Allowing Family members to watch loved ones be resuscitated in the ER

Nurses General Nursing

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hey all, i was reading an article from advance for nurses and they had an interesting article entitled '' at their side'', about allowing family members into the ed while loved one's were being resuscitated. sorry i couldn't provide a link to the article (my computer's acting up). an rn who went to visit her mother in the hospital found her mother on the floor unconscious, started cpr, and stayed with her as the staff worked to resuscitate her, the experience opened her up to allowing family members in the ed during resuscitations because she believes that if the loved one can hear their family members voice, it may help them to pull through the experience, and she also believes it helps the family members see what is going on during resuscitation thus lowering anxiety and even provides closure if the loved one dies. they give the family member the option of seeing the resuscitation and they family member is briefed on what will be going on during the resuscitation. the rn even believes that it helps the er staff to see a different side of what it means to be bringing someone's loved one, back to life, and makes the staff more compassionate. i fully understand what the article is trying to convey, but i think that it can be a very traumatic experience for the family member especially if the loved one dies:twocents:.... i am half and half on the issue.... what do you guys think?

Specializes in Emergency Nursing.

I think that this needs to be looked at a case by case basis. Its a personal decision that reflects upon the culture, beliefs, upbringing and dynamics of a family and there is no right or wrong answer. I will say that if family members are going to be in the trauma room as the patient is being resuscitated then the hospital needs to provide a strong support system for the family to explain to them what is going on and help understand why things are happening when their happening. For some of these families seeing that doctors, nurses and other ER staff have worked tirelessly to resuscitate their loved one will give them some understanding and much needed closure but for others it could be a disaster that leaves long-lasting psychological damage. Just as an example, I'm not fearful of seeing blood, body fluids or even trauma but I think it takes an entirely different light if I saw one of my family members on the table intubated, covered with blood and surrounded by machines, tubes and wires. Maybe its just me but I don't know if I could be in the room watching helplessly as it all goes down.

!Chris :specs:

Specializes in Licensed Practical Nurse.

Very true soon to be, I'm also not scared of blood etc.. but I know I'd be hysterical seeing my family member in a certain state, I just can't see how someone could watch their loved one in that state, but like someone said before its about culture, religion etc...

Specializes in Flight, ER, Transport, ICU/Critical Care.

IF and it is a big IF - the staff has someone dedicated and educated about the process to support the family that witnesses the resus I think it could be beneficial for certain situations.

The ENA has a position paper in support of this and it outlines how to do it successfully.

I generally DO NOT feel that the type of resus I do is something that anyone would want to watch. It is often very raw and in certain situations it would be traumatic even for me IF I thought about it too much.

We just DO NOT have someone that can be "dedicated" to the observers/loved ones and viewing resus without a "guide" would surely cause more grief than it would alleviate.

Now, in the cases where I think survival is unlikely I will make a deliberate pause in the hospital hall or helipad for the family to "say goodbye" (at that point - if 15 seconds changes things the patient would have died anyway). I have brought the family in for a moment before I intubate someone, but that has only happened a few times in many years.

I think the practice has to be evaluated on a individual basis - based on the patient, family, expected outcome and support resources available.

Specializes in tele, oncology.

I have to say that the few times that we've had rapid response/codes on our floor and the family happened to be there that it was ultimately beneficial.

The one that sticks out in my mind the most was where we had a gentleman with metastatic cancer who was a full code despite the urging of staff and physicians to go with hospice, as he only had a few days left. We coded him with his wife present. It only lasted a few minutes before she started yelling at us "Just stop, we didn't know it would be like this, just let him go!" Many times ignorance is what determines code status, and until they see it, they just don't realize how much abuse we inflict on their loved one's body in the effort to reverse death.

Specializes in Med/Surg/Pedi/Tele.

I think this is one of the most difficult questions to answer. I personally don't think I'd be able to witness it. I love being part of a code just for the adreneline and awe of the people working the code but as far as being a family member and seeing everything that is done? Very difficult to answer.

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