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I let them know that it happens all the time and that they wouldn't be in the hospital if they didn't need a little extra help. Then I change the subject and try to distract them
yeah i do try to change the topic pretty quickly after the initial 'it's ok/happens all the time', thinking if we talk about something else they'll not feel quite as awkward.
"Your CNA will be on their way to clean you up; I am busy [insert "changing catheter for another pt" or "going on break" or "charting" or "starting an tube feed" or "preparing an IV"]"
Assisting your patient with this as you await the arrival of the CNA would be beneath you? You really have no time to spend with a helpless patient who just soiled themselves?
Just say "No need to apologize. It's our job to help you when you're ill, and we're happy to do it." Be matter of fact and cheerful without being creepy. Move on to next topic; you can get an entire assessment completed when dealing with a code brown, or, depending upon the situation, a good amount of education (diet, disease process, side effects of meds, PT and physical strengthening, lots of topics are applicable to code brown situations).
ceccia
269 Posts
...to alleviate their embarrassment after a 'code brown'? most people that have accidents are mortified about it; I reassure them that this happens all the time and i don't mind cleaning it up at all. but most people are still upset/embarrassed. Any ideas for what else i could say or do to maybe help them feel a bit less so?