Last week we got our 2:1 IMC ratio back for Covid patients. And honestly? It's made a WORLD of difference. Of course it helped in all the obvious ways like 1 less round of med passes, 1 less assessment to do, and a whole lot less charting. But what it really did was give us … Continue reading The Ratio Difference
We've all had that patient. For one reason or another their motivation just isn't there. No urgency to participate in therapies. No desire to help with repositions. Some choose to be incontinent. So now what? How hard do you push? To the point of agitation? To the point of aggression? What battles do you choose? … Continue reading Good Nurse Bad Nurse
Yesterday I was getting a patient from the ED whose admitting diagnosis was "altered mental status due to hepatic encephalopathy". They had stopped taking their lactulose, so their mind was fuzzier than usual. Patients who struggle with alcoholism that result in altered mental status can be a difficult population to keep patience with. They are … Continue reading Be Kind. Pt 2.
It is no secret that Covid-19 will change the world of nursing forever. It has been a unique experience for patients being ruled out or positive for Covid in that it is more unknown than most diagnoses. Each patient has their own understanding of the situation, whether that is from watching the news, reading Facebook … Continue reading They’re Still Your Patient
Last week I was speaking with a physician about one of my patients whose family members had (in my opinion) unrealistic expectations for nursing staff. When bringing this difficult situation to thier attention, the MD's argument was that "it is just a concerned mother advocating for her son." Having a chronic condition since childhood, the … Continue reading You Can’t Say That
Recently, I had a patient thank me at the end of my shift. He said, "Thank you for being kind", and proceeded to tell me how him and his wife have a sign above their mirror in their house that says "Be kind." He explained that it is so much easier to just be kind. … Continue reading Be Kind.
A few weeks ago I had a particularly tough patient. I know every new day doesn't guarantee progress. But I still like to think that I leave my patients in an improved state from how I found them. And with this particular patient I struggled to see what impact I left. Quick onset of a … Continue reading Just Being There