Thoughts

 

Shriner’s hospital is very different than many of the other well-known hospitals. This hospital has a great reputation and is known for Orthopedics. The patient’s that we work with on the fifth floor are all rehab patients, and in that case there are never too many. This week during clinical I helped another student out with her patient while waiting for my patient to arrive from the PICU. He arrived towards the end of our shift, so I did not get to spend much time with him, but the time that I did spend with him, I learned a lot. This young male arrived from the PICU after have surgery for bilateral upper extremity nerve transfers. I helped him and his Mom to get settled in and the Mom had many questions for me as soon as they arrived to the floor. I let the nurse know of their concerns and we both went in together. Knowing that the patient has a cast on his right arm and an ACE bandage covering his entire left right, the nurse proceed with a neurovascular assessment and asking him if he has had a lot of fluids that day. She listened to his heart sounds, lung sounds, and abdomen. Personally, I get a lot form observing the nurses do assessment on patients because I learn many different techniques, questions to ask,  specific assessments for specific diagnoses and much more just for observing as a student right now. As the nurse asked the boy how much he drank today, the Mom jumped in and told him that he needs water and to drink more fluids and she did misunderstand what the nurse said. The Mom and her son started arguing and there was nothing for the nurse or I to do other than to listen to them. The nurse clarified that he has an IV line in his foot right now and the need to keep it in just so they have good IV access but the Mom thought that they are keeping it in because they need to administer fluids because he is not getting enough. After watching this, I feel that as student we learn about parents and how to educate and inform both the parent’s and the patient’s but as for me, I did not think about it too much until I was in the situation. They were both arguing and I could tell that they were both frustrated but it was between the patient and his Mom so we did not intervene right away. It makes me think of what else I could have done in that situation and for future situations too because I know that this will not be a first. It is so important to work with the family and parents as well as the patient to make sure that everyone is comfortable and has the same understanding of everything that is going on. Misunderstandings and frustrations will cause unnecessary stress on patients, families, and even the nurses caring for them. It was a bit of an eye-opener for me, to figure out what else that I could do as a nurse to make sure that everyone in the room is comfortable.

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