Sitters/CNAs: Thank You For "Doing Nothing"

I have seen, first hand, the horrible things that can come from one slip. I have born witness to the terrible heartache of decisions forced because of untimely injury. Last night, a member of my family was saved from such a fate. Nurses Announcements Archive Article

Two mornings ago I received a distraught phone call from my mother telling me that my dad, who is suffering with end stage COPD, spine compression fractures, and a distinct lack of proper narcotic metabolism, became flighty, picky and squirrelly to such a point that he was assigned a sitter.

Look, I've been around. I know what can be said about sitters. I know that for every one that understands the amount of sheer effort and work that goes into trying to keep someone in bed, calm and intact, there are several more misguided individuals that think sitting is easy, requires little effort and even less work.

Obviously those individuals need to meet my dad when he is blitzed out of his brain on Fentanyl and Vicodin. Let's just say that when my family decides to lose it, we don't just misplace our minds, we straight up blast them into orbit never to be seen or heard from again.

Maybe it's the southern mentality: go big or go home.

We pride ourselves on hearing the blankets whisper, seeing shadows slip through the walls, and having full out conversations with no one physical. We sing with gossamer birds, swat at oily, ethereal spiders, undress, and boot scoot boogie down the hall, crumpled spine and inability to breathe be damned. We talk back at the television (even though it's off), recite bits of poetry, and try to lick our meatloaf. We load pills in the end of water straws and attempt to "tranq" the "elephants" in our room. And yes, the nurse would just so happen to be the elephant in question. Perhaps wearing grey scrubs in the presence of one no longer operating on this plane of reality was a mistake. Just sayin'.

But regardless of all the insanity, of the wandering, flitting hands that pluck at skin tears, scrape at desperately needed picc lines, and fidget with the oxygen in his nose, and never, ever rest, he is safe, cared for, and, although gently, patiently re-oriented again and again, he is even kept company in his joyful delusions.

I went to see him the other night only to walk up to the room to hear him murmuring, "The birds...do you hear them?"

"Yes, sir. I think they are canaries. Let's lay still and see if they come back to sing to you."

"Okay."

And there he was, staring at the upper corner of the ceiling as if watching a menagerie in the zoo, rapt, still, his hands resting lightly on his bedding. The sitter, Margaret, greeted me and explained everything he had been up to in a hushed whisper.

After all, we were waiting for the canaries to return.

And then last night, a half mad, partially naked Humpty Dumpty decided to have a great fall.

It would seem that someone decided to tap into their inner ninja and attempt to vault the bed rails and make a beeline for the room exit. The gown was apparently trying to rat him out, so it was discarded for the sake of security (thankfully, he didn't manage to totally disrobe).

Mission impossible music may or not have been involved.

The sitter only looked away for a second. And you know what? I totally believe her. I've seen my dad move when properly motivated.

But it is not because of any "blame" issues regarding his escape attempt that she caught my attention. No.

It is because she was fast behind him, and when his foot caught and his burst of strength gave, she swiftly, skillfully guided him safely to the floor, cushioning his head on the soft toe of her shoe.

Because of her knowledge, her quick thinking, fast reflexes and sure hands, I am not writing a grieved announcement of my dad's need for a crani or an intermedullary rodding of a femur.

Because of her, I get to watch him listen to the sweet chatter of the blankets and blow bubbles in his soda.

And although that may sound like the strangest thing you have ever heard, I could not, ever, be more grateful.

It may not be much, but thank you.

Thank you.

Thank you for giving him the same dedication you would give your own loved one. Thank you for never yelling, never losing your cool. Thank you for laughing with me because crying is not something built into my coping mechanism. Thank you for not laughing at him. Thank you for speaking calmly with my hysterical mother when I could not be reached.

Above all, thank you for "doing nothing".

Most sincerely,

~~CheesePotato~~

Hardest thing ive ever done is sit overnight with a patient that is not acting up.

Your timing is so interesting. We all got an email today saying that due to budget cuts, we need to call our manager at home, day or night in order to get approval for a sitter. Our aids and unit secretary hours have been decreased and falls have gone way up as it is.

It really is a shame that the large university health system that I work for does not see the forest for the trees (I guess the dollar signs get in the way).

I loved this story, I am a sitter myself! Some days are easy, but some days are difficult. Patience and compassion are a must. I wouldn't have any other job right now...I have met some amazing people!

First and foremost, I'm sorry for what you and your family are going through.

Second, this post brought tears to my eyes as I remembered the hundreds of people I "sat" for as a sitter before I became a nurse. Thank you from the bottom of my heart for saying thank you to sitters. Boy do I have stories of my own from my sitter days. The one that comes to mind first was the lady I cared for on a neuro unit. I came in the morning at start of shift. Everyone thought the patient was still sleeping. I knew this was unusual for her. She didn't wake when I took her BP. I called out her name, over and over. She didn't wake, I began to call out for a nurse when one walked in. Rapid response followed by a CT of the brain. It turns out she had a hemorrhage. And everyone thought she was just sleeping. Many others saved her life, but I've always silently known that it was I, a lowly sitter, who caught it to begin with.

