Coping with the Death of a Fellow Nurse

Nurses General Nursing

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Nurses Losing "One Of Their Own"

Last night at work, I had a fellow coworker and fellow nurse seek care in our ED. She’s relatively young and the night ended with an admission and what’s going to be, more than likely, a terminal diagnosis. I won’t get into any details because she is a private person and I want to respect that.
She ended up relaying the info to me herself because the doctor had updated her prior to me reading the CT. I felt like I had been smacked in the face. I kept it together at the bedside and then cried in the bathroom immediately after. The only thing I wanted was for my shift to be over and go cry in my car. And now I sit here tonight with the entire scenario creeping into my head. I knew her husband when I was younger, he used to be my manager when I first started out in healthcare, super nice guy which only made it harder. I kept telling myself in my head, “you can’t be emotional right now because you gotta keep it together for your patient,” which I did very well at the bedside but I found it hard to concentrate when I was with my other patients. 
Does anyone else feel so deeply when “one of our own” is on the other side? I have known a few older nurses that have passed on and I always feel it so deeply that’s it’s uncomfortable. I think it’s because I look up to them so much, it pains me to see someone who has given their whole life to this profession, succumb to it. It’s hard to explain, but I know other nurses will know what I mean.  We are all human, it just feels as though we are invincible sometimes. How do people deal with watching “our own” on the other side of the bed? I think therapy may be in order. 

Specializes in Mental health, substance abuse, geriatrics, PCU.

I empathize with you. It's inevitable to lose co-workers over the years especially right now due to the pandemic. It can be hard, we spend so much time at work and with our co-workers and while we may only know one facet of our co-workers, it is still a connection none the less and it's normal to feel grief. Some people meander through the work place without forming connections, and that's okay, but healthcare is a team sport so I think for most people we do form a bond with our co-workers. I think your feelings are very normal, and if you need to go to EAP or a therapist to process your grief there is no shame in that, do what you need to do to continue on.

Specializes in Emergency Medicine.
20 hours ago, brandy1017 said:

Brandy1017,

Wow, what an incredibly hard thing to go through with your coworker! I am glad you were able to have a memory of her being happy with her family. 
I too, tend to feel emotional when I hear or read of a nurse dying, even if I had not known her personally. So it is reassuring to me that other nurses may feel this way at times too. 

In another scenario, I remember when RaDonda Vaught  was in the media and going through court after she gave that fatal dose of vecuronium instead of versed. Although I agreed with her losing her license, I empathized with her as I imagined what it would be like to go through such a horrible event and the regret/guilt you would feel for the patient and the family. 
 

We work in such an emotionally demanding profession, and although some nurses may be better at “turning it off,” I really do believe that even those nurses harbor those feelings deep down. They may not surface immediately but I believe they will manifest in other areas of their life at some point. I also believe that those nurses who empathize with their patients and allow themselves to feel the emotions of the situation (professionally and possibly privately) tend to be more heartfelt nurses. 

Specializes in Psych (25 years), Medical (15 years).
12 minutes ago, Nurse-please said:

In another scenario, I remember when RaDonda Vaught  was in the media and going through court after she gave that fatal dose of vecuronium instead of versed. Although I agreed with her losing her license, I empathized with her as I imagined what it would be like to go through such a horrible event and the regret/guilt you would feel for the patient and the family. 

Ew- that's a can of worms!

Overtly, it has been interpreted that Ms. Vaught's actions were not what might be described as competent during the incident or overly remorseful thereafter.

That whole ordeal makes me shudder!

Specializes in kids.
On 1/19/2021 at 2:54 AM, Sour Lemon said:

Honestly, I don't get this way of thinking- at all. It is sad when a coworker dies or has health issues ...but they've been born, had parents, had birthday parties, watched sunsets, had sisters and brothers and cousins, flown kites, learned to play the piano, graduated, fallen in love, traveled, gotten married, had children, climbed mountains, picked flowers, helped turtles cross the road, etc. I am just a coworker, and a tiny unremarkable compartment of their entire life experience. There's no way I could make their life or death about me or my feelings.

