This week I was on 1East with Mrs. Zimmerman. It was such a learning experience! On thursday I got to D/C a foley, hung IVF, gave a SQ injection, some POs, and got some IV pump experience (Alaris). My patient's admitting diagnosis was pneumonia and he was also having some diarrhea, after his admission the physician wanted a stool sample sent to the lab for C-Diff (and of course that dried the diarrhea right up!) and he was on contact isolation until we could obtain a sample. Well, I didn't get to get the sample on my shift, he wouldn't do anything! But I did get to do some teaching to his daughter about why he was on isolation and he wasn't before.
Friday I had a very interesting patient who was admitted for neuro problems and UTI. He was very confused at times and mumbling to himself. He seemed paranoid and when the doctor and I would be talking to his wife he would say "I hear your! I can hear everything you're saying" He just started c/o hearing voices a couple days ago his wife said, and he thought the tv was a camera and he kept saying "They know everything I'm thinking, I don't know what to tell them." Anyway, I went down to X-Ray with him to see his LP and it was pretty cool! Actually it was just like on tv. They laid him on his stomach and the doctor came in, inserted the needle into the intrathecal space and "tapped" about four vials of spinal fluid. The procedure was completely sterile. They explained the procedure to me and told me to keep his bed below thirty degrees for about two hours, there was r/f infection and hemorrhage into the spinal area and also they said he may have a spinal HA in a few days. So, had a GREAT time and was very busy... but that's the best way to be right?
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