®Nurse, MSN, RN 9,768 Views
Joined Feb 26, '08.
Posts: 1,125 (63% Liked)
I was a CNA before the Internet, before cell phones.
I had two small children and a husband who was overseas for active duty.
No one ever had any problems getting ahold of me because I was at work and could be easily found.
I went to college for nursing and people could even find me in class!
I went to clinicals and could be found there too.
Your proximity to your keys, cell phone, and wallet is a "want", not a "need".
How will you feel if you are dismissed or disciplined at your job because you could not be separated from them?
Leave them in your locker.
I'm gonna take a stab at an answer.
Let me be upfront and honest in saying that after working Med/surg and numerous, numerous other floors over the past 20+ years, the main reason why I work in ICU is to preserve my own sanity.
I am very detail oriented, and when I'm in a room trying to take care of a patient in a critical condition, the last thing I need is for family members to start asking me questions regarding "critical care 101"...such as; "Well, why does that thing do that?, What does that number mean?, When do you think (insert patient's name here) can go home?, Why does (the patient) have all those wires sticking out of them?", and on and on and on......
Dear Lord but I do so love visiting hours and limitations on numbers of family in the room at any given time.
A very famous philosopher once wrote something along the lines of; to know oneself is a pretty cool thing. I KNOW that I cannot stand distractions when I've got thirteen different drips all running out at the same time, a CRRT going on, an insulin drip with q hrly blood sugar checks and rate changes, a vent that is alarming and on and on. Meanwhile, a curious family member is asking me questions one right after another like I'm just there to be on hand to call the Dr. in case something goes wrong. (Deep breath in.....and....*sigh*.....Go to your happy place, go to your happy place, go to your happy place.....)
My advice to you, is to grab a stack of papers and a pen or pencil and hand them out to each person in the room. When the family members start asking questions and you're not sure what the answer is, tell them that you want to address their concerns and you want to be sure that you understand the questions. Say to them "I want to make sure that I answer the questions that you have for me. Would you please write down a couple of your BIGGEST CONCERNS that you need me to answer for you this shift, and I can work on getting all the facts together for you".
If the family members write down a questions that looks like something that only a rocket scientist and a crystal ball can answer, then you can tell them; "OOOOooooOooo. This sounds like such a great question for the Dr.!" Is it all right with you if I leave this on the chart for them to address if they don't get back to me before the end of my shift?"
This, my dear poster, is actually a very good time management skill that also goes by the name of "Delegation".
Trying to get through this shift is like trying to "herd cats".
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