I had my first post mortem experience Friday.....

Nurses General Nursing

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Friday was my first day experiencing post mortem care.

I was on the medical floor during clinicals when the instructor called and said that there was a code coming in and that we were probably going to have a chance to do post mortem care if we wanted to. Well, it's one of the check offs so I decided I would go down to the ER to help out.

When I walked in, I didn't quite know what to think. Here he was. A 21 year old boy that had 2 liver transplants and lost the battle. I didn't know how to feel. I was afraid. I was afraid to touch him, afraid to talk because I was still worried that I could hurt him or he could hear me.

Some of the students started cleaning him up and removing stuff. I removed his PICC line. The whole time we were moving him, I was so careful. I made sure to move him carefully and slowly because I wanted him to know I cared. I wanted him to know that even though he was gone, I still cared.

I never cried, almost, but I didn't. I still see his face. I wanted to be as gentle as I could be during everything because I wanted him to know that I was going to be there to make sure everything was ok and that I would take care of him the best I could even though he was no longer in that body. Who knows, maybe he was still around watching everything. I silently prayed for him while we were binding his hands and feet and while we were wrapping him. Over and over I prayed for him. That he got wherever he was going safely and that he wasn't alone and not to be afraid. I had this strong feeling of just wanting to take care of him and for him to know that there were people that cared about him even after he was gone.:saint:

I hope he knows that even though I didn't ever meet him or know him while he was still on this earth, I cared for him and felt like I had to protect him as best I could.

I can only hope that when it's my time or my family's time to be on that table, that someone will take the time to be gentle, caring, and loving the way I was trying to be.

Specializes in ER, TRAUMA, MED-SURG.

Mindy - Your words were very touching. You are going to be a wonderful nurse in caring for your patients. The first time in doing postmortem care on a young man I was tearful, hating that someone that young could have been so ill. I have always tried to care for my patients, including the ones who have passed away, the same way I would hope staff would care for my family, my mom or dad, even after death.

Sounds like you did great!

Anne, RNC

Specializes in Emergency.

Wow, 21 years old...how sad.

Please excuse me if this sounds somewhat inappropriate, but why was his PICC line and other tubes removed? In the ED, many times (if not all the times I can think of), we leave all the tubing in place (ET tube, IV's, central lines, foley, etc). I can understand if the tubing is being removed in hospice or under similar circumstances since the pt's death is expected. But if this was a code that came in - seems to me that despite his illness history, the tubes and other interventions should have been left in place for the medical examiner.

Can anyone shed some light on this?

Specializes in None.
Mindy - your words, your actions, your heart - beautiful. We need more kindness and respect in this profession. We need more nurses like you. . .

I almost didnt look at this thread, I am so glad I did. Thank you for sharing your experience. :redbeathe

I have to second that, but I'm glad I did, I hope I can be like you when my time comes!!!:loveya:

Specializes in Med/Surg/Ortho/HH/Radiology-Now Retired.

Kudos to you for being the kind of nurse we ALL should aspire to be!

I can only hope that when my time comes, the people attending to my body afford it the respect and dignity and gentleness you gave this young man. May he RIP.

Regardless of the age of the deceased, we ALL deserve to be treated as you treated this dear boy.

Bless you and thank you for sharing your experience with us.

Specializes in Cardiac, ER.

You did everything right!!! Never forget those feelings and always stay as you are!!

Specializes in Cardiac, ER.

kmoonshine if the coroner releases the body,.which he most likely would have with this pt hx,.you can remove everything.

Specializes in Cardiac Telemetry, ED.
Wow, 21 years old...how sad.

Please excuse me if this sounds somewhat inappropriate, but why was his PICC line and other tubes removed? In the ED, many times (if not all the times I can think of), we leave all the tubing in place (ET tube, IV's, central lines, foley, etc). I can understand if the tubing is being removed in hospice or under similar circumstances since the pt's death is expected. But if this was a code that came in - seems to me that despite his illness history, the tubes and other interventions should have been left in place for the medical examiner.

Can anyone shed some light on this?

Not all deaths are investigated by the ME. Even though this guy was young, he had a lot of problems, and his death was probably not a huge surprise.

Mindy,

Your story really moved me. You are exactly what patients need, what the field of nursing needs. You will be a wonderful nurse. I believe that that young man's spirit is grateful for your loving care. When it is my time to die, I hope I have a nurse like you.

Thank you for sharing your experience. It must have been so hard for you.

I am also a student nurse, and I have to say that my terror regarding death has made me really question my decision to go in to nursing. I continue because I want so much to make a difference in the lives of others, but I just don't know how I will handle these situations. I keep telling myself that I won't know until I am there, and that I will "thicken up" as I've been told. I hope that somehow I can obtain enough of a thick skin to do my job effectively as you have, but simultaneously continue to give the kind of care you gave this man.

So sad.

Great job. I hope I will be as kind and courageous as you if ever I have to perform this task.

Thank you everyone

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