Anonymous


Views: 8366 Created: 2007.07.18 Updated: 2007.07.18

Helen, The Nightnurse

Helen, The Nightnurse

My name is Helen. I work on a med/surg station in a private city hospital and the year is 1966. Many of our patients are quite wealthy and some of them are well known locally. Our hospital tries to cater to our patients and to make their stay as pleasant as possible. For example, patients can decide whether they would rather have lobster or steak up to 10 minutes before the kitchen starts setting up the trays. Our hospital has a nursing school as well. We pride ourselves on having a classy hospital.

I am sympathetic to patients most of the time, but sometimes it gets a bit much. I am a single mom with four kids, and a lot of these married ladies strike me as plain spoiled. I was feeling a bit burned out, and requested from the head nurse that I work night shifts for three months. I enjoy nights. Things are quiet, and patients are usually asleep. I bring books and knitting to keep me busy. She was happy to honor my request, as most of the nurses hate rotating shifts so often and it can be hard to have your body rhythms keep changing.

I took a short nap one evening and then clocked in at 10:50 pm. I listened to report on the tape recorder. The charge nurse from the evening shift gave me a list of "doctors orders" for the floor. A male nursing assistant worked with me this particular evening. I assigned him half the patients and looked over the list carefully. Many patients needed vitals taken every four hours or even more often. Vitals consisted of taking the pulse, blood pressure, temperatures, and sometimes respiration's. Pain meds had to be given every so often, in the form of "hypos". These were rather large injections given in the buttocks. I checked on each patient every half hour, just walking into the room and shining the light on the patient, making sure they were breathing ok, and their IV was working if they had one. If patients had surgery, X- rays or procedures to be done in the morning, we did the prep work. That included shaving them, and giving enemas. If they got up, we needed to remind them if they were NPO, nothing by mouth. Some had I & O signs on the outside of the room door. This meant their intake and output had to be measured. This meant they had to use a bedpan of course, and it had to be measured. Anything they drank or ate had to be recorded, and fluids recorded by ounce.

Tonight we had three new patients since two nights ago when I worked: Mr. Dayton, Mrs. Kaolin, and Mrs. Koonz. Nurse Heidi, charge nurse for evenings, said that the evening had been rather exasperating, as Mrs. Kaolin had been quite demanding. She didn't elaborate, however, as her husband was waiting to give her a ride home.

I began checking each room. Then I heard loudly, from way down the hallway "Nurse! Nurse!". Now why don't people just put the light on ? It was Mrs. Kaolin. "Nurse, I'm hungry. Can you see if there is ice-cream ? "Mrs. Kaolin was 55 years old, and quite overweight. She had one of those "starched" hair dos that were teased and hair sprayed into place. She was wearing a frou frou nightgown from home, rather than her hospital gown also, I looked at her chart, and she was NPO, so I explained to her that she couldn't have anything to drink or eat after midnight. " She said "its just 11:30 pm ". ":yes, it is, but I don't think its a good idea. How about a small drink of water?" She said "forget it" and turned back over, pulling her covers up. I continued to make the room checks. Before I had finished, Mrs. Kaolin was calling out again "nurse! nurse!" . I quickly went to her room and reminded her that most of the patients were sleeping, and that she needed to be quiet and should use the call light. She said " it takes too long to get a response from you nurses when I do that! I had to wait 15 minutes this evening to get someone to take my dinner tray! It seems many of the nurses in this hospital hardly know how to put in a day of work!" I repeated, "you'll need to use the call light" and left the room. I made a mental note not to respond to her if she was yelling out.

At midnight, I took a look at which patients needed vitals taken. I gave Sam, the nursing assistant, 6 patients to check and get vitals on. Mrs. Robinson needed a rectal temp taken as she had oxygen in her nose. She roomed with Mrs. Kaolin.

