By: Mom [2001-04-27]

True Adventure Tales of Nursing!

details changed to protect the stupid


Time to tape bags to your butt!


Reluctant Dischargees

It always amazes me that some people don't want to leave the hospital. Hell, we nurses can hardly wait to run out the door like schoolchildren hearing the last bell before summer vacation. I don't know if it's the delicious food, the cheerful atmosphere, or all the fond memories, but some patients just don't want to leave.

Okay, it's not always the patients' fault. Sometimes it's their families. They dump the geezer in the hospital so they can have a few days' vacation from their elderly parent's demanding care. They sure as hell aren't going to hurry to pick Gramps up. Sometimes they go out of state and no one knows where to find them. Sometimes they attempt to convince us that the Gramps isn't really ready to come home. Sure, the patient still can't control his bowels, but he was like that for the last three years! We didn't break him!

One of my favorite arguments is, "We're afraid of catching the bug he had." He doesn't have a bug; he has chronic lung disease. You're not going to catch that (as long as you put those cigarettes out).

We were brainstorming the other day at the hospital, and we decided that what we really need is a meter. As soon as the doc orders their discharge, we slap that baby on the wall and inform the family that they're responsible for the bill from this point on. They can watch the dollars tick away, and if anyone actually feeds the meter, the nurses can buy chocolate. Mmmm. Nurses love chocolate.


The Navy Guy with the Tattooed Anchor

I innocently went to the bedside of the elderly gentleman who'd had brain surgery earlier that day. My first order of business was to do an assessment of the patient. I was listening to his heart when I felt someone watching me. Close inspection revealed a crudely tattooed face on his left breast, his nipple serving as a nose. Momentarily stunned, I recovered enough to turn him on his side to listen to chest sounds. On his left shoulder I was surprised to encounter a beautifully drawn naked woman, upside down.

At this point, the surgeon entered the room, saw me regarding the inverted lady and remarked, "Neat tattoos, eh? Boy, have you got a surprise in store!"

I lowered the blanket to listen to my patient's bowel sounds. I was confronted with some intriguing reading material. "Six-Inch Trench Digger," it said, and "Trouser Snake," each with an arrow indicating his genitalia. Looking up at me from the head of his penis were two eyes, and my, but it did resemble a little snake! On the shaft were the names of two women, neither of them particularly long and neither of them the name of his wife.

Hours later, when he was awake, I inquired about his tattoos. He informed me, with a certain pride, that he'd done them himself while a lad in the Navy. "But didn't they hurt?" I asked him, being a thoughtful little thing. He gave me a look that showed he'd just reevaluated my intelligence and said: "Hell, yes!" He looked quite put off.

I met this man in his golden years. I met his charming wife and lovely children. He decorated himself while young, stupid and terribly bored on a big ship in the middle of nowhere, keeping our country safe for democracy. Kids, I guess what I'm trying to say is, when you're bored, don't go tattooing yourselves.

Get someone else to do it. That way it'll be right side up.

Nurse's Nightmare

You're getting report. There's a new MI (myocardial infarction: heart attack) in ICU One. She seems stable, but there's something the off-going shift isn't telling you. They all seem anxious to leave, and her nurse doesn't want to give you a bedside report. You're left on your own to discover that she's the worst kind of patient possible . . . (spooky music) A RETIRED NURSE!

She knows all the tricks, all the code words and euphemisms, and she knows every way possible to be a pain in the ass. This woman wants the best care possible. Hell, she wants more care than she needs. She feels she deserves it; she's a nurse, she's paid her dues. She remembers everything every patient ever did to annoy her, and she's going to do it to you. And then, in a sweet voice she says, "I don't mean to trouble you, but . . ." The call bell's right in her hand, but when she thinks she needs you, she yells "NURSE! NURSE!" Hell, whenever a nurse walks by she yells it. She climbs over the side rail to use the potty chair in her room, rearranges the furniture (and mind you, she's on bed rest recovering from a heart attack), and orders two trays of food at every meal and wonders why she's vomiting after eating.

