something, call in the people that we know, because they can come in and take over. Patient and family teaching, that is what we do, right? That is what we do. The gist of what we do now based on what our healthcare society involves, people go home from the hospital. The patients that you all are taking care of on the med surg floor as patients, 10 years ago were in the ICU for whatever reason, so acuities have changed, they expect clients and their family members to do more on their own and at home. That really is a transition of nursing practice, and what nursing practice involves today. Death in the ER department of course can definitely happen, often happens, whereas in any environment setting it is expected and you have of course sudden or unexpected death can occur. These things are looked at on a case by case situation, it’s concerning or it’s imperative to determine again what factors existed prior to situation of death, again documenting again what we are supposed to be documenting, and really be able to assess signs and symptoms that were pertinent, did we miss anything in the time frame that we had allotted to provide care? I often mention family presence during resuscitation, how I myself personally have mixed feelings about it; I have seen good things come of it, and I’ve seen very bad things come of it. Some family members need to see that you’ve done all that you can do. Everything that has been done has been done. It alleviates some guilt on their part, and then the other thing I am often concerned about is that it may not alleviate guilt, but it causes guilt when they see next to heroic measures that may need to institute in order to try to revive someone. And as you know in our area one of our goals and initiatives is patient and family centered care, where you are really involving the family as much as possible in the care of the client. Dealing with crises in the ER and you know that is going to happen in a lot of places where you are dealing with family members in crisis. In the ER again lots of atypical situations so, this is not an uncommon thing to be able to have to do; you
really have got to exercise your communication skills, and you will be in situations, I promises you, you will be in situations where you feel so uncomfortable and awkward, you don’t know what to say or what to do, and you are going to be thinking back to NUR101 about those communication tools, and perhaps your mental health class, and some of those textbooks where you read something about coping and reflective speech, where you are not trying to give anybody answers, but listing to what they say and encouraging them to talk more to deal with things their own selves. So that is important, we become effective communicators, I know that nursing has taught me a lot about communication and that is just from the continual interaction with people in various widespread number, amount of situations and a various clientele. So that is real important. ED personnel dealing with death again I’m not being specific
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