I quietly came into the room, and pulled up the covers, and whispered for Mrs. Robinson to roll on her side away from me. She had put on her own nightgown, very annoying. I had to ask her to raise up her hips, and pull her nightgown up to her waist. I put the lubricant on the glass rod, pulled her buttocks apart, and slipped the thermometer into her. She jerked a bit when I did that. I held the thermometer in place and put a bit of pressure on her back to remind her not to move. Since she didn't have a gown on, I couldn't cover her up easily, so she was naked from the waist down. I saw Mrs. Kaolin wake up, and look wide eyed at what I was doing. She shook her head silently back and forth, but continued to watch. Finally I pulled the thermometer out, and read it with a flash light. I wiped it off, and returned it to a glass jar with alcohol in it at her bed table. I told Mrs. Robinson that she was supposed to be in a hospital gown to make access easier. I got a gown, and brought it back to the room. She said "Do i have to? " I replied that she did. I scooted her nightgown up further and told her to raise up her arms. She sat naked on the bed, looked embarrassed. I started to unfold the gown, then found it was the wrong size, and was way too big. I went down the hall and got a medium gown. I unfolded it, and put it through her arms, and tied it just at the neck.

"OK, you can go back to sleep now. I don't have to disturb you for four hours." I covered her up with the blankets.

Mrs. Kaolin said "Nurse, while you are here, please check and see if the doctor ordered me any sleeping pills".

I agreed to check. I looked at her chart, and saw that the doctor had not. When I told her this, she told me to call the doctor and get an order! I explained to her that we only called a doctor at night for emergencies.

She then said "well at least I'd like to have a cigarette!".

I said, "I"m sorry, but smoking is not allowed in patient rooms, or at night". She glared at me.

"I"m going to talk to Dr. Bearon! I am NOT impressed with the nursing staff!."

I took a deep breath, and said evenly "well I'm sorry you feel that way". I went on to other patients who needed vitals taken.

After finishing that round, I relaxed with my knitting and Sam and I chatted. I could see the call lights on the rooms. Fifteen minutes later I heard that annoying voice of Mrs. Kaolin again yelling "nurse! nurse!". I ignored her. Pretty soon the other lights came on, as she had waked up half the ward. I quickly walked to her room, fuming with anger. She whined " I can't sleep! My stomach is upset!" I asked her if she was nauseated or had diarrhea?

"Yes, I feel a bit nauseated". I quickly looked at her chart. She was scheduled for a "lower GI series" at 9 am. I told her that it might interfere with her test and she should just try to relax and go back to sleep. She said "you aren't any help at all!!"

I walked back to the nursing station, and pulled out her chart. It looked like the doctor was hospitalizing her to run tests. She had complained about one thing after the other, and seemed to want to get attention through constant complaining about rather definite symptoms. I looked at the rest of her orders. Dr. Bearon wrote SSE till clear. I would do that about 5 am, getting her prepped for her Barium X ray. He did have valium IM PRN on his orders, as well as compazine in suppository form for nausea. I took a rather large syringe, and drew up the valium, put the cap on it, and put it on a tray along with a few other supplies. I frankly thought once she got some "meds" she would go to sleep for awhile, and we would have peace.

I quietly walked into the room. Her roommate Mrs. Robinson was fast asleep. I leaned down so I could whisper to her. I said that I had some medication for her. I told her to sit up, and then I pulled all the covers down to the foot of the bed. I told her to remove her nightgown. She asked "why?"

I said "hospital gowns are required. They are designed to make it easier for nurses to get access to areas that they needed to".

She said " I am NOT going to wear one of those ugly gowns".

I said, "OK, sit up".

As she sat up, I was bunching up the fabric of her nightgown and had it up to her waist. I told her to raise her arms. I said " the nightgown will have to be removed now and you can choose to be nude or wear a hospital gown when I'm finished". She looked startled, and tried to keep her arms down. I yanked the gown all the way off. She gasped and began to complain. I told her to roll over on her side. I took an alcohol prep pad, and briskly rubbed her upper buttock with it. Then I told her to lay still, took the cap off, and quickly jabbed the syringe all the way into her fleshy buttock. She cried out "ow, ow!" I emptied the barrel, and told her to stay right there.

Sam was checking on a gentleman in the next room and hearing her popped into the room, not realizing I was in there. Mrs. Kaolin quickly tried to roll on her stomach to cover herself when she saw him looking on. He asked if I needed any help. I replied, "yes, would you take the foil off the suppository for me and hand it to me?"

