Can I get a situation review from experienced nurses? - page 3

Here's what happened: I took over care of a "comfort-measures only" 37 yo woman who was comatose and dying -- I was the night shift nurse. Her vital signs were being monitored via telemetry but... Read More

  1. by   MarySunshine
    Thanks SO much everyone! I was really beating myself up terribly.

    She ended up living another 20 hours or so past when I called them but they were able to be there, which I was so glad to hear.

    About the telemetry, I am a traveler and that was how she was passed on to me. I am not very experienced with comfort care patients and I am new to the hospital so I didn't really question the telemetry. I found it VERY hard and personally tramautizing to watch the monitor for 12+ hours. I will be inquiring into the hospital policy from now on regarding palliative care patients and telemetry.
  2. by   suanna
    Great job. You did your best by the family- If they had not been called and mom died without them there the family would have been irate. They expressed a desire to be called for changes in her status and that is what you did. I think its great that you prepared them for the chance that she may linger longer that expected but you didn't want them to be uninformed. The choice to be at her bedside is thiers. If you get a promotion to a position in which you know absolutely the time of a patients death you will have to use a Quija board or a burning bush to talk to the family in that there is no direct phone lines where they know that specific information.
  3. by   WhiteFlowerRN
    You did what you could do. I would have called the family with that dropping O2 sat. It's a hard call and you called as you saw it. That's really all you can do. WhiteFlowerRN
  4. by   sharona97
    Dear Earle 58,

    Agnes, what a memory and teaching tool. Thank you for that. The analogy reminded me of the movie the notebook, in the end the dh and wife died together holding hands.

    I hope to have the ability to sense when their passing is near as you have explained. Req Read said you were exceptional and I believe it!
  5. by   leslie :-D
    Quote from sharona97
    Dear Earle 58,

    Agnes, what a memory and teaching tool. Thank you for that. The analogy reminded me of the movie the notebook, in the end the dh and wife died together holding hands.

    I hope to have the ability to sense when their passing is near as you have explained. Req Read said you were exceptional and I believe it!
    wow.
    thank you, sharon.
    i'm feeling a bit humbled right now.
    but to be truthful, whatever i've learned, it has been all from my pts.
    we should be thanking them...

    leslie
  6. by   sharona97
    Quote from earle58
    wow.
    thank you, sharon.
    i'm feeling a bit humbled right now.
    but to be truthful, whatever i've learned, it has been all from my pts.
    we should be thanking them...

    leslie
    That is where I've learned many things is from the patients outside the hospice arena, but there is something very angelic that just keeps drawing me in for more knowledge. I intend to keep learning. I thank all of the info from the hospice nurses as well.


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