Sometimes it hits you... - page 3
by umcRN 14,348 Views | 31 Comments
It was five minutes till seven at the end of a long but good shift. I was on my way to fill my water bottle before giving report to the oncoming nurse. A nurse called out to me, "hey aren't you a family presence facilitator?" I... Read More
- 2Jan 21, '13 by RaewynvQuote from brittneHearing comments like this also drives me to finish nursing school. Hearing stories like these show me that there are compassionate nurses out there that really do care about what they do.Nurses like you make my drive to finish school and get into the field all the more. I know nursing is hard, but to have moments like these when you can reassure a patient or their family in their most vulnerable times just makes it all worth while. Thank you for the tears this morning, it was a heart moving story and a reminder to me that this is the type of nurse I want to become.
- 1Jan 23, '13 by HospiceNurseRNI work in a hospice inpatient facility. Many of our nurses are previous L&D nurses. I think the common bond is we know how 'fragile' the family unit is when faced with life, the beginning or the ending. It is a family experience where everyones feelings and memories they will carry for a lifetime need a loving supporting prescence. The families will not remember our names, but they will remember the love and support they felt during these life changing events. I do not remember the nurses name with my first delivery at 18, but I still remember her love and compassion, her calming prescence in my caos of fear. I not not remember the nurses name when my second child was in ICU, but I remember his compassion for not only my son, but for my husband and I. We do make a difference even when it causes us pain. I am sure God is pleased for all the nurses that offer not only 'nursing' care, but also advocate for families emotions when they are in so very fragile. You sound like a loving nurse and I am glad you were there.
- 0Jan 24, '13 by annette1Thank you so much for being so kind and caring towards that Mother! You don't know how much that meant to her!! I am a nurse too, but two years ago I had a little girl and she ended up dying from NEC. I brought her into the world and then 11 days later I had to take my little baby off of a ventilator. It was the most horrible thing I've ever had to do/go through. What I remember the most (and I remember everything) is the kindness from the wonderful nurses that were around the NICU that my daughter was in. So I know that Mom is very greatful for what you have done for her/them! Thank you for being such an amazing nurse! (((HUGS)))
- 0Jul 20, '13 by umcRNQuote from sarakjpWhat would you like to know?Would you mind telling me more about family presence facilitators? I am working on a project on my unit about inviting families to be present during codes and this role sounds like a really good idea!
We have a training program for RN's who are interested, I am not part of putting that on so I'm not sure where they get the videos/handouts. We got funding for this because over the long term we are doing a study and hoping to publish about it.
Essentially when a code occurs (or any kind of sudden decompensation ie needing rapid intubation) the family presence facilitator goes to be with the family (the facilitators are identified during morning huddle so everyone on that shift knows if we have one and who that person is). The facilitator is the liason between the medical team and family, they are RN's so can explain procedures to parents (coding/meds/line placements etc). Families are told that they are allowed to stay in the room if they can be calm and not hysterical, if possible they are allowed to be close enough to touch a hand or foot if they want to. If the patient is going on to ecmo that is a surgical procedure so parents cannot be in the room. In that instance they are invited to sit in the hallway outside the room and continue to get updates from their facilitator who never leaves their side. In the example I gave in my post the mother was already outside the room, I was able to ask her if she wanted to see/touch her baby prior to her going on ecmo and she wanted to, I then asked the doctor if that would be ok and she said it was so mom and I approached the baby so she could kiss her.
For the study we have paperwork to fill out after each time family presence is used, those papers are located on the code cart with the code sheets.
So far we have had almost no occurrences of families being disruptive and all appreciated being able to be with their child and observe resuscitative measures, there have also been several instances where families were present and they requested that resuscitation be stopped, most of those cases were kiddos who were not going to survive but parents wanted everything done anyways...until they saw what "everything" meant and they then decided they wanted to stop their childs suffering.
If you have any other questions just PM me, if I don't know the answers I can ask one of the other nurses who is more involved in the actual study.
- 1Sep 19, '13 by SuperRN7I had a very similar experience. It was Christmas day and we were half way through having a fairly decent day when we were told we were admitting a DKA. Okay, not a bad admission usually. Unfortunately, she basically came up the elevator arresting. Poor tracing on ECG, O2 sats not picking up and we weren't able to pick up a BP on the monitor. And all the while the ER nurse making excuses for why she was like this. Within minutes of her arriving we were compressing. Parents hadn't even made it into the unit. After an hour of CPR we were trying to put her on ECMO and someone spoke up and reminded us of the parents. Me being the only person without my hands in something I went out and got family. I will never forget the reaction when they saw me... they asked me if I was there to tell them she was all better. I could have collapsed. Instead I was leading them into a code situation. I stayed with the family throughout the rest of the arrest including helping to explain to newly arriving family what was happening, picking mom up off the floor in the elevator and then listening to them tell the doctor to stop.
Then I left at the end of my day to celebrate Christmas with my family...