn't until noon! And they said "ya know what the best part was?" She said they were Duracell batteries!!! I think that would make an awesome commercial for Duracell!

A:

Omg! Lmbo! We had a guy (not mine) with a similar surgical removal only his was fashioned from a pool noodle. Yours takes the win with the batteries!


Q:

A pool noodle????? Now that is a one of a kind!!!!! So I hope anyway!!!

A:

Thank God it's the only one I've heard of!