rabbitgirrl 5,084 Views
Joined: Jun 6, '07;
Posts: 141 (68% Liked)
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I am sorry to read about the stress you are under. May I respectfully suggest that you may need to look at your day and plan it out ie organise your time management. It will help you be more organised and in control because lack of control will be worrying you now and it is a vicious circle which will cause you to be panicing and worrying over night. Ask a more senior member of staff who you trust to help you organise your day and once you are in a strict routine it will make your day easier. I know we cannot predict the day emergencies happen, but if you have a very strict routine are organised it becomes easier.
Not sure what religon if any but some religons shun rewards and/or all pridfull events.
An LDS friend of mine makes hugh donations to charities with no name attached. I mean thousands.
He also has never attended any graduation event and he has a PHD. He is not shy, he just says it is his contribution to his personal humility.
I am not this way but I do respect his right to choose !
I had a patient multiple times, frequent flyer, COPD/CHF. He was active in his church (Methodist? Presby? don't remember now), and he would often really fight to get dc'd so he could be in Sunday School. He would always tell us that he prayed for all of us every morning when he woke up. Even though I'm catholic, and he was protestant, he'd often ask me to join him in the Lord's Prayer first thing in the morning. If I could, I did. So, keep in mind, he initiated the religious aspects of the nursing care.
One night, I got a call from a friend of mine in ICU. Mr. X was there, and he had taken a sudden turn for the worse and was dying. The family was 2 hrs away, and there was no way they could make it in time, flash edema was just coming out of the guy's mouth like a river. I got there, and he looked at me with this desperate expression in his eyes. I took his hand, placed a hand on his forehead, and told him, "Mr. X, I'm here. Do you want me to pray for you?" He blinked his eyes, and I said the Lord's Prayer. When I said "amen" he never took another breath, and flat lined...he had been waiting for someone to pray over him before he'd let go.
Sometimes, prayer is the last nursing intervention we can provide.
just my ignorant student nurse opinion, if the police wanted him they should have stayed at the hospital. i don't mean to be overly naive, but would calling the police at discharge violate the hippa?
In my neck of the woods, for a while, the police would say that they had been "temporarily" signed out of jail so that the county would not have to incur the cost of medical treatment. They would also try to get us to notify them upon release. Like prior posters, not my job to hunt down people to come take these folks! After a few "slipped through the cracks" that stopped! Our hospital requires that anyone arrested, regardless of status, has a guard in the room with them at all times for patient and employee safety. No if, ands, or buts!
I would think that he left AMA since he was "last seen wearing a hospital gown". Unless he was arrested naked. LOL
In my part of the country, if someone is arrested, they have a guard on them from the police department at all times until they are discharged. Even if they said to contact them and left a good number when the pt is discharged, who is to say the patient won't leave AMA and just walk out before the police have time to get there? That is just ridiculous. It is NOT the hospital's responsibility. The police department dropped the ball!
It is their job to escort suspects who need medical care to ensure they 1) don't escape and 2) don't hurt anyone. The ER staff can't be expected to know the status of patients with regard to law enforcement, nor do they have any authority to hold a patient against his will.
I say the law enforcement dropped the ball...
Check this line from the story:
While Harris had been arrested, he wasn't arraigned yet so there were no officers there to guard him.
just like with physical assessments, questioning the patient is a method of obtaining information regarding the patient's spiritual needs. and one of these questions might be...... "do you desire someone to pray with or for you?"
I have not read this whole thread, so excuse me if I'm missing something.
I would say that 85% of the time it is wrong to offer to pray for someone without their specifically requesting you to do so.
The only time I would think it appropriate is if you knew the patient well enough to know their spiritual beliefs and what is comforting to them. Offering to pray for someone without that certainty or a request is, to my mind, invasive, immoral, unethical and out of your scope of practice. And it's proselytizing.
As a Jew it is a really really uncomfortable experience to have others assume that they know what is the appropriate expression of spirituality and religiosity for me. People have been trying to convert us for 2,000 years, and it hasn't always been pretty. It feels like an assault. Doing it when I am a vulnerable patient would be terrifying.
I think before one offers anything that is out of the normal realm of nursing, whether it is to share some personal information, or offer to provide a service that is not part of the nursing role, you have to ask yourself first -- "who am I doing this for?"
If someone asks you to pray with them, or for them, that is one thing...and I also believe that it is OK to refuse such a request. Holding someone's hand in silence, or saying you will "keep them in your thoughts" if that is where your comfort zone is makes more sense to me.
Yes, we care for the whole person, body, mind, and spirit, but we do it in a way that is helpful to them, not what we want or think is right.
But wait I thought there were 1 billion nursing jobs unfilled due to the nursing shortage
I hear you, and all the posters who said you have to set limits and demand the respect you deserve are exactly right.
We had a lady on the vent for 60+ days with pulmonary fibrosis, and every day you could tell what her family had looked up on WebMD the night before. Asking detailed, questions about vent setting trivia, acting angry the split second it seemed like she wasn't the center of attention at all times. Her husband yelled at one of my co-workers one afternoon about how "no one has been taking care of her". I went in the room and told him to google pressure ulcer when he got home and then ask himself how she had been laid up here for 2 months without having one....then see if he still thinks no one's been taking care of her.
He must have done it because the next day he apologized and that was the end of them acting like that. Miraculously, without us ever taking care of her, she managed to survive her admission and went back home.
...what about setting limits? There are times when I have to tell a family member that I will get to a nonessential when I have the time. This is different from a needed PRN med or treatment.
We do not need to fetch all night long. Set limits and then stick to them. I think we all have to have a night where we go thru it...trying to keep a family happy. But it isn't good nursing care, when the fam thinks they have to demand everything. I remind them that I have other patients and will be happy to come by after my assessments, etc are done, that I have the priorities for their mother's care on my schedule.
...having said that; we all have nights like that...and we want to be super nurse. But we can't. So we set limits...firmly but kindly. If necessary, write up an incident report and ask doc to remind families that their loved one is in hospital for care, rest, tx, meds, OT, PT, and it's not necessary to bully the nurses.
AND if they want a private nurse, let them hire a private nurse from an agency, at no cost to the hospital.
The manager should really fix this problem because it can drive many nurses away from this facility.
I agree whole heartedly!!!! It's like this; NURSE= ONE WHO CAN BE VERBALLY ABUSED AT ANY TIME AND FOR ANY REASON. THERE WILL BE NO REPRECUSSIONS. (Did i spell that right?)
Anyhow, I too wish there was a way to scream to the world about this very same thing. Just because we are nurses does not mean that we are not human beings. Alot of the time, people don't understand that we too have feelings. I do understand that there is a certain amount of customer service crap that we must put up with but I also believe there is a very fine line. I am lucky that in my job, we do have the support of our managers. I have decided after 18 years of doing this that I will NOT allow people to cross that line with me, patients, family members or otherwise. We DO have the right to be respected just like the next person. Demand it and you will get it.
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