Too much sadness this shift...

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So tonight we heard the words "code blue, lobby gift shop." I ran down there, only to be directed to the parking lot, where and old man was being taken out of his car. No pulse, started CPR in the parking lot. Intubated him and got him to the ED where he was pronounced about 15 minutes later.

We didnt know anything about him, but he had a cell phone in his car, and an asthma inhaler clutched in his hand.

We found out later that he was here to visit his daughter, who is a pt on our unit. The daughter was just diagnosed with stage 4 liver cancer today. The family came to tell her that her dad passed away on his way to see her.

After a while, I went in to check on the pt and sat on the bed with her....I told her that she was in everyones thoughts and prayers, and that I was with her dad when he passed. I didnt tell her that it was sad and scary. That we knew the code wasnt going to have a happy ending. That his ribs were crunching everytime we did compressions....that I cried when I took the crash cart back to the unit and saw that someone had thrown his jacket in the garbage can already......I told her that it was peaceful, and that there were so many nurses there that wanted to help him.

What a crappy night. We all have so much to be thanful for and dont even realize it.:cry:

Specializes in ICU, Telemetry.

:icon_hug:

I can deal with the patients, it's when the family and visitors go down that freak me out. No history, no allergy list, no med rec, just there ya go.

We had something similar (dying wife, kids out of state, and hubby coded in the hall going home), and all that I could tell myself and my coworkers was, "it's better it happened here, than the sheriff's dept finds him dead in the house in a couple of days when no one can get up with him..." And of course, the wife basically gave up and died 3 days later. Their kids got to bury both of them together...

Nothing helps. Thoughts and prayers your way....

If something like that happens to me, I hope someone as caring as you is there to support me. The worst situation I ever had was a woman around 80 who had found her husband dead. She had a heart attack, collasped and her family found her lying across his body. She was still alive they had to rush her to hospital and then had to deal with his death and her being in intensive care and going for bypass. There was no angioplasty back then. She never got to say good by, she was to ill for sometime after that.

(((praying mantis)))

What an awful experience..You did good for that pt and her dad...

Thanks so much for your support everyone. It helps tremendously.:redbeathe

((((praying mantis))))

I have tears in my eyes for your poor pt and for what an awful shift you had.

Specializes in Utilization Management.

I'm so sorry....:( ((((hugs))))

God love you, praying.

God love you.

leslie:crying2:

I feel so stupid today....this happened two days ago and Im still thinking about it. I had nightmares about it the night before. I cant get the sound of his ribs breaking out of my head, and the way his face looked. I have lost count at the number of codes Ive been too...and Im not a new nurse. I keep trying to rationalize my thoughts but its not working....

Out of all the crap and sadness I have seen, why am I all of a sudden feeling messed up inside over this?

Specializes in Pain mgmt, PCU.
:icon_hug:

I can deal with the patients, it's when the family and visitors go down that freak me out. No history, no allergy list, no med rec, just there ya go.

We had something similar (dying wife, kids out of state, and hubby coded in the hall going home), and all that I could tell myself and my coworkers was, "it's better it happened here, than the sheriff's dept finds him dead in the house in a couple of days when no one can get up with him..." And of course, the wife basically gave up and died 3 days later. Their kids got to bury both of them together...

Nothing helps. Thoughts and prayers your way....

I feel fo both of these situations. Sometimes this job stinks. Sometimes it's ok that it happened that way. Read the book The Wednesday Letters, Jason F. Wright.

Specializes in Geriatrics, Cath Lab, Cardiology,Neuro.

I am terribly sorry and for some patients that pass, it is for some reason I cannot put my finger on, it is harder than other patients who pass. I have been a Cath Lab Tech for 5 months now and a week before Xmas and it was a few weeks in for me, we had a guy who was in cardiogenic shock and he also had a plethera of medical issues. He coded on the table and I tried my hardest to fight tears back ( there was 90 mins left to my shift) and when I got out, thankfully I got to leave early I cried and prayed for that patient's family on the way home. And it was my first code and but as a CNA prior to this I had many patients who passed. For some reason I took this harder.

Specializes in LTC, assisted living, med-surg, psych.
I feel so stupid today....this happened two days ago and Im still thinking about it. I had nightmares about it the night before. I cant get the sound of his ribs breaking out of my head, and the way his face looked. I have lost count at the number of codes Ive been too...and Im not a new nurse. I keep trying to rationalize my thoughts but its not working....

Out of all the crap and sadness I have seen, why am I all of a sudden feeling messed up inside over this?

Possibly because as nurses, we have a lot of crap and sadness stored up inside us---like plaque inside an artery, the stress of it all builds up over time---and sometimes the beast has to be let out of its cage or we'll lose our minds.

Try to think of the psychological fallout from this incident as a safety valve---even subconsciously, in your sleep, you are getting to release some of the stresses inherent in what you do every day. You may want to consider this an ideal time to get some counseling that you may have been needing without realizing it, or to make some changes that will improve your outlook. It's obvious that you're hurting, and as I may have mentioned in an earlier post, I can relate to your story all too easily because I too have been going through some rough times at work lately.

A couple words of advice: Please, don't feel "stupid", or criticize yourself for still thinking about this traumatic occurrence two days after the fact. That would've shaken up anyone who has anything resembling a heart. And it's usually best not to try to rationalize all of this---sometimes there's no rhyme or reason for the way we feel about a given situation; it is what it is.

Emotions, after all, are not positive or negative...........they just ARE. Period. And you are allowed to have them.

You hit the nail on the head LV. Thanks.

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