A lot of the discussion on this topic is through the female lens. Men bring a refreshing new perspective about nursing practice & the associated interventions on the unit so if we could extend that to this topic I think it would help. It goes without saying that men do cope differently then women. I'm not saying men don't cry, but certainly we do so with much less occurrence and also I have never seen a guy cry because a patient was yelling at them.
Further, this could be a very beneficial thread to the nursing students of the world who may not have another male preceptor/instructor to discuss this with.
I remember there was this time I had a 3 yr old patient in the Paeds trauma/resusc bay with a bit of developmental delay ( I forget the diagnosis), who wasn't a trauma or resusc but certainly was experiencing respiratory distress- RR 60, don't remember the ABGs, Accesory muscle use, wheezy, 02 84% initially on RA. Basically this kid just got worse and worse over the course of about 4 hours. eventually put on non rebreather with continuous ventolin, not good. We were awaiting and ICU consult (intubation?) the poor little guy codes. He was medivac'd to the nearest children's hospital tubed and vented. It was my first code on a kid still remember that little fella and it hit me. Now I didn't cry or anything but I think the spring in my step was gone that particular shift.
All in all for my coping mechanism sometimes I hit the gym hard (whether that be weights, cardio or swimming it doesn't really matter) after rough shifts kinda burn out all the frustration. I work through the situation in my head (whether it be a particular patient causing the duress or that I just ran
my ass off all day no break) and just reanalyze to ensure that I did everything that I could, and if I did all that I could I'm satisfied if not, I learn from it and move on.
Other times I'll crack a cold one watch the game/tv/movie/sit on the deck and review the day again and learn from it, if appropriate. and i don't have alot just 1 or 2- I don't need a benzo drip or a form, know what I'm saying?
What do you do and does it work?
Oh and if you had some maladaptive coping that you resolved and wanna share (sound like a Psych RN much?) that would be sick and educational (especially for the students).
May 17, '13
by Esme12, ASN, BSN, RN Senior Moderator
Great thread....my only question....why was a 3y/o left in distress that long......3y/o Sat 84% RR60....they needed 100% and intervention/intubation LONG before 4 hours. Poor baby.
You don't have to answer because it's off topic. Being female .....LOL.....I just had to ask.
I indulge in adult beverages as well....a GOOD cold beer. A nice BIG glass of wine and a bubble bath.....go out with co-workers and "debrief" at the local bar/pub.
GO home and hug my babies.....who are teenagers now but still allow me to hug them as long as it isn't in the public eye....(wink)
Last edit by Esme12 on May 27, '13