Share your "Gut feelings...." - page 3
Ever had a gut feeling about a patient? For instance, you just "knew" something wasn't right (or something was), but you couldn't put it into specifics? and then.....turned out you were right? ... Read More
Jul 9, '02Joined: Oct '00; Posts: 8,729; Likes: 8,412I just "love" it when the doc agrees to an ICU transfer "to get you nurses off my back". Funny how we tend to be right though.
Jul 9, '02Joined: Jun '02; Posts: 26Good to know I'm not a clairvoyant perpetrating as a nurse! This intuition stuff ain't no joke! It would be interesting to see researched data on it. But then again...It really can't be explained!
Jul 9, '02Occupation: RN Case Manager Joined: Apr '02; Posts: 4,945; Likes: 27I was at a doctor's office with a work comp patient. The ortho doc came in and, I know this sounds freaky, but just for a quick instant, I saw him laying in a casket with his hands folded over his chest, wearing a dark navy blue suit. While he was writing in the patient's chart, I just remembered thinking to myself, he is not going to be here tomorrow.
He died that evening.
Jul 9, '02Joined: May '02; Posts: 827; Likes: 42Three different times in ER I have almost asked a pt, " Who is your onocologist?" I caught myself just in time all 3 times. After getting a history, none of those pts had been dx with CA, and I followed up on all three of them.
they all had cancer. They were all young, and had no other health problems. I always listen to my gut now.
Jul 9, '02Occupation: RN Joined: Nov '01; Posts: 1,418; Likes: 25Whoa, Las Vegas! That is spooky! I say that your gut tops the list!
Once had a young 40's man in good physical shape come in w/c/o CP (ER). Because of his age, the doc started working him up as a GI. We had him in an obs bed. I went to check on him, and he was lying perfectly still-wouldn't look at me to answer my questions, wasn''t moving ANYTHING. I asked if he was afraid to move because of the pain, and he said, "yes, I'm afraid it will make the pain worse. I am afraid I am going to die." That was it-I opened up one of our trauma/code rooms by transferring the pt. to another area of the ER, and put my patient in there. Pissed off the other nurse, too. Got the ER doc to come check the pt.-he wasn't liking it either, but I wasn't giving up, and when I told him that the pt. thought that he was going to die, he got up and came with me. While he was re-examining the patient, he coded. We got him back, and to ICU.
Jul 9, '02Occupation: RN Case Manager Joined: Apr '02; Posts: 4,945; Likes: 27Originally posted by Cathy Wilson, RN
Whoa, Las Vegas! That is spooky! I say that your gut tops the list!
Jul 9, '02Occupation: RN - College Health Specialty: Geriatrics/Oncology/Psych/College Health ; Joined: Jun '02; Posts: 6,584; Likes: 70Cathy - you hit the nail on the head - when a patient tells you they're in trouble, that's *their* gut talking, and it's a wise nurse who listens.
Of course, it's the failing geriatric patient who is suddenly perky that gives me the wigs. Kiss of death.
Jul 9, '02Joined: Nov '01; Posts: 83; Likes: 8when ever I am working out on the tele unit and I get all goofy and clumsy, I know someone is going to code, may not be my patient, but someone will code! Also, if patients get real anxious, watch out!
Jul 9, '02Joined: Jan '02; Posts: 5,673; Likes: 159I've had an initial feeling something wasn't right countless times....we learn to trust the feeling....so many times it guides me to investigate until I find the evidence to point to the problem.
I've headed off countless tragedies this way...for myself and my coworkers.
Wish I worked with docs who would come in 'by my gut'...but in my parts we night nurses unfortunately have to do their work FOR them and diagnose the problem for them before they'll drag their arses out of bed and come in to help.
Gotta confess I've been known to fudge a bit on hemos and rhythm reports when I call a doc at 2 am because I know by the time he gets here we'll be needing to do something like a pericardiocentesis and a pacer.....'just got a feeling'. And I'm seldom wrong after 25 years.
Nurses develop instincts....docs go by the numbers.
Jul 10, '02Occupation: Registered Nurse Joined: Jun '02; Posts: 180; Likes: 7Originally posted by LasVegasRN
I was at a doctor's office with a work comp patient. The ortho doc came in and, I know this sounds freaky, but just for a quick instant, I saw him laying in a casket with his hands folded over his chest, wearing a dark navy blue suit. While he was writing in the patient's chart, I just remembered thinking to myself, he is not going to be here tomorrow.
He died that evening.
Jul 10, '02Joined: Aug '01; Posts: 3,725; Likes: 459I can only hope and pray that I will develop these gut feelings the longer I am a nurse (graduate in 2 weeks!).
You all are awesome!
Jul 10, '02Occupation: RN Joined: Dec '00; Posts: 826; Likes: 16You can teach nursing theory ... you can teach clinical/technical skills ... but you cannot teach "intuitive/gut" feelings. You know or you don't. I always look at the patient. You just know -- even when the labs/vitals etc. are ok. On the other hand, the labs/vitals aren't wonderful -- but you look at the patient & know they are ok. You can't teach it ... but you can feel it. Intensely. Sure -- docs like data -- I even like data -- but there are times when the data just doesn't tell the story -- know what I mean?
Jul 10, '02Joined: Jan '02; Posts: 5,673; Likes: 159I remember in the ER one evening a child came in...had fallen off his bike and banged up, bruised.... doc stitched him up in a few places.
The doc wanted to turf him but he had a small belly bruise and 'the little voice' told me to keep him another hour or so to observe..... and I insisted on keeping him despite the snide comments of the doc...and the impatience of family....
Sure enough....ruptured spleen and to emergency OR. He did fine.
Another: I was working at an amusement park when a mom brought her infant in...she thought a bee had bitten him.....so she brought him in for some disinfectant and a cold pak.. As I watched him, nothing stood out but I 'had the feeling' so asked her to wait here with me awhile with the baby....and I quietly called her pedi doc for the correct dose of EPI and a verbal order....sure enough, anaphylaxis sx soon followed, but responded quickly to the epi...the doc stayed on the phone with me until baby was fine...I sent her to the docs office afterwards for instructions and a supply of epi pens for her.
Kinda scary for me as I'm not a pedi nurse perse...just going by my basic training and guts...it will get us through many tough situations!
We don't always get thanked for these things...docs may take the credit..... but it's an amazing feeling to me to know God gave me a gift so I could become a NURSE and save a life...it's NOT just the docs who do this.
Hugs to all the great nurses who save lives and comfort the injured, and improve the health of others EVERY DAY!!!