sweepthefloor
see jane nurse
- Joined
- May 25, 2010
- Posts
- 11,836
And then he packed my wound with the love gauze.
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And I'll forgive you and we won't ever talk about it again.
You love me. I asked for it huhUntil the next time you need rough love to make it real.
I think my bun is too tight.
You'd like that?I'd like to grab that bun with my hands like a saddle horn and force you onto the floor and feed my hard rod to you and those lips.
I just took the pants off a pending raging alcoholic. He's been here before. This time the ribs are fractured.
He said: I'm shy. Why are you taking my pants off. I said: they are dirty. He said: I know that next you'll be strapping me to the bed like an animal. That's what you people do here.
Then he wanted to know if I was going to give him a 40oz with his lunch to prevent any problems.
Yes, it can be wildly nasty. I don't want to be cynical but if a drinker bleeds out the death has been easy compared to liver failure lingering.A nurse I dated years ago told me about the guy in her ICU who was alcoholic and bleeding from every orifice he owned. I think he made about 36 hours before croaking. I think he was 39.
That stuff is nasty.
I think my bun is too tight.
Yup. Hepatic encephalopathy is horrible. I'll never forget the first time I saw it. I didn't think I could be shocked anymore, but that one proved me wrong. Way wrong.Yes, it can be wildly nasty. I don't want to be cynical but if a drinker bleeds out the death has been easy compared to liver failure lingering.
Today's ETOH special is hepatotenal syndrome on top of a respiratory failing pneumonia. There's a tube in every hole. Not following commands.
Yup. Hepatic encephalopathy is horrible. I'll never forget the first time I saw it. I didn't think I could be shocked anymore, but that one proved me wrong. Way wrong.
Nurses, paramedics, and cops are probably among the few who see pretty much everything. The good, the bad, and the ugly. It's no wonder we become jaded; it's almost a necessity of self-preservation.The universe has an infinite capacity for shocking images.
Luckily it also has an infinite capacity for wondrous images.
Yesterday my critical care tech who is almost a nurse did the talking for me: Mr. James, your nurse is going to put a tube in your rectum because the medicine is going to make you have lots of watery poop so that your body will clear the toxins in your body. We have to put this tube in because we don't want the skin on your bottom to get burned from your stool. We can't be having any skin breakdown, not on our time.Yup. Hepatic encephalopathy is horrible. I'll never forget the first time I saw it. I didn't think I could be shocked anymore, but that one proved me wrong. Way wrong.
I won't go anywhere near a pediatric floor. It's why I won't do transport, even though I always wanted to transport.Nurses, paramedics, and cops are probably among the few who see pretty much everything. The good, the bad, and the ugly. It's no wonder we become jaded; it's almost a necessity of self-preservation.
We can only hope that the wondrous images outnumber the shocking images when it's all said and done. I got to work in pediatrics the other day. The one shift of images from the kids in that department outnumbered the last couple of years' worth of images from my regular floor. I typically work with a lot of drug addicts. I think I'll ask to float to peds at least once a year to renew my faith in humanity.
That's not good. How much did they get when they tapped him?Yesterday my critical care tech who is almost a nurse did the talking for me: Mr. James, your nurse is going to put a tube in your rectum because the medicine is going to make you have lots of watery poop so that your body will clear the toxins in your body. We have to put this tube in because we don't want the skin on your bottom to get burned from your stool. We can't be having any skin breakdown, not on our time.
Mr James didn't respond. He's in a stupor on a ventilator-- no sedation necessary at this point. I even took the restraints off.
- Albumin
- Lactulose
- Lasix
- Albumin
- Fresh Frozen Plasma
- Lactulose
- Packed Red Blood Cells
- Albumin
- Lasix
- Paracentesis
- Lactulose
- Fresh Frozen Plasma
- Mouth Care
I have mixed feelings about peds. I'm scared of little people. I know a lot of them will grow up to be addicts like they started their lives. I hate having to do things to babies that make them hurt. It makes me want to do mean things to the parents who never should be having babies in the first place.I won't go anywhere near a pediatric floor. It's why I won't do transport, even though I always wanted to transport.
Self-preservation: The Resident came in the room when I was giving water flush via the NGT. I whispered: I am watering our flower.
I know exactly what you are going through. I have been there before and it is a bad feeling. I hope you at least got vital signs charted to ease some of the mental burden.If I told you what this day has been like, you wouldn't believe me. I still haven't charted my 0900 assessments yet.
A big two liters and the belly still looked like a nine month round drum.That's not good. How much did they get when they tapped him?
I can't handle the kids no matter the scenario-- Those pediatric nurses must be amazing to be able to do that everyday.I have mixed feelings about peds. I'm scared of little people. I know a lot of them will grow up to be addicts like they started their lives. I hate having to do things to babies that make them hurt. It makes me want to do mean things to the parents who never should be having babies in the first place.
But.
The eternal optimist in me hopes that this baby will be the one to break the cycle. It reminds me that there is beauty in the world that I've gotten so used to seeing ugly. It brings out the nurturer, protector, and child in me.