CorPak & Rectal Trumpet

CorPak

Goes in your nose for tube feeding, etc

(different sizes)

I was checking on my patient to make sure they were doing okay. The funny thing is I didn't notice anything wrong at first. The tube feeder was beeping and I was trying to silence it due to the roommate in the next bed. I loaded more juice into the bag and turned on the tube feed. I kept hearing this high pitch squeal. I asked the pt what that was and they said they lost their hearing aid. I went on a bed search for the hearing aid when I noticed there was something on the floor. Lo and behold I notice stool on the floor. I follow the trail and see it on the bed, and the end of the yellow brick road was the rectal trumpet. I called for help and sheets. No one came. I went out into the hall and yelled for my pal L. Asked her to come help me.

We get in there and are cleaning them up, when all of a sudden L holds this tube up and says, "Um, did they pull this out?" There in her hands she held the corpak that use to be in the pt nose. With of course the tube feed still running! ha! The pt said that they didn't like it, and please don't put that tube back in me (meaning the rectal one).

What is even funnier still it didn't dawn on me until we were talking about what happened that I had actually started the tube feed back up and didn't even notice it wasn't in the pt's nose. *Shaking my head*

Nurses call the shots

Blood

I had to hang blood last week for the 1st time since RN B. and I had to during orientation. I think the 1st 4-5 days of working we had already given 6 units of PRBC & FFP. I haven't given any since then. Which is my excuse for what happens next.

Well I remembered how to do everything, except one minor detail! Opps!

When you set up blood you always have a bag of saline hanging as well to use to flush the blood through, after is is done. I started the blood was monitoring my patients vitals and stuff for a reaction. RN G comes rolling through and asked if I was doing okay, I said yes at the same time as looking up at my blood. I realized at that moment that my bag of saline was red. I was like um.....what happened! G. says to me well you might want to clamp the bag next time! Duh! haha! Oh the stupid things we forget about. Can't really flush blood with diluted blood can you?

ABG's

Tonight I got a chance to do my 1st ABG. I really thought I would get it. You feel bad when you have to stick a needle straight down into someone's artery. It hurts! I stuck it in and got a flash back of bright red blood, which is what you want. Then it stopped. So RN J. told me to pull back a little so I did. Got a little bit more but not enough to fill the tube. I lost the artery, which sucks for the patient!

Smoking Patient

Tonight my patient was smoking in the bathroom. I didn't physically see him but the smoke rolling out the bathroom door, tells the tell. They told me on days he was doing the same thing. One of my patient's complained they could smell smoke.