So I go to hook up my periotoneal dialysis patient last night, right, and his wife is present. She usually does this for him at home. I got my mask and gloves and jazz on, and he doesn't have a dressing on his access. His skin's a little red, too. (Red = infection = possibly leading to peritonitis = earthshakingly and life-changingly BAD for PD patients.)
So I say, "Where's your dressing?" The wife blurts out: "YOU ARE THE FIRST NURSE TO ASK THAT IN DAYS! THAT'S EXACTLY RIGHT! HE NEEDS THAT DRESSING ON OR HE'LL GET PERITONITIS!"
Er. Yeah. ? She gives me her own stash of gentamycin ointment and I do a dressing that takes me 5 seconds. But she's very very excited that I'm a "good nurse" who "pays attention" to "the important things." She asks for my boss's name and her phone number, as well as my last name, because she wants to call my boss to tell her what a good job I've done.
Weird.
I mean, that's nice, if she does that. It's really nice.
It's just curious to me because my brain flashes on much, much harder things I've done for people in my nursing career. (The precordial thump that actually worked comes to mind....giving narcan to the woman with stage IV breast cancer....on rehab, the other woman with stage IV breast CA who also had a MASSIVE PE...the man we put in the 360degree turning bed, his wife and the evil surgeon.) I can think of bedside surgical procedures I've assisted with, like the day I held the fully conscious SDH patient's head while the neurosurgeon used a hand drill on his skull....or "Mary", the mother of two with fulminant liver failure and the good GOD Herculean efforts by the entire ICU team.
It's a good list for a four-year-out RN, and every nurse has their own.
A five second completely nothing dressing gets a thank you call to my boss.
Huh.
That's really nice. Nice things happen where you really don't expect them, don't they?
Wednesday, January 7, 2009
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3 comments:
Jo:
Now you know since you've been out there longer than me, that there's some SBON person thinking, "Whoa, she did that without an order." (I'm only saying this because you didn't mention it.) And that's where I wonder...hmm, what's that little thing called nursing judgment we're supposed to be using daily?
It's amazing how doing little things gets you noticed. I had one patient recently who was getting digoxin. He told me I was the only nurse on the unit who took an apical pulse on him before administering it.
Old habits die hard, I guess. I didn't want him dropping over on me without knowing for sure.
good for you. it sounds like you are in a position know where your knowledge and skill are appreciated more than that laundry list of tasks before. while achievements they may be, this pt's wife really made a difference in your day....even if she doesn't ever pick up the phone to call your boss. i'm proud of you.
Attention to detail is the difference between being a nurse, or a good nurse.
It always nice to get recognized by those you are taking care of.
Congrats and keep up the good work.
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