Know what? The woman was a pain in the neck, and I wanted to punish her by embarrassing her. Sam removed the foil, and waited expectantly for me. I told Mrs. Kaolin to roll over onto her back, and pull her knees up to her chest with her hands behind her knees. She complained that she did not want a young man helping with this!

I said "Ma'am, at this hospital. Men and women nurses care for both sexes. Now pull your knees up all the way, and to the sides."

She hesitated and then began to awkwardly pull her knees up. I let her wait, spread wide, as I slowly put gloves on my right hand. I then slowly put KY on my third finger, and put it to her anus. I told her to bear down. I put the suppository to her anus, and then quickly pushed it in as far as I could, twisting my hand to get it a bit further up. She groaned as my finger entered her, and then quickly put her knees together. I asked Sam to hand me the rectal thermometer.

"Mrs. Kaolin, I need for you to keep your knees back alllll the way, I said." Sam rummaged through my tray, and handed me the rectal thermometer.

"What? What are you doing?" she asked.

I said "I'm taking your temperature and the nurse decides how it should be taken."

I shook it down briskly and then with my left hand spreading her buttocks far apart, I inserted the glass rod. She closed her eyes, and turned her head to the side in embarrassment. I held it in place for five minutes, then pulled it out. I told her she could relax her legs now. I asked Sam to take her pulse and blood pressure. She had nothing in reach to cover herself with, but was quite meek while Sam did those. I then handed her a large size hospital gown and told her we would be back at 5 am to prep her. She said "what do you mean?"

I held the gown out for her to put her arms through. The gown was quite short, and it barely covered her buttocks.

"Well you sleep tight now Mrs. Kaolin. I'll be back in three hours to prep you for your X-ray. She looked puzzled, but said ok. I knew I was going to enjoy her prep. Evidently she had no idea what her tests and prep entailed.

Thankfully Mrs. Kaolin fell asleep and the rest of the night was doing rounds, a few patients needing pain relief and then a new admission from the ER. Soon it was time to prep Mrs. Kaolin. I had another patient, a 28 year old male that needed prep for barium X-ray also. Sam was new at enemas, so I decided he should help me with Mrs. Kaolin and then Mr. O'Malley. I got the IV pole ready, and a three quart disposable bag, castile soap, gloves, Ky, bedpan, razor, soap, emesis basin and extra towels together. I mixed the three quart bag with two packets of castile soap and very warm water at the nursing station. I let the air out of the bag, and then hung it on the iv pole. I had Sam fix the second one and a tray for Mr. O'Malley. I had him make it a bit hot so that it wouldn't cool too much before he used it.

We did a quick check of all the rooms, then proceeded to Mrs. Kaplans room, Sam rolling the IV pole and me carrying a covered tray. Mrs. Robinson was sleeping soundly so I tried to be quiet. I pulled the curtain that was between their beds so that she couldn't see over.

I whispered to Mrs. Kaolin. "It's time for your prep."

Sleepily, she asked what I was going to do. I told her I was going to give her anal area a shave, enemas till clear, and then would do a bit of anal massage with ointment to ease soreness before her barium enema X-ray.

"Barium what?" she said.

Oh, she didn't know what it was! I told her to get on her knees and bend over with her chest to the bed because I needed to shave her anal area. Dr. Bearon sometimes did a proctoscopic exam before the barium and if the patient had any hair at all around the anal area, he wanted it shaved off.

She stared at me, as if she didn't comprehend. I began to roll her over and repeated for her to get on her knees. I reached for the shaving soap and began to swish it in water in the emesis basin. I then got the razor out. She seemed frozen. Sam watched closely.

"Bottoms up Mrs. Kaolin, the shave won't hurt at all....."

