Whenever I impart my wisdom on a newer nurse, I realize that everyone should have a list like this that teaches them what they will not learn in nursing school. If you are a non- nurse, I advise you to put away the food you are eating and prepare yourself for some really gross information. For all you nurses out there, proceed eating....because that's what we do. Here are the top 15 Nursing Tips and Tricks they didn't teach you in Nursing School.
Code Brown Tips
Your patient's room smells god awful and you know you have to clean up a LOT of liquid stool.
1. The Toothpaste trick
Place a face mask on a table and squeeze toothpaste along the outer portion of the mask at the brim of the nose. Place another mask on top of that to seal the toothpaste in the middle. A minty fresh smell right at your nose will cover up a good portion of the smell.
2. Suck it all up
The liquid stool is filling up the bed, running down to the feet, and there is at least 500cc of pure liquid. Use your suction cannister and a yankeur and vacuum it all up so you have less stool to clean up. It's all contained in the cannister, which means it has less of a chance of ending up on you!
3. No more cleaning bedpans
The patient asks for a bedpan to finish having his bowel movement. Line the bedpan with a absorbent pad that you can throw away and not have to clean the bedpan. It's ready to go for the next time you need it.
4. Clean commode
That same patient can actually make it to a commode. Put a garbage bag in the commode and there's one less pot you have to clean when they are done.
5. Coffee grounds odor absorber
The stool is actually melena, which smells a thousand times worse than the non-bloody variety. Might as well pour some coffee grounds into a few emesis basins to absorb the smell and take the edge off the raunchiness. Place them around the room on the countertops. Coffee grounds have an awesome odor absorbing ability!
6. Deodorize your tubing
At long last, it's flexi-seal time! Sadly, that tubing still allows the smell to ooze out and into your nostrils. Take a deodorizer/ odor eliminator spray and remove the cap. Pour a small amount of the liquid into the brand new flexi-seal before you use it. Work it through all of the tubing and let it go into the bag. This will definetly help in minimizing the amount of odor that seeps through.
7. Bucket O'Goodness
Now its time to clean up your smelly patient. Grab a pink bucket and fill it with everything! Soap, Shaving Cream, mouthwash, and shampoo should do the trick. The key here is the shaving cream....it works like a charm.
The patient's who test your patience!
Tonight at work, you have a wild, crazy, confused patient and you need every last trick in your book to maintain your sanity for the night.
8. The Cigarette trick
Your patient is so confused he continues to try and "smoke" his pulse oximeter or screams for a cigarette for hours on end. Cut a straw in half, use a red marker to color the end red, and let him puff away. I'll even rip an alcohol wipe in half to "light" it for them....it kind of sounds like a match being lit. But that fake cigarette will keep them occupied long enough for you to get some charting done!
9. Mask your patient
Well, now your patient starts spitting at you. They are restrained, you are wearing a gown, and standing as far away as you can. What else can you do? Put a mask on your patient so everytime they spit, it sits right there on their own mouth and nose. Talk about teaching them a lesson!
10. The Back Saver
Your patient needs a boost and no one is around to help you. Place their feet directly on the foot rest. Turn the bed upside down and start to shorten the foot of the bed. Hold their knees so they don't bend as the bed shortens. This will push them up to the top of the bed and the most energy you used was pressing the little button to shorten the bed.
11. The Taco
Your little wiggle worm ends up at the bottom of the bed every 15 minutes. Place a pillow under their thighs to start. Then, raise the legs as high as they will go, trendelenburg the bed, and place the head at 30 degrees. They will soon be in the shape of a taco and have less chance of scooting down when their backside is wedged in the curve of the bed.
12. The Burrito
Somehow your patient flipped their body so their head is at the bottom of the bed. They are probably screaming, fighting you, and can't breathe so getting their head up (or intubating them) is a high priority. Take the fitted sheets off the corner of the bed, wrap the patient up like a burrito, and with the help of 5 or 6 of your awesome co-workers lift the patient up off the bed and rotate them back to the right direction. Way easier and faster than trying to grab their kicking limbs and torso.
13. Washcloth trick
Your confused little old lady won't stop picking at everything in her sight. Hand her a stack of washcloths to fold. That will keep her hands busy and away from your lines and tubes. If you are really creative, you can configure the wash cloths to look like a doll with some elastic bands and ask them to look after your doll for you. There's something about laundry that always does the trick with little old ladies.
14. Lullaby sleep
If you have a computer in your patients room, find a relaxing, soundscapes channel on either Youtube or Pandora. Soothing, relaxing music will lull a patient off to sleep if you give it enough time. It helps decrease their anxiety and agitation. Plus, it's a much better sound to listen to than monitors beeping and suction sounds.
15. Healing Touch
You've given the maximum amount of pain medication, the doctor refuses to increase the dosage, and your patient continues to ask for more. If you have taken a Healing Touch class and know how to decrease someone's pain by balancing their energy field, you are in luck! Get to it. Relaxation techniques like Healing Touch stimulate the parasympathetic nervous system to release feel good chemicals like oxytocin and endorphins that help to block pain receptors. With the use of your hands, you can take away someone's pain!
Of course, some of these tips and tricks are last ditch efforts and used only under specific circumstances. Always keep your patient's safety, skin, and dignity as a top priority.
What are your best tips and tricks that you want to share with your nursing community?? Share your comments below!
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