Please don't judge me and my daughter

The night my daughter told me she wanted to kill herself was not an easy night. I drove her to the Emergency room that I used to work in, thinking they would care for her best. What I found was not true, and as a nurse and Nurse Practitioner I'm going to tell my story in hopes of making a change to the world I thought I loved, the world of nursing. Nurses Announcements Archive Article

The night my daughter told me she wanted to kill herself was not an easy night. I drove her to the Emergency room that I used to work in, thinking they would care for her best. What I found was not true, and as a nurse and Nurse Practitioner, I'm going to tell my story in hopes of making a change to the world I thought I loved, the world of nursing.

I now want to leave the only thing I've ever known because I don't want to be associated with cold, judgmental nursing with cold punishing eyes. I didn't ask for my daughter to be so depressed that she couldn't find another solution. The cold look in your eyes at me and my daughter spoke volumes.

I hope you never are faced with this fear or with the overwhelming feeling of failure that I felt as a mother that night. Your job wasn't to pass judgement or to be so cold-hearted that my skin crawled. Your job, my sister, was to look at me and feel empathy and understanding. Your job, my fellow nurse, was to accept that I was in crisis and going through my routine was the glue holding me together. That included bringing my meals with me because, besides nursing, my life in fitness was the only thing that made sense to me and filled me with the same passion nursing used to.

Your cursing under your breath at the TV showed that you didn't see nursing as an art. To you, it was just a job that paid the bills. Your lack of compassion and not introducing yourself before you drew my daughter's blood showed me you thought my daughter was weak; while in my eyes, she is very strong because she reached out to me so she was able to get the help she needed.

And to you the nurse who said it looked like we were camping out. Did you consider not everyone lives the same lifestyle and some of us may need food because of our way of life? Did you notice I kept everything neat and then cleaned up before we left? Did you consider that I needed that food and water to keep me from falling apart? How do you know that it wasn't for my daughter who has food allergies? As far as my daughter's belongings we had hoped she was coming home with me and she did. But you made us put them in my car and she walked out in the lovely paper scrubs provided for her.

You didn't touch a life that night. Your lasting impression left me cold and disheartened for nursing. You left me embarrassed to tell others of the profession that I so dearly loved for so many years. If it's true nurses eat their young, it's also true that the nurse of today is not doing what the nurses of yesterday set out to do.

Yes, I realize that my daughter may have been your tenth suicidal patient of that particular shift or week. I also realize she may have been your first. Either way, she deserved understanding and gentleness in your care, not detachment and cursing and rude comments passed. I deserved professional courtesy and maybe a distracting conversation.

Again I pray that no one in your families suffers from such depression that they see no other way out. I hope that they go on to live beautiful productive lives. As my daughter will not because a nurse in the Emergency Department touched her life and changed it for the better but because her mother, also a nurse, never stopped looking at nursing as an art.

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
Sometimes a fake smile turns into a real smile, and sometimes it even spreads into laughter, the best medicine of all! There are many times a smile is in order in life in general and especially so in nursing! Smiles heal. Try it sometime when you're feeling down.

I think there's actually a physiological link between our brains and our facial muscles contracting in to an upward position!

I know I am not the only one who has ever forced a smile especially when you've been dealing with lots of sad stuff like in nursing. It doesn't make it fake. It's created by me and my will, or actually, by God's will and blessing, so it is as real as any other smile. Can I get a second on that emotion???

Patients can spot a fake smile and it usually doesn't go over well. Smiling and laughing when someone is suicidal is completely inappropriate to the point of being insulting. Maybe the customer service crowd endorses this, but I'm not buying.

Specializes in Psych/Mental Health.

I was in the ER numerous times over a 10-month period when a loved one was dying (I was the primary caregiver). This was before I became a nurse or started nursing school. The callousness of the ER nurses I encountered was jaw dropping. It wasn't just one or a handful, it was the culture. Frankly, at that time I absolutely despised ER nurses and to this day I'm not a big fan of them. Ironically, I got more empathy from the MDs.

Specializes in Transitional Nursing.

I'm sorry you and your daughter didn't get the kind of nurse that would have best suited you that night. I'm also sorry you felt judged by her, but I would be willing to bet she was just overwhelmed and overworked.

You got the no nonsense "git er done" nurse, but - as long as your daughter got the help she needed, all is well.

Please don't let one experience paint the whole picture. As you know, nursing is very diverse and each specialty draws specific personality types.

Specializes in RETIRED Cath Lab/Cardiology/Radiology.

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Thank you.

Apologies for interrupting the thread, carry on.

Specializes in Cardiac Telemetry, ICU.

