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RealityRN
Posts Tagged ‘Patients’
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Interacting With Patients
How to find the right balance.

Reports, charting, administering drugs, assessments, tidying up, more charting, and more reports—and no meaningful interaction with the patient.

Suzanna’s first year was a nightmare.

Suzanna, a new nurse on a pediatric ward, didn’t like having to live by the laundry list of to-dos. She was most fulfilled spending time with patients, making sure both their emotional and physical needs were met.

The bottom line: You can’t be a [...]
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Provocative Topics
How to professionally handle the stereotypes.

You’re about to begin your first shift as an RN.

Your gut tells you that the moment you walk through those doors in uniform, people will judge you. Why? Because you’re a man.

In training, you may have been exposed to the modern stereotypes of the male nurse. According to Jerry R. Lucas, RN, and owner and publisher of Male Nurse Magazine (http://www.malenursemagazine.com/), “Either you are a [...]
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Interacting With Patients
An interview with Kathy Quan, RN, BSN, PHN, on managing patients’ families.

“I don’t think we should continue heroic measures.”
“I want a third opinion!”
“That’s not the way the last nurse did it.”
“My sister needs more water, more pain medication, and clean sheets…now!”
“How long does my son have to live?”

Questions. Capricious emotions. Absurd demands. More questions. And plain cold criticism. Often serving families of patients is more taxing than treating the patients. Kathy Quan, a veteran nurse [...]
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Nurse Relationships
4 tips for training others to respect you.

Suzanne Gordon, author of Nursing Against the Odds (Cornell UP, 2006), says new nurses need to train others for respect. Here are four tips to do just that:

1. Introduce yourself in a professional manner.
When you introduce yourself to doctors, don’t say, “Hi, I’m Susie.” If you want to be respected as a nurse, you shouldn’t be “Susie in the angora sweater” or “Cheerful, smiley Susie.” [...]
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Reality Unscripted

So much of whether you like your job connects back to your relationships with colleagues at work.

A new nurse recently wrote, "I tend to spend a lot of time addressing patients’ emotional needs prior to their operations (calming them, answering questions, or just being with them during the transition). I find other nurses resent me for not spending more time prepping in the operating [...]
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Nurse Relationships
When you know the doc is wrong.

It was the ninth hour of a 12-hour night on Labor & Delivery when my fourth patient presented with complaints of vaginal bleeding.  Exhausted, I told myself this had to be another worst-case scenario—probably placenta previa or abruption.

I initially performed a comprehensive review of symptoms and thorough patient history, which I presented to the resident. He was a cocky first-year resident, just starting his first [...]
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Interacting With Patients
How a new nurse serves cranky patients.

On the day of his surgery, Mr. Grumpafagus, the quintessential grouchy old man, was wickedly crabby. He griped about the cold food, the stiff bed, the spin on television, government conspiracies, and the overpaid doctors.

Most nurses avoided him, busying themselves with pre-op. Even the anesthesiologist warned Mallory, a second year surgical nurse, “Watch out for this one.”

Earlier, Mallory had picked up that he was in [...]
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Interacting With Patients
Staying professional in the midst of suffering.

It was one of those days in the pediatric intensive care unit you’d love to forget.

One child, a 6-month-old girl, was in a vegetative state, both blind and deaf.  Her mother decided it was too painful to have any contact with her and had stopped visiting. The little girl’s father wanted everything done to save her.

One morning, five minutes after Jana, a second year nurse, [...]
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