Ugh...bad day at work - page 2

I just needed to post this to help clear my head a little. I don't want to get into too much detail, but we had a young adult code over the weekend and it was so sad. The sig. other was in the room... Read More

  1. by   Spacklehead
    Thanks, Raindreamer. Good luck to you as you graduate in a few days! How exciting...I remember that day like it was yesterday...enjoy!

    Also, thanks again to everbody else for your support...I am ok and I accept what happened...it just hit home because I have 2 very young children and it could have easily been me in that person's shoes. It's amazing how fragile and short-lived life can be.
  2. by   Brotherbob
    Quote from RainDreamer
    The nurses just all seemed like it was no big deal ....


    We had a bad nightshift, on Saturday, young people dead and dying despite our efforts. You could not see that affect me then, because I had to do my job and then be ready for the next patient. When I came home I put on a U2 CD I love and just cried. It has to come out. After all that is why I am a nurse, so I can do my best to help in the worst of situations. We had debriefing a day later. I love the people I work with. The only good things with these bad shifts is that the staff gets closer to each other.


    I am sorry for your bad day Softballmama. Some things are almost to much to handle. Maybe you should talk to some of your coworkers, I bet they feel the same. It is good to talk.
    Last edit by Brotherbob on May 23, '05
  3. by   RNCENCCRNNREMTP
    Quote from markjrn
    I agree with the post code debriefing. You don't need to "carry" this around with you.

    .
    Just an observational note here....


    Critical Incident Stress Management (CISM), and its defining intervention Critical Incident Stress Debriefing (CISD), were introduced to EMS in 1983. Since then, it has become widely used in EMS, fire departments, police departments, and other agencies to supposedly mitigate the effects of traumatic stress.

    However, there was never any quality scientific evidence to support the practice of CISM/CISD. In fact, most quality studies have found the practice ineffective while some have found that it actually harms some of those debriefed.
  4. by   Brotherbob
    Quote from RNCENCCRNNREMTP
    Just an observational note here....


    Critical Incident Stress Management (CISM), and its defining intervention Critical Incident Stress Debriefing (CISD), were introduced to EMS in 1983. Since then, it has become widely used in EMS, fire departments, police departments, and other agencies to supposedly mitigate the effects of traumatic stress.

    However, there was never any quality scientific evidence to support the practice of CISM/CISD. In fact, most quality studies have found the practice ineffective while some have found that it actually harms some of those debriefed.
    To me debriefing is a way to put something stressful in perspective and to find answers to questions. You dont have to talk much if you dont want to.

    I guess it would be harmful if someone feels forced to participate, but I think more people have been harmed by trying to pretend nothing happened.

    I would like to read those studies though.
  5. by   RNCENCCRNNREMTP
    Quote from Brotherbob
    To me debriefing is a way to put something stressful in perspective and to find answers to questions. You dont have to talk much if you dont want to.

    I guess it would be harmful if someone feels forced to participate, but I think more people have been harmed by trying to pretend nothing happened.

    I would like to read those studies though.
    Go to www.bryanbledsoe.com , go to "Handouts" and then "CISM Debunk". This is a large PDF file based on his PowerPoint presentation.
  6. by   MAGIK GIRL
    Quote from Brotherbob
    To me debriefing is a way to put something stressful in perspective and to find answers to questions. You dont have to talk much if you dont want to.

    I guess it would be harmful if someone feels forced to participate, but I think more people have been harmed by trying to pretend nothing happened.

    I would like to read those studies though.

    i think cisd makes management feel better. the best way for me is to talk to the staff and docs that were in the code - more personal. but i guess sometimes a personal level can have a negative affect as well. i have done cisd also and was forced to. i don't think it was much help because it was negative from the git go (being forced to attend.) however, i worked at a place where a 1 year old died in an mvc, coded and failed, and no one offered cisd. there were 2 staff members that did very poorly. it was a small community and the patient was known by some staff. i think that if offered, it would have been benificial in this instance.

    hope your days are better in the future!
    magik

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