I'm not one to complain or moan or gripe all that much
I love nursing,love caring for my patients and have been commended by my co workers, patients and patients family for the nursing care I provide.
however, last nite *I work on a busy med/surg floor* we had a patient, 77 years old, chf, history of MI, atrial fib etc etc, from telem two days ago..
at 2130hrs asks for sleeping medication
and for me to straighten her up for bed, I do just that, end of story
at 2415 or so shes screaming, in chest pain, O2 on the floor, desating etc,my incharge/co worker called RT and the MD stat, they came within five minutes, the patient all the time saying that we arent helping here and we have been ignoring her all night etc etc *the untruths begin here*
situatin gets much worse, urine output non existant, giving lasix left right and center, morphine IV other meds etc, keeping in mind I have 7 other acutely Ill patients and only four other nurses on the entire floor, I do not leave this patient, I am in the room doing q 5-15 minute vitals, BP is super high and then crashes as does
the HR - md paged again, and she was wonderful about spending so much time with this patient-the usual brush off did not occur, the term ICU is mentioned but there are no beds available so we hope she stabilizes and give more meds etc
thankfully round 5am she stabilizes, at 6am I notice she starts to put out some urine, I am truly happy that I have helped this situation so much,one of those really proud great moments
until the patient proceeds to tell her family, her friend, the other pt in the room that I have ignored her all night and didnt want to help her etc.I politely disputed that everything was done and attempted to explain to the pts daughter the timeline of events that occured, pts daughter says her mother wouldnt lie, and while i didnt say she was lying *eventhough she was* i just pointed out that the care was constant and situation acted upon immediately - how could I call the MD stat without any vitals to report to her, i couldnt even get the patient to stop shouting long enough to put an 02 mask on her face, no history of confusion or anything, in that case i wouldnt hold the things she said against her..... i know mean ppl exist all over and she IS ill etc, but I helped in saving her life, and feel so sick to my stomach that she would say this things when all I have ever had in my nurisng career is positive feedback......I feel disheartend and my superior did not support my feelings, she just said "dont take it personally, as long as you chart what you did" its not the charting im worried about - that was done promptly and accurately from the get go
its this feeling I've had since I've gotten home,
I'm crying, feeling belittled , angry, hurt
the whole thing, this has never happened before
if anyone has any great pearls of wisdom to share
i would appreciate it
sorry for yattering but the feelings are so fresh in my mind now its upsetting
Dear Dear hapeewendy,
My heart truly goes out to you this morning. I know many of us can feel your pain across the miles, as we are all too familiar with the feelings you have expressed. But you must know this...YOU HELPED SAVE this woman's L I F E! No matter that she is in a frame of mind that attacks rather than thanks, that she is so full of self, that she can't see or hear reality. No matter that her selfishness prevents her from stating the truth...YOU HELPED SAVE HER L I F E !!!
Those around you know what you did for her, GOD knows what you did for her, but most of all Y O U know what you did to assist this woman to be able to even see her daughter again, even though it was to LIE on you! You forgot about yourself, and opened your heart to put her survival first and foremost. Y O U did EVERYTHING in Y O U R power to make sure you helped her to have a fighting chance by lending her your strength, your caring, and your prayers, to assist her to rebound back from the brink of death. Just the fact that this is still troubling you speaks volumes to how much you laid yourself bare.
Now hapeewendy...you must lay this aside...because no matter what she says, or doesn't say...she can NEVER change the fact, that Y O U were there for her! She had the BEST nurse she could have ever had, and in her heart I BET she knows it! If I ever have the misfortune to be on the edge, I sincerely hope I have someone with Y O U R compassiionate and determination to be at M Y bedside to fight the battle for M Y life, as you fought for HERS.
WELL DONE happeewendy...you won in the eyes of those it matters. Y O U W O N!
Last edit by Brownms46 on Feb 18, '02
My story...( hope it helps to know others have had their share of these situations) ... we had a woman who became very confused after big abd. surgery. She was a volunteer at our hospital, so we all knew this was not her usual self. She was so confused she pulled her NG out and almost got her central line out. She kept trying to get up to go home. Even with repeated explanations of why she was there, she did not believe us. She denied having had surgery and said we had kidnapped her. She called her husband at home to tell him how bad we were. He came and stayed with her, but she still had to have wrist restraints to keep her tubes in, and herself in bed. It was one- on- one most of the night to keep her safe.
With the light of day, her confusion left, but her memory of the nights events were still very clouded. She told the doctor and all of her many visitors how awful the nurses were. She exclaimed over and over...
-If they had just told me not to get up, I wouldn't have; and if they had just told me what those tubes were for, and not to pull on them, I would have left them alone. There was no need for them to tie me down.
Even when her husband explained to her how many times we did just that, she refused to believe it. She was upset with us for a long time.
Later on, maybe with the help of her husband, she did realize how confused she had really been, and she really felt bad about it. We were lucky that she volunteered at our hospital, or we may never have known that she 'finally got it right'. I wonder how many people that she told how 'bad' we were, ever heard the real version of what happened.
Last edit by plumrn on Feb 19, '02