family presence at bedside during resuscitation and or invasive procedures - page 2
What is your feelings abbout this and what is your hospital policy. Have any of you read any articles on this subject. JWV ------------------ JWV... Read More
Jun 26, '00Occupation: RN Joined: Jun '00; Posts: 179; Likes: 5I have a relative who is by nursing standards, a NIGHTMARE as a patient! Many times I have accompanied her for procedures/treatment, etc. When I am asked to wait in the waiting room and/or step out of the room, I always graciously ask the staff "are you sure?" Then I comply, leave the room and start counting the seconds until they come begging for my return. It gives me a laugh everytime, and them too! Overall though, I think it's not a good idea to have the family present in crisis situations. I work in rehab, so we have the opposite problem; we WANT the family to be more involved, and encourage it, but some are very resistant. They think the nurse is slave labor, to be at the beck and call of the patient and family; when in reality, our philosophy on rehab, is to have the patient do EVERYTHING THEY CAN for themselves, along a continuum of stand by assist to maximum assist, with family going along for the ride! In acute care and/or crisis though, I would prefer that most times, family should step away.
Jul 1, '00Occupation: allnurses Asst Community Manager, APRN Specialty: 25 year(s) of experience in Nephrology, Cardiology, ER, ICU ; From: US ; Joined: Apr '00; Posts: 53,372; Likes: 26,208I want to amend my note. I feel strongly (as do mostof you, it seems) that each situation is different. I do take exception to the letter that said it made the staff watch their manners. I have seen a lot of codes in ER, ICU and pre-hospital too and I still feel that if you explain what is going to happen and what their loved one is going to look like, I have found most people do fine. Again, I qualify this with saying there has to be a designated nurse or social worker present. As an RN and pre-hospital provider also (volunteer rural squad) where families are almost always present during a code, I don't find that it adds to my stress at all. It has helped me to talk with the families afterward and reflect on what kind of person this was, and this also starts the grieving process. I also have had a chronically ill child and there was never a time, that I wasn't made welcome in the ICU with him. This was back ten to 15 years ago when people just didn't do this. The nurses in the hospitals were wonderful. (My son is now 20 and healthy and I thank God each day for him)
Jul 2, '00Occupation: RN,ER Joined: Mar '00; Posts: 5This is the year 2000 people. I think that our doctors need to rise to the times. Many family members want to be at the bedside.
I am a traveling nurse and many hospitals leave it up to the physican. Many have policies related to this issue which "encourages" family at the bedside. It certainly depends on where you are. If you are interested in a copy of a policy I can fax one to you upon request.
Jul 5, '00Occupation: RN Joined: Jul '00; Posts: 2I too feel that it depends on the situation. I am a cardiac nurse/ER nurse. Most of my code experience has been on the acute cardiac floor. We deal with post CABG, heart block and any other "cardiac" related patients. When I first began on this floor I had 4 codes in 7 days. 2 of the codes there was family present. 1 code lasted 2 hrs ER doc didn't want to stop til primary md arrived etc. 1 daughter walked away feeling everything had been done for her mother, the other was very angry feeling that God was ready to take her and we stood in the way and did not allow her to die peacefully. This is the same daughter who later smacked me across the face. I think this is a very tricky call we all have to give thought to. The sad thing is that in a code situation we don't have a lot of time to worry about they family's psyche.
Question? do you want that family members last vision to be us pumping on their loved ones chest and distorted appearance, or do you want them to have the last vision of their loved one a much happier one?
Julia A Bennett