I like the miracles and the chance to really get to know someone. I don't like that family members won't allow periods of rest for the patient. It seems like if you have a heart attack, then everyone wants you to rest, but if you have a head bleed that the visitors stimulate them constantly to help them wake up. I have a hard time getting them to sit quietly for a period of time, without talking or touching the patient. I tell them I'm going to go sit next to them for 8 hours while they are trying to sleep and rub their arm all night long and talk to them and see if they get quality sleep. I try to prevent ICU psychosis by allowing sleep between neuro checks.
They have a big joke around work, that I always get better neuro responses, even the docs kid me about it. I really do have people respond more to me, and I know it's partly because of the rest periods I provide. I have had families just glaring at me across the room because I told them to step back for an hour or 2, letting them sit in the room, but with no stimulation and then have a moment of forgiveness when I wake up mom and she speaks for the 1st time in days!!! Then I reinforce rest periods and they join in and advocate for rest! It's so fun for me to see!
I hate neuro breath, too. I think it's from the meds. I do great oral care and it alleviates it for a while, but always returns.
I also like organ donation. It feels so helpful in such a time of sadness and helps me with emotionally deal with the tradgedy.
Quote from cheripa
OK, What do you like about neuro ICU, and what do you dislike about it?