Slowly she got on her knees. Pulling her gown together in back, she bent over a bit. I asked Sam to hold her shoulders down, and I pushed her knees apart from the inside. Then I pulled her gown way up to the front, lathered her anal area. I quickly shaved off the hair, while pulling her cheeks this way and that. Then I rinsed her off and patted her dry. I told her to get on her left side now. She rolled over, pulling her gown shut again. I smiled to myself. I demonstrated to Sam how to adjust the IV pole and that it should be about two feet over her hips. I put the douche nozzle on the hose earlier, it was already clamped off. I told her to put both knees up to her chest.

I asked Sam to hold her hips still. With one hand spreading her buttocks, I pushed the nozzle into her all the way. Quickly I opened the clamp and let the water rush in a bit quickly. She gasped as she felt the water. I pinched the hose to slow it down a bit. She just wiggled a bit for the first quart but then she complained she was full.

I said " I know this can be uncomfortable, but your colon really needs to be quite full to prep you for the X-ray. You will need to take the entire bag, and hold it ten minutes." I looked at her face and saw panic in her eyes, despite how dim the light was.

"Stop...stop...that's all I can take!" she hollered.

I continued to let the water fill her. I did stop and close the clamp when I could see she was cramping. She began to squirm and moan as she held two quarts. I rubbed the top of her hips, and then told her to roll on her back, knees to sides again. She groaned, but slowly rolled on her back with her feet down on the bed.

I said "No, knees open," and pushed her knees wide open. I pulled her gown up just under her breasts and began to massage her belly, pushing deeply at times, then kneading her belly or using circling motions. I asked Sam to practice the technique. She groan loudly when I pushed down, and the water was still filling her.

Suddenly there was Mrs. Robinson, sleepily standing there, asking what we were doing to her.

Mrs. Kaolin replied " they are killing me!"

I said "She is getting enemas before a procedure, Now you scoot to bed!"

I pulled the curtains around Mrs. Robinson's bed all the way. Mrs. Kaolin looked to be in dire distress as the last of the three quarts entered her. I had to take the bag off the pole and hold it up high to get the rest of the bag in. I almost felt sorry for her.

I told Sam "Ok, it's 5:30 a.m. now and she needs to hold this for ten minutes."

Sam's hand circled her belly gently and tried to relax her a bit. After five minutes I told her to get in the bottoms up position for the next five minutes. Mrs. Kaolin was now holding her belly and cursing me loudly. "Ooh , ow..."god damn nurse!"

I reminded her I was following the doctors orders. After five minutes and some leaking, we had to hold towels to her. I told her to turn over and get on the bed pan. After she raised her hips, I put the enamel pan under her and then pulled the nozzle out. She was now yelling, "OH! OH! " but seemed relieved as she gradually had less pressure. I told Sam we would give her 15 to 20 minutes to expel and we would start on Mr. O'Malley now.

As we got to the hall, I told Sam I would mostly watch him do the enemas on Mr. O'Malley, just making comments as he went. Mr. O'Malley was fast asleep. Sam woke him, telling him we were there to prep him for his X-rays. Sam pulled the covers down to the foot of the bed. He told Mr.O'Malley that he was going to remove the gown so it did not get wet and to raise his hips so he could put a chux pad under him.

I explained that Sam was learning how to do enemas, so I would help. Sam told him to get on his knees, chest to bed. Sam spread his buttocks wide and seeing hair, told him that he would need to shave him. He told him to hold very still. Sam got out the bar soap and filled the emesis basin. He lathered the lap, donned gloves and then slathered O'Malley's anal region. Then he deftly spread his cheeks wide and shaved an area three inches in radius around his anus. O'Malley was hard as a rock.

He blushed, said "I'm sorry," and hid his face to the bed. Then Sam decided to do a rectal temp while he was in position. He again spread his buttocks, put gel on the thermometer. I shook it down, and inserted it four inches. O' Malley groaned. Sam waited three minutes, then pulled it out and recorded the reading. Sam quickly took the douche nozzle that was prepared, lubricated it, and tried to push it in.

O'Malley howled "Wow! ow!" and his anus shut tight.

I told Sam to lubricate his finger then massage the opening, waiting for it to relax, then insert the nozzle. So Sam began to slowly and methodically, massage his anal opening, twisting his hand this way, then back.

