Saturday, April 14, 2007

 

I wish we could do this

I soooooo wish we could set up our ER like this! But of course, in our ER, we would have to change the doors to simply clean and dirty. I realize that as an ER, our patient load has an over representation of the lower socio-economic groups, and that the area served by our hospital borders on Appalachia. And I remember from nursing school that different cultural groups have different expectations about things, including hygiene.

But still, come on people if you know that you are going to see a doctor, and you have the strength and/or energy (I can make an exception in cases of sudden injury or severe illness), do everyone a favor and wash!

It never ceases to amaze me the wonderous, olfactory experience that a day at work is. The majority of the smells come from just general, old fashioned BO, some of it older than others. This I have learned to simply tune out. I have also become pretty good at ignoring the smells of the bedside commodes/bedpans (except in cases of GI bleeds, those are a whole different animal).

Then there are the smells that I don't think I will ever get used to. The first is the smell of necrotic (dead and rotting) tissue. Last week, I had a necrotic foot ulcer. It took some major willpower to get down there close to it so that I could do an assessment. The patient tried to tell me that it developed since the last doctor's appointment, but there is no way you get that much rotted flesh in 10 days.

The other smell that I almost could not deal with was the smell of what I affectionately referred to as "Kentucky Fried Foot". I had a patient come in at 0100 saying that they spilled a pan of grease on their foot. Appearantly, they had been frying chicken and they decided to dump out the pan in their bare feet, and spilled it all over their foot. Judging from the barely pink look of their foot, I'm guessing the grease was pretty much cooled. Of course, behaviorally, you would have thought that there were third degree burns all over their whole foot. Of course, the foot was not washed before coming to the ER, so the whole area smelled like fried chicken. Again, it was a real test of will to get down close to assess that fried foot.

Comments:
Like the cartoon.

I was wondering if you'd be interested in posting any articles from the Nursezone.com website. There are lots of relevant articles for todays nurse. The great news is that using nursezone content on your site is no cost. We'd just like to have a link back to our site for those of your bloggers interested in finding a community of nurses, CE opportunities, travel nursing and other relevant nurse aids. A partial example of a nursing article is below:

Nursing Schools Lauded for Male Student Efforts

By Susan Kreimer, MS, contributor
Excelsior College in Albany, NewYork, has much to be proud of. It garnered the 2006 Best Nursing School or College for Men in Nursing Award.
Impressed by the caliber of entries, The American Assembly for Men in Nursing (AAMN) also bestowed the award upon the University of Pennsylvania School of Nursing in Philadelphia.
Ben Eithun, president of the Male Association of Nursing at Penn (MAN-UP), recently accepted the honor on behalf of the school at AAMN’s annual conference, held this time in Portland, Oregon.
The award recognizes the co-winners – Penn and Excelsior – for success in recruiting and retaining male nurses, providing them with a nurturing educational setting, and informing faculty, students and the community about men’s ongoing contributions to the profession.
“We received the award from AAMN in recognition of our 25 percent enrollment of men in nursing – 20 percent of whom complete the program – and for creating an environment supportive to men in nursing,” said M. Bridget Nettleton, Ph.D., RN, dean of Excelsior’s School of Nursing.
Nettleton was asked to join AAMN’s board of directors – an honor she gladly accepted. “We are committed to educating competent professional nurses who are well-prepared to enter the nursing workforce, thus responding to our critical nursing shortage,” she said.
Excelsior, formerly known as Regents College, offers associate, bachelor’s and master’s degrees in nursing. It currently has an enrollment of more than 16,000 nursing students……. (more to article)
© 2007. AMN Healthcare, Inc. All Rights Reserved.

Let me know what you think.

Tracy (nursezoneportal@earthlink.net)
 
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