However, when visitors come, she's too weak to even push the call bell for you and sends them out looking for you. They find you busy in another patient's room and frantically tell you that she needs to use the bedpan now. Wait a minute, you think, this is the woman who climbs out of bed to use the toilet.

I don't know who bribed the doctor, but she had the shortest stay in ICU of any heart attack patient I've seen. I'm not complaining though. I am taking notes. My turn will come.

I'm retiring in 23 years. I'm going to ask for my drugs by name.
King of Hearts [2001-04-27 14:43:32] König Prüß, GfbAEV
The film, "King of Hearts," is one of my favorites because it's about a Brit soldier who accidently gets assigned to bomb disposal and decides that life in a French insane asylum is preferable. After accidently getting into bomb disposal thru land surveying, one of my co-workers was an old Navy explosive ordnance instructor who had a propeller tattooed on each butthock, and across the top it said,
"Forty Knots-No Smoke" which is going fast on a destroyer with the deisels running hot. His nickname is "Twin Screws." Sometimes he's a ski instructor in Pennsylvania, he weighs about 300lbs.; they say he's your worst nightmare in Spandex. Near here, there's an old church where Clara Barton ran a field hospital, I guess she was a kinda famous nurse.
Munchausen's Syndrome [2001-04-27 15:20:40] König Prüß, GfbAEV
Talk about reluctant discharges, I was reading about a female patient in New York who had been in 16 hospitals over a two year period; in effect, a full-time professional patient. I think that they were calling it Munchausen's Syndrome, after the famous Baron von Munchausen, teller of fantastic tales.
That movie was so disappointing. [2001-04-27 18:47:41] Jonas
Munchausen By Proxy, isn't that it? I dunno exactly, and I can't be bothered to find out, so anyway....
I have the background Ancestor Spirit: Medical Knowledge [2001-04-27 18:55:19] Annna
Munchausen's Syndrome is when you feign illness pathologically.
Munchausen's by Proxy is when you do it to someone else, usually your kids. Anything from just doping their test results to actually inflicting "mysterious" sores and rashes and wounds. Or poisoning 'em, too.