It would be terribly awkward if a coworker needed therapy because of my medical problems or cried about my medical circumstances in the bathroom. I'm trying to think of a way to make this sound nicer, but I'm too tired to figure it out at the moment.

But there is no context to her relationship with her coworker. Did they orient together? Did they work side by side? Was it a friendship of many years? Maybe they were friends outside of work. Lunch, dinner, travel, families? Maybe that is not something you experience or is a part of your culture. I have had several VERY close friends over the years and I can totally see why this nurse responded this way.

Specializes in ER.

I might shed a tear or two over a coworker's illness and death. But I definitely wouldn't have a problem coping. 

Work relationships don't carry over too much into my personal life. I thought I was super attached to the people from my last workplace, but now that I'm working somewhere else I really don't care about them too much.

 

Specializes in Home Health.

Hello there! Soooo, have you heard of the term Empath? If not, I would highly suggest you doing some research on it. Also, have you heard of N.E.T. -Neuro Emotional Therapy? If not I would also maybe do a little bit of research on that as well. 
 

Our work in the healthcare field as nurses is very traumatic whether we are consciously aware of it or not. I left my nursing career for good after 7 years and it has been one of the best decisions I’ve made for my mental and emotional health. Some of us are just way too sensitive for the way nursing has evolved. I knew in nursing school during clinical rotations that I wanted nothing to do with inpatient hospital nursing. I did try the OR but it wasn’t for me. I loved my home care rotation in nursing school so I became a home health/care nurse for the same Level 1 Trauma Center that I did my short stint for in the OR. I ended up caring for very ill patients anyway, but stable enough to be cared for intermittently at home. It was one of the best, most intense experiences I’ve had in my career, but it also traumatized me. However, because of my career in nursing I learned that I had a very special gift as an Empath which led me on my spiritual journey.
 

I left nursing and took a deep dive into spiritual studies 4 years ago after realizing that my desire to be a nurse was really to help people heal on a deeper level. Something that I couldn’t achieve as a nurse, in nursing. What I’ve learned it that illness is a manifestation of suppressed pain and emotions so it doesn’t matter who you are in the world or what type of work you do, if a person has unresolved “trauma”, it’ll continue to manifest outwardly in the human body/experience. 
 

I empathize with you. It’s OK to feel deeply. As you can see, it’s rare. Take care of yourself! 

On 1/18/2021 at 11:44 PM, Nurse-please said:

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Last night at work, I had a fellow coworker and fellow nurse seek care in our ED. She’s relatively young and the night ended with an admission and what’s going to be, more than likely, a terminal diagnosis. I won’t get into any details because she is a private person and I want to respect that.

She ended up relaying the info to me herself because the doctor had updated her prior to me reading the CT. I felt like I had been smacked in the face. I kept it together at the bedside and then cried in the bathroom immediately after. The only thing I wanted was for my shift to be over and go cry in my car. And now I sit here tonight with the entire scenario creeping into my head. I knew her husband when I was younger, he used to be my manager when I first started out in healthcare, super nice guy which only made it harder. I kept telling myself in my head, “you can’t be emotional right now because you gotta keep it together for your patient,” which I did very well at the bedside but I found it hard to concentrate when I was with my other patients. 

Does anyone else feel so deeply when “one of our own” is on the other side? I have known a few older nurses that have passed on and I always feel it so deeply that’s it’s uncomfortable. I think it’s because I look up to them so much, it pains me to see someone who has given their whole life to this profession, succumb to it. It’s hard to explain, but I know other nurses will know what I mean.  We are all human, it just feels as though we are invincible sometimes. How do people deal with watching “our own” on the other side of the bed? I think therapy may be in order. 

