Grobyc82

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Hello Nurses! I'm conducting a study with regard to nurses' comfort level regarding end of life care. This is a 32 question survey that will only take 4-6 minutes to complete. I would really like to target nurses primarily with med/surg/icu/tele background. I would really appreciate your time to take this survey. Thanks! To start the survey, please click on the link below but be sure to look over the informed consent statement. Below is a passive informed consent statement. This End of Life Professional Caregiver Survey concerns registered nurses that work in an inpatient hospital setting that provide end of life care. An Assessment of Educational Needs in Nurses Related to End of Life Care is being conducted to fulfill the requirements of the above named course. I understand that my participation is voluntary and I may stop completing the End of Life Professional Caregiver Survey at any time and I do not have to answer any question(s) I choose not to answer. The risks associated with my completing this End of Life Professional Caregiver Survey are slight emotional risk and I accept them. Benefits of my participation in this study are no immediate benefits and I accept them. I understand that any data collected as part of this study will be stored in a safe and secure location, and that this data will be erased when this research is completed. I understand that my identity will not be revealed in any way through my participation in this study; I will not place my name on this document and the results will not be reported in a way that will reveal individual participants. Consent: If I do not want to complete this End of Life Professional Caregiver Survey I may choose to not complete it online. If I do choose to participate, you may click on the following link and complete survey questions online. Clicking on the submit button is an agreement to participate in this research study. End of Life Professional Caregiver Survey

Sounds like the nurse was paranoid and probably a bit uneducated. I know sometimes it hard to remove certain stigmas when it comes to things like infectious disease when it comes close to home. Just as the forum mentioned already, no bodily fluids...no problem.

I have not applied for CRNA but I'm not new to the struggles of dealing with exams. Just keep your head up high and not let it bog you down. If the will power is there, you'll find a way to get through it. If not, then there are worse things in life, believe me. Have some perspective and think positive.

Yeah, I always ask the patient if its okay to give the results to tests now if they're within capacity. I remember sometimes I would ask the relative to hold on the phone while I put the patient on the phone to confirm it was the right person. Thats when I was paranoid. I always check contacts as well.

So I was speaking to a friend of mine about how to deal with phone calls from relatives of patients. What exactly constitutes a violation of HIPAA privacy? Generally I give people status updates and vague information like "they are doing well" or "they're eating and participating well in therapy." It just seems like whole lot of it has to do with nursing judgement. When it comes to exact data like results of CT scan and labs, the general consensus of the floor I work on is to not give the information and to tell them to call the doctor. However, if the patient's relative over the phone already seems to know a considerable amount of information about the patient, I will be a little more than lenient to talk about the patients status. I remember having a meeting with an HIPAA rep, and walking right out of that meeting not knowing anymore than I did before.

Thats a great point. When you work for management that is fair then the union is not really necessary and seems kind of superfluous. Ive worked in a unionized hospital for many years and it seems like with every contract renewal there is drama and nit picking on various issues including benefits and such.

Whats your general opinion of them? Are they helpful? Do they general tend to blow you off when you need them for something? My experience various as to some are good and some are really awful. You can tell some of the interim nurse supervisors are just a fill in because they know nothing of the hospital procedures and protocols. I knew of some that were just downright nasty...

Home hospice seems like a great thing based on the idea and what i've heard. My experience is only limited to the hospital. I would think if you had a terminal illness and you didn't require much resources in the form of hospital equipment, you would rather die in the comfort of your own home.

So I remember that I didn't really have to much in terms of education about end of life care in nursing school. And if it was, it was probably covered in a lecture that was 5 minutes. I know this can be a touchy subject for many on both the patients and nurses end. Much of the emotion behind dying can be ethical, religious and from personal experience. It just seems as though that new grads out of nursing school receive little to no training in dealing with this aspect of care because for those that work at the bedside, you will eventually have to deal with this situation. Most schools of thought regard end-of-life as a failure in the system of medicine and regard it with a certain stigmatism. What are your thoughts? Do you think their should be more formal education on the matter? More training in the form of CE or certification? Or you think experience is the better teacher and for new grads its trial by fire?

A lot of us are hard on ourselves when we get out of graduation. We expect the training we receive to be sufficient and sometimes even management expects us to operate at a level we may or may not be at. Time and experience just like anything else hones our skills and knowledge. Realizing this as a new nurse will help deter most anxieties about performance than anything else.

I think a lot of healing comes with just listening to people. People have to vent and that includes patients. They are probably at the worst and most scared. There is a sort of therapy by just sitting down listening to someone even if you don't provide feedback. Unfortunately where I work, we don't have the opportunity to listen as much. There's just too much going on meds, tests, admissions etc. I feel bad when people start talking about their lives because more often than not I cut them short and leave the room to keep afloat in a shift that i'm drowning in.

You definitely get a lot of stories from being in this line of work. How many stories do you hear about performing CPR on someone in the bathroom and having to assist in an intubation on the women next door?

How would you even design a robot that would be able to differentiate signs and symptoms of things going on like a hypoglycemic attack, even a guy in respiratory distress? How would you have sensors that can replace the human eye and brain that would be able to differentiate between a normal person and someone sick? Unless you get robots that have cameras that are remote to a person controlling them. But then you would need to employ people

Yes it feels like that at times. Especially when were given things to say during our meetings to address the wonders of HCAPS putting pressure on administrators. I never really listened.