Be Careful Out There - page 2
We all Know what we are supposed to do, what is safe and what is right but sometimes those lines get blurred and we don't think before we act, especially if there is an infant involved. The other... Read More
Apr 17, '03Wow, I hope all goes well. Thank you for sharing you story, what an eye opener. Saying a prayer.
Apr 17, '03I don't think the foster mother did not tell for any other reason than panic and shock. She was responsible for this baby and although she knew that the child would die, she did not think it would be this soon. I think that I would have probably been just as shocky as she was, like disbelief.
May 7, '03This is my first reply to this site, but this was quite a story!! Can I just tell you that the foster mother must have been in shock. My mother is a foster mother and the child that came to stay the other day, named Ashton has a major medical problem that none of the social workers decided to tell my mom until she was at my moms house for three days. I can't imagine my mom not telling the nurse if she had to take her to the hospital, had she known! I hope everything is well with the nurse and you have opened my eyes!! Too bad for that baby!!
May 7, '03What a horrible thing for you and your department to go through. It's traumatic enough to deal with an infant code, but then the HIV exposure just adds to the mix. I would have done the same, I think most of us would. My boss gave us face shields that attach to our ID badges because of something similar that happened where he used to work. I don't know if I would have stopped to even use it. I hope that your co-worker is OK.
May 7, '03Welcome Julz to the BB.
This is such a sad case the foster mom must have been in shock after all she only had the child in her care for one day & the death while expected eventually was unexpected. I'm upset your coworker may have been expose hope all turns out OK for the nurse. I would have done the same thing without thinking of AIDS or any other contagious disease.
Thats the state of the world we live in now.
May 13, '03My thoughts and prayers will be with you, your staff, and your coworker. This story (and I hope you don't mind if I use it) will help me in an upcoming inservice. We have numerous nurses that do not use PPE's very often - not even to start IV's. Hopefully your story will give them something to think about.
May 13, '03Wow. Certainly something to think about. I'm sure I would have done the same.
Sorry about the babe. And wishing your coworker the best. Must be hard on her right now dealing with the loss and her new concerns... Hugs to her.
Thanx for sharing this.
May 14, '03Thanks for all your replays and thoughts. My co-worker appears to be doing fine.
For those of your who have asked to use this story, please do. My intention for sharing was as a learning experience so that others will stop and think twice about their own health before someone elses. Although this may sound selfish, the only way we as health professionals can continue to help others is by keeping ourselves healthy and safe.
May 14, '03:imbar ,I probably feel as most of the rest--an infant --who thinks first? In this day and age we should all be more careful, best of luck to all concerned.
Jun 15, '03debbyed:
Yikes! Terrifying story, for the nurse as well as for the foster kids that are being placed with dolts such as these! I guess the "system" is stressed to place these unfortunate infants, and these are the types of homes they are going into. Any good ER nurse would have done the same, instant response--however, we just have to hope for the best in these situations. May God protect us! Also, I hope it's true what a neonatologist told me once that these infants born to HIV/AIDS mothers have the mom's HIV positive status at birth, but many are not actually HIV positive, they seroconvert to negative within 18 months. This infant, however, had to be legitimately sick, either from the HIV or something the foster mom did/did not do to care for the infant.
My prayers and thoughts will be with the quick responder RN who truly exhibited the selfless behavior typical of many ER nurses.
Jun 15, '03What a wake-up call, yes!
Reminds me of related scenario: While 6 mo pregnant and driving home from work at dusk, thru scary part of town, I watched a pickup truck at the side of the road, in the dirt, back into a building and the driver then collapse over the steering wheel. I didn't have a cell phone, didn't know the name of the street I was on. I drove to find the nearest phone, called 911, drove back to the scene, where paramedics had arrived and were resuscitating the driver. I pulled over and got out to speak with a policeman who was in attendance. I identified myself as the one who had made the call, said I was afraid to get out of the car and start CPR in my state and in that area. He looked at me and said, "Lady, if you were my wife I'd have told her to do exactly as you did."
As a nurse, I am still bothered by my decision not to start CPR. At the time it seemed the right thing to do: no one responded or came out of houses nearby when the truck hit the house with a bang (would I do CPR with NO backup coming??? For how long??). I feared for the safety of the child I carried (HIV, HepB, etc -- all the unknowns). I now have a cell phone, carry a barrier and try to make note of the name of the street I'm on, at all times. I checked at our hospital ER (the nearest one to the scene) the next day, for DOAs, and they said none came in. Maybe he resuscitated, maybe was taken to another hospital. Maybe he died.
Some lessons learned are harder than others. -- DLast edit by dianah on Jun 15, '03
Jun 15, '03Dinah
Last time I recertified in CPR (last year) they were telling us to GET HELP before commencing CPR. (If witnessed you could ensure the airway is open first). Otherwise, you will both be in trouble sooner or later. The one factor that has the most impact on cardiac arrest is how fast defibbrillation can be applied. You may have given this person his best or only chance at survival by doing just what you did.