So many new nurses wanting to work in the ED would never in a million years consider psych nursing, yet psychiatric needs are constantly needing to be addressed there. It seems so incredibly foolish and ignorant to believe psychiatric patients are simply segregated off somewhere, conveniently out of your way so you never need to consider their needs and care. You all went to nursing school and were taught how to properly handle psychiatric disorders, so if you need a refresher, feel free to do so on your own time. Everyone should know better, choosing ED nursing is no excuse. Responding in an empathetic way to psychiatric patients doesn't require an education though, it requires giving a damn about the mentally ill.

Patients can spot a fake smile and it usually doesn't go over well. Smiling and laughing when someone is suicidal is completely inappropriate to the point of being insulting. Maybe the customer service crowd endorses this, but I'm not buying.

Again, TriciaJ, I'm not talking about a snarky smart aleck nor insulting smile or laughing at inappropriate times as you are insinuating. I think most readers understood what I meant but if not thanks for allowing me the opportunity to clarify.

Yes I am in the customer service business as a nurse it's called patient care and it is an art like Cat says. It's healing. I think it's okay for a suicidal patient to smile or possibly even laugh with their caregiver if they feel like it. May not be real likely but who knows it sounds like a most excellent outcome to me.

Actually the only time I see a smile or laughter could hurt is if its done out of meanness or ignorance like a bully or plain inconsiderate person would do. That's not what I was talking about in my post.

What does a smile have to do with excellent nursing care?

I am not following.

I think some people do need to realize that a neutral face is not a sad or angry face.

Sorry you weren't following, smartnurse1982, RN. The previous poster said they felt a 'fake smile' would have been "totally inappropriate." No one said anything about a neutral face I don't think.

While cursing a person usually has an angry face and it can be very stressful to others who don't like to hear it, just saying. Would you call it a hostile or loving environment when your child's caregiver is cursing in her ill presence?

Actually come to think of it and since you asked, I do think an appropriate loving, caring smile is an integral part of excellent nursing care! It's healing. It's compassionate.

Nothing is wrong with an 'appropriate' smile in my humble opinion. We can certainly agree to disagree.

I was merely trying to point out that it can be easier than one thinks to change their mood and also help those around them by just trying to put on a happy face and for goodness sakes not curse in front of our pediatric patients! How absolutely rude is that?!

I'm sorry that happened to Cat and her daughter! It's a sad state of affairs. I'm glad she spoke out both as a parent and a fellow nurse.

It's amazing to me that you set aside a suicidal pt crisis as being different than any other health crisis. They need your help just as much as the man having the heart attack, when that man looks at you with fear in eyes, what do you do? Do you look him in the eye and try to ease his fear or just keep on "saving" him. Or do you acknowledge his fear?

With a suicidal pt it's not the lab draw or the it start or the vitals that help them, it's looking them AND their family and acknowledging them and their crisis. It doesn't take a long time with a suicidal pt esp with family at bedside. They either have a sitter with them or are where you can see them and likely someone from psych is coming to do that assessment.. so outside of your tasks that's all you have to do.. but a compassionate look or touch or even sometimes a smile or some appropriate humor makes all the difference in the world. It's the moment when a pt in any crisis knows you see them.

I have worked in the ER..it takes no extra time when doing tasks to acknowledge that there is a person on that gurney, not an MI or a suicide attempt.

And please this Mom knows all about aching backs and being swamped .

I have a quote from maya Angelou as part of my email signature.. the one about people don't remember you for the things you do or say, they remember how you made them feel... ( paraphrased)

Seriously, its only about a moment of empathy.

Neutral maybe, but your eyes can convey volumes..

No one chooses to go to an ER anytime, unless of course you have had a sore throats for 4 days (I have seen it)

No one says you have to get involved in the why and how or other parts of the issue. But portraying yourself as warm and empathetic is something everyone can do. With everyone..no matter their reason for being there.

Also re psych pts in the ER, everyone has to be cleared physically in the ER before they can be admitted to a psych facility/unit. And currently the trend is to have dedicated mental health staff in ER's these days

Beautifully said!

And oh yes indeed a smile and even some humor ( appropriate of course) can do wonders. It doesn't mean you are making light of what they are going through,but sometimes it helps someone realize it's not so bleak..

I have worked in psych for a long time. And many aren't cut out for it. But I worked as a nurse in the hospital setting for many years before that, different dept's, different hospitals. Both as "regular" staff and as a traveler. Never once did I find that kindness,being genuine and frequently a smile let me down.

I agree with you about nurses. My daughter is chronically ill and has gone to the emergency room many times. We have run into the same thing with nurses who don't care and are down right rude! I want you to know though there are still many good compassionate nurses out there that consider nursing a calling. I

am one of those. I am finding that people everywhere are becoming more rude, entitled and heartless. It is a sad situation! I hope your daughter is better.

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