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  #1  
Old Dec 06, 2006, 10:35 PM
Registered User
Join Date: Jan 2006
Unhappy First patient death...

Hello all. This seems like the best place to do a wee bit of venting.

I had a patient (I'm a tech in an ICU) for 3 12's in a row. She was a crack up and her family was awesome, and I really enjoyed taking care of her. She had been getting better (pneumonia) and suddenly coded after they moved her to Med Surg. I am not saying anything bad about med surg, it was the lack of caring or shock.Like, oh yeah, she died. I cried over this funny lady, hugged her family and what not.

I think maybe I'm too emotional for this job. The lady's niece said, "I hope you stick with your school because I think you'll make a great nurse one day." What's proper? Or normal, for that matter? I can see it in a LTC setting; you really get to know these people.

The way some of the other techs talk about patients ticks me off. They'll describe someone as a PITA, and from my viewpoint they aren't that at all. I did hair for 10 years before this, and still a relatively new cna. Just call me miss customer service.

Eh.... just bummed, I guess.

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  #2  
Old Dec 06, 2006, 10:40 PM
Senior Member
Join Date: Apr 2003
Re: First patient death...

You are definitely cut out for the job! There is nothing wrong with caring enough about your pts to cry over their deaths. And you never forget your first death. You will experience many more of them----some you will forget, but you never forget your first one.

As for how the others talk about pts, I am guilty about complaining about PITAs too, most of us are. It's wonderful that you have a different outlook on those same pts, and it doesn't mean that the other CNAs are cold and uncaring. They may see a different side of those same pts, or they may be grumpy.

Keep up the good work, you sound like a wonderful tech!!

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  #3  
Old Dec 06, 2006, 10:41 PM
TheCommuter's Avatar
TheCommuter (Female)
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Join Date: Feb 2005
Re: First patient death...

I work in a nursing home and will always miss the patients of mine that die. It is normal to have feelings for a patient that you have gotten to know and admire.

I'll admit that I'm not a tearjerker, but I miss my deceased patients. For example, I admitted a cute little 93 year old lady on Sunday. The hospital nurse who called report from the hospital deceived me into believing the patient was in stable condition. However, she was about to die when I received her 15 minutes later. I immediately called for continuous care hospice and felt a profound sadness that this dying lady had to suffer the trauma of being transferred.

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  #4  
Old Dec 06, 2006, 10:42 PM
TheCommuter's Avatar
TheCommuter (Female)
Palm tree lover
Join Date: Feb 2005
Re: First patient death...

By the way, what is a PITA?

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  #5  
Old Dec 06, 2006, 10:45 PM
RazorbackRN (Female)
Registered User
Join Date: Oct 2005
Re: First patient death...

Originally Posted by TheCommuter View Post
By the way, what is a PITA?

That would be pain in one's posterior region.

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  #6  
Old Dec 06, 2006, 10:54 PM
Registered User
Join Date: Aug 2006
Re: First patient death...

PITA = Pain in the A**

I work oncology/inpt hospice/palliative care, so deaths are nothing new to me. In fact, there was a day last week when we had 6! It was nuts. Everyone was in a hurry to get somewhere, I guess.

I take care of a lot of these dying pts over the course of months, or even years, and sometimes it really hits home when they die. It's really hard, especially the young ones. But it's a part of life. I like that I get to help people die peacefully, and help their families make the transition. The fact that you are upset that someone you got close to died does not make you too emotional. It means that you ARE cut out for this!

I had a sweet lady in her seventies not too long ago. I took care of her for almost two weeks. The day she died, only one of her three dtrs was there. She called her sisters to come in just before she died, and the one sister didn't make it in time. She saw me in the hall and grabbed me and hugged me so tight and cried for like 5 minutes before she went into the room, and she hugged me again and thanked me before she left. It made me feel good to know that I had helped the pt and the family. To me, that is what nursing is about.

And hey, if the death part doesn't work with your "style", choose a floor where it doesn't happen much. I have had other floors call me and ask me how to do morgue care - they don't know, because they do it so infrequently. True, it is usually expected where I work, but that's not to say that I haven't seen my share of people die who weren't ready, or who coded and didn't make it.

As for people talking about pts, it happens everywhere. Your coworkers are just blowing off steam. And don't forget personality - some people just don't get along with other people. I have had pts who everyone loves who didn't like me, and vice versa.

It's hard, but you're doing great! Just keep your chin up! Talk to your religious leader, or even a chaplain where you work. You'll find a way to cope with these feelings. Just be proud that you made a positive impact on her and her family! Good luck!

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  #7  
Old Dec 06, 2006, 10:55 PM
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Join Date: Aug 2006
Re: First patient death...

Originally Posted by RazorbackRN View Post
That would be pain in one's posterior region.
You beat me to it!

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  #8  
Old Dec 06, 2006, 10:57 PM
Registered User
Join Date: Jul 2006
Re: First patient death...

I cant tell the countless times I have cried for, about, and with patients and/or thier families in the 24 years I've been a nurse. There is nothing wrong with this, in fact you would be surprised how many families remember "that nurse that loved my mom or dad". Or sitting with the mom who just lost her little one in the neighbors pool who you havent even met really except for the last hour you were coding her child. They remember and they do appreciate. It also gives them permission so to speak to express thier grief at the moment feeling that you know what they also may be feeling. It may have been your first but I gaurantee you it wont be your last. It only shows you have compassion and your cut out for this work when you have that. It's the ones who dont have the compassion or become "hardened" that I worry about.

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  #9  
Old Dec 06, 2006, 10:58 PM
TheCommuter's Avatar
TheCommuter (Female)
Palm tree lover
Join Date: Feb 2005
Re: First patient death...

Originally Posted by miko014 View Post
PITA = Pain in the A**

Thanks for the clarification, as I'm not good with acronyms!

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  #10  
Old Dec 06, 2006, 11:42 PM
Registered User
Join Date: Apr 2005
Re: First patient death...

I don't know if this will help the OP, but I was at the receiving end of nursing care that was the last push I needed to pursue my new career choice.

My dad passed away in April 2005; the nurse caring for him that day had cared for him before (he was in ICU for 12 days and intubated for 7). She had struck me as very competent, but not huggy-feely. I trusted her, but she made me nervous.

Now I will never forget her.

When the monitors overhead began to beep constantly as Daddy started slipping away, she cut the noises off - and it was then that I realized she had been in the room with us for over an hour. When the lines went flat, and she pulled the ECG strip off the monitor and turned it off for the last time, I noticed that she was crying. Not sobbing, but tears were running down her face. She hugged my mom and then she hugged me - a real, warm hug. (That's when I lost it.)

I wish I could remember her name. I know I'll never forget her face. I would love to invite her to my pinning next December if she could come. As silly as it may sound, what I saw that day just convinced me that this is where I needed to be, and I'll always remember her for that.

People do remember. The families care. I wouldn't worry about what everyone else thinks. Your actions don't go unnoticed or unappreciated.

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