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~~

Specializes in Emergency Nursing.

I used to be a sitter. I'll never forget the night that I was sitting for a suicidal young woman, and her family came in with their pastor. They asked if I would like to pray with them, and so I held hands with them and all of a sudden I was listening to the pastor say "And Lord, thank you for bringing sandyfeet here to keep (patient's name) safe, please bless her and give her the strength to stay awake all night...". I wish all sitters could hear things like that. They deserve it! It was such a difference from the treatment staff members gave me--waiting until 0330 to give me a lunch break, or making me beg for a bathroom break!

Thank you so much for acknowledging sitters. I'm a night sitter with an elderly lady who lives in an assisted living facility. The CNA's at the facility often roll their eyes at me and talk about us in hushed tones to one another since we stay all night with her....until she starts to stir and get out of bed on her own, where to wander we'll never know! That's the moment I spring to action. They complain because I rest during the night, but it's like resting in the room with your own newborn baby, I leap to action with the tiniest stirring! It's a job where I'm responsible for her safety all night long. It is a big job and I often feel underappreciated by other members of the care team. Thank you!

Thank you for the article.

I am a night shift nurse aide, and as part of my job I have to be a sitter quite frequently. The job can be exhausting and very frustrating at times. To be honest, I don't usually look forward to these shifts. The worst is when you have staff that don't support you, such as when your RN seems irritated to come in and assist, if needed, in a situation. Luckily, the nursing staff is great most of the time. I have been hit, spit on, you name it.

What gets me through these shifts is knowing that I can make a difference. I very much hate restraints, so I would prefer a confused patient have a sitter. On occasion, you get the patient who is so confused, agitated, restless, and combatitive that you don't feel like you've made a difference, since they required a restraint, despite the sitter, to keep you and themselves safe. I especially hate these nights because I feel like I have failed in some way.

Thank you again for the appreciation.

Specializes in Critical Care.

As an new RN who worked many times as a CNA/Sitter for the past two years with the oftentimes difficult patients I sat with, I would like to say how much I appreciate this post. I'm proud to say I always took excellent care of the patients under my watch but it wasn't - like you said - as easy as some might think. I really appreciate your wonderful post and I hope other RNs take it to heart :)

I work in pediatrics and I appreciate our sitters! They keep our little patients safe from disconnecting their vent circuits, pulling out their lines and banging their heads on the bars of the cribs. They enable our little ones to be safe without being sedated or restrained with "no-no's." They become companions who can play with them, hold them, and keep them company when they feel sad that parents are unable to stay with them all the time. They also make my job as an RN so much easier!!

My only wish is that we did not have to sometimes sacrifice our CNA's to sitting duty when we desperately need their skilled hands for our whole unit. I wish we had trained sitters to free up the CNA's. It's a tough night when we find out we are without CNA's because someone (or two or three) needs a sitter.

Specializes in Med-Surg.

Posted this on another thread, but oh, how relevant is this to the wonderful work sitters do, and the kind of things they prevent. This man SHOULD have had a sitter.

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Specializes in psych, general, emerg, mash.

no! Its a sitter...baby sitter for adults. unless they come with a nursing background or proper training, OR just have the talent, you expect them to perform properly when dad goes ballastic.

The post was good, and dramatic, but the point was clear as to what you father was like. Is he being preped for a ALZ warehouse?

We used to care for these people years back, and it aint easy. But we were trained and injured a lot for unseen things that they reacted to.

Specializes in Hyperbaric.

Thank you for reminding me I'm part of a team. Yes, combative patients can be loads of fun

Specializes in ICU, Trauma, ER, Peds, Family Practice.

Care giving is sometimes a thankless job except for the pay check. It is wonderful that you have greatly appreciated this person. Caring for you dad in his current condition is a constant vigilance. I have been there taking care of these patients and it is second to second as they have a certain strength within their frailty and confused states. Whether it is the medications, blood gases off the charts and a combo of everything this is person that needs so much caregiving as safety is a concern.

I wish your dad and family the best this is very hard to see our parent this way.

March 29 ab

To be a sitter is not an easy task, if you don't have the heart of caring other people you can't just do it, this job is very noble and yet it is belittled, for those who appreciate this work, I salute you

Thank You

Specializes in Maternity & Well Baby Nursery.

CheesePotato,

That was awesome! Thanks for the laugh! God Bless you and yours!

Aradien

Beautiful, thank you so much for sharing. I am so glad your father is okay! I am currently a CNA, registered to start my LPN program shortly, and I have to say, after quietly caring for so many people in the most basic ways (company, feeding fall prevention, hygiene etc) that the nurses and doctors aren't involved in, few people have ever bothered to thank me or any of the other techs I work with. It's so nice to now that we do good and that at leas someone notices! Bless you!