I had another patient as a sitter who began seizing while eating, sitting up at the edge of his bed. I cleared the food and lay him in in a safe position as to not aspirate.

I know I've prevented countless injuries and falls from confused patients trying to get out of bed. I know I've eased anxiety in countless patients.

Thank you for reminding me of all I've done. And thank you for being appreciative. Being a sitter is one TOUGH job.

Specializes in LTC, assisted living, med-surg, psych.

CP, as always, you write with a combination of poignancy and humor that's not often seen. I love to read your stories!

As a hospital CNA, I used to be a "sitter" too, mostly with patients on sui watch or CIWA protocol who needed 1:1. There were times when I almost screamed to be let out of the room because the patient was climbing the walls and driving us both crazy. But then, I'll never forget the patient I sat with during my co-worker's dinner break and wound up staying with for the rest of the 12-hour shift because we bonded in about two minutes. She was my age, a wife and mother who suffered from depression and had made a half-hearted attempt at suicide with a handful of tranquilizers when her husband threatened to have her committed.

We talked through the entire night. I don't recall what I might have said to help her, but at one point she sat bolt upright in bed and said, "That's it, I am NOT going to let other people have that kind of power over me, ever again." I ran into her in the mall about a year later---she recognized me right away, while it took me visualizing her in a patient gown to remember who she was---and she looked amazing! She had her two small children with her and was obviously enjoying life, and she thanked me again for that night we'd spent together battling her demons. It was easily the most gratifying moment of my early career.

Sitters do perform a valuable service, and I don't understand why hospitals are so stingy with them because they SAVE the facility money in the long term by preventing falls, exit-seeking behaviors and violent incidents, as well as the necessity of employing licensed staff to replace the lower-paid techs. Penny-wise and pound-foolish, I call it.

We all got an email today saying that due to budget cuts, we need to call our manager at home, day or night in order to get approval for a sitter. Our aids and unit secretary hours have been decreased and falls have gone way up as it is.

Saving money? They'll be paying in spades.

Specializes in Infusion Nursing, Home Health Infusion.

I loved it when I had a sitter for my patients. I made sure they got breaks and kept them happy. I checked on them and the patient frequently and even brought my sitters drinks. This goes along with respecting every member of the healthcare team from the housekeepers on. Besides from being a decent human being you just never know when you may need that person.

I remember a ward secretary that was spreading catty rumors about me :devil: and my boyfriend. Well, one night look who gets admitted to my unit with an SBO and look who is in charge! I think she turned a pale green when I walked in the room and almost passed out when I immediately secured some IV pain medication for her,got her settled and comfortable and she was fully aware that I knew of her insane jealousy and untrue nasty rumors.That WS from that day on treated me like a queen because she learned her lesson the hard way and realized I was kind person that chose not to use my position to seek revenge.

Glad you dad is OK

Oh wow! Great piece of writing!

Specializes in Psych/med surg.

I am currently a sitter while looking for my first RN job. I am so glad you acknowledge that what we do is not easy. I have met some awesome patients while being a sitter and I have learned so much.

You definitely have a way with words, and there is a lot of truth in your writing! Sitters are definitely under-appreciated for the most part, yet so necessary. I've also had the pleasure of hearing the families of patients express their gratitude for the sitter that was assigned to their loved one, though. It happens, just not enough!

Specializes in Sleep medicine,Floor nursing, OR, Trauma.

Your kind words and genuine well wishes are very much appreciated. I am thankful for each and every person that took the time to pause and read my ramblings.

As for the gentleman in question, last I saw him, he was attempting finger painting with mayonnaise. But he was content, and that is all that matters.

They have stopped his pain meds to see if he will come back around.

I have yet to decide whether or not once he "sobers" I want to show him the video recorded conversation between he (him? Grammar Fairy to the courtesy desk, please.) and "some guy in a cardigan", AKA: the curtains.

I'm pretty sure the fact that I recorded anything places me smack dab in a beach-side property on the lake of fire.

I think I'm okay with that.

Kindest regards,

~~CP~~

Specializes in Public Health, L&D, NICU.

"go big or go home" :roflmao:

Reminds me of Julia Sugarbaker's oh-so-true quote about crazy people in the South: "I'm saying this is the South. And we're proud of our crazy people. We don't hide them up in the attic, we bring 'em right down to the living room and show them off. See, Phyllis, no one in the South ever asks if you have crazy people in your family, they just ask which side their on."

I remember sitting with my grandfather when he was having oxygenation issues. Lord have mercy, we could have used a sitter. Especially after he bit my aunt.