O'Malley moaned. With his hips thrusting, spasming he climaxed. Sam quickly put a towel in front of him. Sam inserted the nozzle, and then opened the clamp. He let the water flow quickly. Sam needed to learn some things for himself.

Quite soon O'Malley was panting and groaning, "I can't hold it...I'm going to have an accident."

I told Sam to shut the flow off, then reach around to side, massage his belly and wait for the cramps to pass.

I told him that, "We don't always use three quarts and that if they seem very uncomfortable and it doesn't pass, to let some water back into the bag my taking the bag off the stand and lower it".

Sam waited, then started the flow again. He kept telling O'Malley "Just a bit more, relax, just a bit more, you can do it!" Pretty soon O'Malley was moaning, but had taken the entire bag.

Sam had talent. He told O'Malley to get on his back now, soles of feet together, while he held the enema. O'Malley got in position quickly and closed his eyes as he held it. Sam massaged his belly some more. O'Malley said he could make it to the toilet so Sam pulled the nozzle out and O'Malley walked briskly to the bathroom.

I told Sam to go with him at first while he expelled and to rinse the bag, refill to three quarts and no soap this time.

"Please, no, give me some privacy", O' Malley said.

I went to the bathroom to tell Sam that he would need to be with him, at least on and off. He blushed.

"I think he's doing fine, let's get on with enema number 2 for Mrs. Kaolin. We needed to get cracking!", I said. I quickly refilled the bag, three quarts, soap again for this one and hung it on the pole. Sam had taken the bedpan and rinsed it off. I put a chux pad under her and told her I was going to remove the gown because it had gotten wet. I removed it and put it in with dirty laundry. I told her to get "bottoms up" to start with. I put the bag a tiny bit higher this time and opened the clamp. It rushed in quickly this time. I was feeling rushed so I didn't pinch it off. She was fine again the first quart.

=====

"That's too much! Stop! Stop I'm telling you!!" she said.

"I'm very sorry, but you need to try to relax and breathe deeply. You are going to take the entire bag". I stopped for a few seconds at a time when she cramped, but kept the steady pressure going. Sam reached down, and massaged her lower back. She began to hold her stomach, and then gasp "NO!! NO!!" I slowed the water down. Sam began to coach her to relax, breathe, etc. She actually tried to relax as she finished the bag. We told her to get on her back again. I massaged her belly more lightly this time, counter clockwise. Then Sam had her turn half way on her side, and lifted her top leg up in the air. He reached down and massaged her buttocks as well as her lower back, then her stomach. At one point she began to leak, and I took a rectal dilator, put gel on it, and with her buttocks spread, pushed it in. It was large enough to hold everything in! As it entered her, she jerked forward, yelling that it hurt. She actually turned around and thanked him! After ten minutes, we put the bedpan under her. I asked Sam to check the call lights.

Sam did the second enema on O'Malley, three quarts with salt in the water and held ten minutes! O' Malley was very obedient when told to turn, or that he had to hold it. He seemed to enjoy it!! Again, Sam removed the nozzle and O'Malley ran for the bathroom. I told Sam to check the returns. When almost clear, we would be done. We went back to Mrs. Kaolin and gave her the next enema with a colon tube. It was three quarts again, with salt and soda in the water. She looked shocked when she 36 inch red tube a half inch wide. I explained to Sam that with the increased length of hose now, the bag needed to be higher, and had him watch as I did the procedure. I told Mrs. Kaolin to get on her knees again. I could tell she really hated that position. She looked alarmed at the colon tube. I told Sam to hold her shoulders down firmly. I put gel on the last four inches of the tube, and then inserted it in her rectum. I slowly let water in as I gently pushed the tube up. I loved the feeling of the tube slipping past those flexures. In less than five minutes, I had the entire tube in her, and the three quarts! She was much more comfortable this time, oblivious to how much she held. After five minutes I pulled the tube out and put the pan under her.