nursing [2001-04-27 19:47:12] staniel
when my mom was a nurse in the ghetto (Camden's Lady of Lourdes hospital) she saw all the gunshots and overdoses and horror and whatnot, but the only story she's told me so far is of the guy who had a room on the ground floor with an openable window. he was senile, and they found him nude, straddling the low fence that marked the end of the hospital's grounds in a rather uncomfortable way.
I like Stendahl Syndrome, where you go absolutely batshit from looking at great works of art. common in France and Italy, of course unheard of in the US.
Stendahl Syndrome [2001-04-27 21:40:55] Jonas
I think it was Stendahl Syndrome that caused me to drop Art History in second year.
hehe [2001-04-27 23:10:31] staniel
it's also one of the few Argento films I haven't seen. I bet it has an elderly villain. not new enough for his daughter to appear nude, though. ah, Dario. how sad that only Suspiria, your worst film, gets any recognition.
Harvey [2001-04-28 00:01:25] König Prüß, GfbAEV
My mom played the nurse in a stage version on "Harvey," about a guy with an imaginary rabbit friend. I am favourably disposed toward most nurses, although I named this here computer, "Nurse Rachit." Nurses are likely similar to most other kinds of groups; you don't want to make too many generalities about them. But I like the nurse hats that look like cup cakes with a black velvet ribbon better than the winged
kind of ones; you can tell where they went to school by their hats.
Heart attacks [2001-04-29 01:12:02] Sean
Is it true that all there is anymore is heart attacks? All I have to go off of is "Bringing Out The Dead"
"All there is" [2001-04-29 02:06:19] Annna
I don't know what you're referring to, exactly, but there are still all kinds of horrible ways to die or be hospitalized. Like, renal failure and pneumonia and stroke and falling down stairs. Ask Mom!
Well yeah not really ALL there is... [2001-04-29 03:19:30] Sean
... but is there a frightening amount of heart attacks these days? Bringing Out The Dead probably isn't the most accurate reflection... but I've read that there were hardly any heart attacks in centuries past, but I'd guess that's because they didn't know anything and it would just be another day in 1820 to say someone died in their sleep at age 40.
Burn Unit [2001-04-29 05:30:39] König Prüß, GfbAEV
There are two big airports here, one staged a fake air crash with 126 survivors, mosly burn victims. The nearest big burn unit is way over in Baltimore, so they got to helicoptor them all over there. Endo Pharmaceuticals make some stuff specifically for burn victims that numbs them out and makes them a bit euphoric to keep the shock down.
The rescue wagon that always is on-site we were doing ordnance work has fentanyl patches. They got barrels of fentanyl that the chem war guys use to aerosol, if you breath it, within 30 seconds, you're incapacitated for about four hours. I like incapacitants the best, they're non-lethal. There were some test exercises to see how local
hospitals are prepared for chem or bio attack; nobody's much ready for that. The authorities response is mostly to stand-off because they don't have the equipment to go past a "redline."
The Morgue [2001-04-29 06:46:53] König Prüß, GfbAEV
If we get contaminated with a chem war product like a nerve agent, the standard proceedure is they put you in a body bag and zip it up to the chin; then they take to the local morgue to treat you there. The reason for the morgue is that it won't contaminate other stuff and they hose the morgue out a lot anyway. Don't carry money because if it's contaminated they destroy that, too.
Speaking of priorities . . . [2001-04-29 20:21:08] Jonas
Did you people know that all the tax records in the United States are buried under salt flats (or alkali flats maybe) in whatever state has said flats, so that they'll be safe in the event of nuclear war?
heart attacks [2001-04-30 00:03:52] mom
Sean, heart attacks are not all there is.....you aren't watching enough ER. Annna's right. There's pneumonia, traumas, renal failure, botched suicide attempts, etc. Oh, here's my chance to rant on about botched suicide attempts. The number one reason NOT to commit suicide is that you probably won't be successful and you will instead be a bother to the doctors and nurses at whatever facility you are taken to and they will make all sorts of comments behind your back about how some day they are going to make a video on doing it right. The number two reason not to commit suicide is that you have to live with the consequences, the injuries you caused while trying to off yourself. If you were depressed and thought you couldn't cope with life before imagine how much worse it is when you now are confined to a wheelchair or are on dialysis for the damage you did to your kidneys. You get the idea.
Damn [2001-04-30 00:50:23] Sean
Once again the movie industry has filled me with inaccurate information.

I think I am going to buy a waffle iron tomorrow. Also some wash rag. I lost my last wash cloth in the laundry today.
wafflecide [2001-04-30 20:41:36] staniel
when you think of it, there are very few viable ways to ensure 100% suicide effectiveness. unless you sat on a nuclear warhead or wrapped yourself in lit magnesium fuse (sorry, I used to read a lot of H/P/A files) then jumped into a baby pool full of thermite, neither of which are easily achieved.
waffles are a fine thing, but I can't see eating them frequently enough to justify the purchase of an iron.
have a blueberry one with French vanilla ice cream on top for me.
suicide [2001-05-29 12:39:33] jrand
It's not that hard, actually. The reason everyone keeps fucking it up is because deep down they really don't want to die, they just want love and attention and all that lonely bullshit.
What is the worst thing you've ever seen? [2003-04-02 23:34:00] Zippy ala Mode
Dontcha just HATE it when people ask that ? I know I do, working in an ER, it's inevitable that I get asked this question rather frequently.. I usually shut them up by looking them straight in the eye and replying " Name a body part."

And nurse DO love chocolate!!! Yes! :D
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