Please don’t misunderstand what people are trying to say to you. Of course it is sad and your concern is heartfelt. The way I deal with this is to say “this is not my sorrow.” Am I sad? Of course. There are a lot of sad things today and everyday. Our lives are hard enough with our own personal tragedies and the older I get, I realize that we all have our time on earth for how ever long that may be. ❤️

Specializes in ER, Pre-Op, PACU.

Honestly, I wonder if this is part of being an ER nurse. My first team and I were close.....and we had several very sad events happen in our ER and with our staff. I don’t miss much about the ER....I do miss how close our team was and I think a lot of it was through multiple traumatic events combined with the need for nearly seamless teamwork in the ER. 
 

I am one that I actually do think it is normal to feel very sad for a coworker. I know during a few of the deaths in our ER (within our ER family), it definitely cast a deep sadness over our entire department for quite some time. I think this is just part of being a very close knit group.....there is nothing wrong with feeling empathy or feeling very deeply for a friend.

Specializes in UR/PA, Hematology/Oncology, Med Surg, Psych.

I've lost 2 coworkers I worked with on a daily basis in the past 2 years.  They both passed suddenly and there was shock and a feeling of loss.  I cried over both their deaths and miss their humor and presence in my life.  No, I didn't grieve their passing like I would family or a close friend, but I certainly felt the loss.  I also had a coworker (someone I actually didn't care for much on a personal level) be murdered many years ago when I first became a nurse.  I went to the funeral and remember the person all these years later.  It's part of who I am.  It makes me sad to think that if I passed my coworkers wouldn't give it any thought, maybe that's selfish?

I think what you might be experiencing is not so much a sense of loss of THIS colleague (as if you were really close), but of identifying with someone who is going through an experience that you could imagine yourself in.  I don't mean that you are making it "about yourself," but that when something bad happens to someone LIKE us, it hits us in a way that a stranger's experience doesn't. 

When there's a tragedy that makes the news, there is often a huge outpouring of grief, support, etc.  Those are people we've never met, but seeing their stories and thinking "that could have been me" can hit home, and bring up genuine grief. It's not a bad thing; it's empathy.

For example, the Sandy Hook shooting affected people all over the world - people who had no idea where Newtown even was before the hordes of reporters descended on that little town. People identified strongly with the kids, educators, and their families, because it awakes in us the fear of sending your loved one out into the world, and maybe never seeing him or her again. People who had never met any of the 26 victims genuinely mourned for them, and hugged their own kids a little tighter. I think maybe seeing a nurse, a colleague, go through something like this can naturally bring up some feelings that her diagnosis is something that can happen to anyone; this is something that could happen to you. It's not making it "about you" in a negative way, but it's a personal connection that makes it harder to remain detached.

Also, nurses are used to taking care of people; it's a weird juxtaposition when the nurse becomes the patient.  For many of us, our identities are tied strongly to caregiving, and something that prompts us to picture ourselves on the receiving end of care is a bit disorienting. Not like having a psychotic break or anything, but it kind of shakes us our of our usual routine and comfort zone.

Nursing is a balance between keeping enough detachment that we can think clearly, and remaining compassionate towards those we serve. I think as long as you don't go crying in such a way that the patient/family is comforting YOU, there's nothing wrong with admitting that this case hits close to home for you.  Keep your compassion while working to develop effective coping strategies.

Specializes in Emergency RN, trauma nursing, ER & EMS educator.

First of all, I’m so sorry and I’m praying for your coworker and for you. It’s awful and your feelings are real and okay. There is absolutely nothing wrong with feeling sad and heartbroken. 
I too have lost coworkers and friends. I think it’s so hard too because we are with each other, sometimes, as much as our own families. Even more so during times of need (like pandemics.) It’s a deep pain. We go through things together that no one else ever understands or comprehends. It bonds us.  It ties us together. It’s a camaraderie that most others just don’t understand. So yes, it hurts differently.
Please reach out for help. I hope wherever you work even offers some type of free counseling, or some type of mental health resource. I’m so glad you reached out on here and asked. Know that you’re not alone and your feelings are heard. Many prayers and virtual hugs to you, your coworker and her family. 

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