Sam and I did rounds again and checked on all the patients. I had almost forgotten! I saw three of our student nurses sleepily trudge down the hall. They started before the AM shift. I told them I was doing prepping for barium's and to follow me after they dropped their stuff in their lockers. They looked happy to be able to watch. It was O' Malley's turn for the colon tube. I didn't think Sam was ready yet to insert one. You had to be able to distinguish the slight twinge of the tube going around a bend from the painful twinge of it hitting a wall. You can not force a colon tube. It's rather an art. The three girls and Sam followed me.

O' Malley looked very embarrassed, like he knew what was going to happen now. I had Sam get the equipment together and I told O' Malley that these were students and they would be learning by watching him getting his colon tube high enema. I washed my hands, put on clean gloves and just lubed the very end of the tube. I told O Malley to get in the bottoms up position and put a generous amount of lube on my fingers. Using two fingers, I stretched and lubricated his rectum. He moaned and quickly became hard again. I couldn't help but let my fingers go over his prostate gland. The girls giggled as they saw his erection. I chastised them and said they would be getting the next demo if they weren't careful. They were very quiet and apologized. I then deftly inserted the colon tube up the entire length, letting the water flow as I did so. Sam massaged his lower back and buttocks as I inserted it.

O' Malley seemed highly embarrassed. I then removed the tube, pulled down his gown, and let him expel in the bathroom. Sam followed him and after a few minutes said he was almost clear. I told the girls to follow me to Mrs. Kaplans room and told Sam to stay with O' Malley. I rinsed the bag out once more, filled to the three quarts, and added salt to the bag. I told the girls I would be demonstrating the positions for enemas while I did this. Mrs. Kaolin was still nude and had grabbed for the blankets. I told the students it is hard to give an enema modestly. The gowns get tangled and wet. So she would not get another gown until she was done. I told her to get on her left side, knees both pulled up. I inserted the lubed douche nozzle. The position exposed her genitals. As the water flowed, I pulled her top leg up to her chest more and told her to straighten the other leg. She tried to roll into the bed a bit. Then I told her to lay flat on her stomach, prone position. I continued to let another quart flow slowly with her on her stomach. Then I had her get on her back, knees to chest and demonstrated some variations, while the water flowed. I said that when you needed gravity, a second person could even take the person's ankles and pull their legs straight up, then backwards , so that the hips were off the bed, and the legs were towards the head. I asked, "do you want to try that?" The girls nodded eagerly. I had two girls each take an ankle and draw them backwards. Mrs. Kaolin was very uncomfortable, with her belly being compressed, and she had now taken over two quarts, and she began to holler "let me down!! let me down! and then "please! please don't!!"

"OK Mrs. Kaolin, lets finish the enema now. I need you to get on your knees, chest to bed, turn your head to side for me" I said.

She was glad to get out of the on back, legs up position, but now happy about being bottoms up in front of four people. I let the rest of the bag flow slowly into her. The girls were surprised to see the volume going into her. Although this wasn't as crampy, it still was a large enema and she was obviously in distress. Her eyes were big, and she complained that she was going to lose the enema, have an accident. I calmly told the girls she needed to hold it for ten minutes. If she couldn't hold it, the plug would be put in her. Soon she began to leak and I grabbed a towel, pinched her buttocks together, and then quickly pushed the plug into her. It was 1.5 inches. Then the last two minutes I had her turn on her right side. She seemed just a bit more compliant and meek. The girls got involved rubbing her this way and that, on her buttocks, lower back and belly, even shoulders. They looked startled to hear some loud groans come out of O'Malley in the next room. I told the girls they would be practicing on each other for enemas soon in class! I told them to get a gown to put on Mrs. Kaolin and to lubricate her anus with vitamin E ointment in whatever position they thought would work best. I did a final check on rooms, and laughed to see the girls had put Mrs. Kaolin on her back, knees wide spread and to her chest, and the took turns massaging her anus with gloved hands. She sputtered, but I think was very relieved to me done with the enemas...for now.

I did chartings and then reported off the charge nurse for days. I suggested to the nursing instructor, when I saw her, that the students go watch Mrs. Kaolin and O' Malley get their barium X-rays. She agreed that was a great idea. They did another vitals checks, and rectal temps on each of them, then covered them for a nap until 9 am!!

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lovesexbliss 13 years ago