User Mood Relaxed
Message Emote
|
May 12, 2008, 1:39 pm PDT
Good one Brenda!
Quote From: blgspc
People can say what they want about those kinds of 'feelings' like youve described but in my lifetime when something critical was about to happen or was already unfolding or underway- in a manner that I couldnt see- Ive had those very same feelings!
Its happened to me a number of times and has typically involved my work. Before the place I worked for almost 30 yrs. would hire an MDs to be on-call, they just had Nurses in place to act and assess and make judgment calls based on good clinical assessment. NEEDLESS TO SAY that is often NOT NEARLY enough! On one occasion, I was working with another Nurse- who was about the same age as my father was then- she had a habit of making unilateral decisions. So, on this particular night she just announced that I was going to assume the Charge Nurse duties despite the fact that SHE was assigned that and I was NOT. And, our supervisor always decided who would assume the charge position on any given 8 hour shift, period. I didnt argue with her, nor did I call our supervisor at home, it was really late. Right after we got out of report, a 33 year old male came in complaining of heartburn. I remembered him because I had completed his admission assessment. He was asking for an anti-acid. I remember his age because I was 33 at the time, also. Superficially, there wasnt any kind of indication that anything other than heartburn was happening. However, as I began my work, this young mans assessment was almost word for word circling in my head! I did about 10 assessments a day when I wasnt covering the night shift and he had been in the Center for about three weeks, so I was amazed that his very long and involved assessment was still in my head! He remembered me from his detox phase and greeted me. His color was good. When I approached him and shook his hand, I noticed that his skin was warm and dry to the touch. He was exchanging air very well. And, seemed to have no symptoms of any kind of acute distress. To everyones amazement-including my own- I suggested that just to be sure that perhaps we should get a set of vital signs on him. He was saying, Hey! Im good! Just a little heartburn is all. Im fine, really. Still, I insisted. Those around me were looking at me a bit odd. The whole thing was odd. His vital signs were better than normal but I had this horrible sense that something was terribly wrong! I had him sit. He argued that he was tired and drowsy and wanted to return to his cottage. He still, had the sensation of feeling gas just under his diaphragm ten minutes after receiving the anti-acid. It seemed that every time I looked at the young man, who was just sitting, I again got this almost overwhelming sense that he was in imminent danger! The part of his assessment that stuck out in my mind was that his father had 3 MIs (heart attacks) before he was 55 and the 3rd had killed his father. However, this fellow denied pain period! No chest pain. No back, should, jaw or arm pain. NOTHING. When the second dose of anti-acid didnt relieve his gas bubble, I re-checked his vital signs, re-assessed him. He had NONE of the symptoms that I was looking for- not ONE! Well, by that time, everyone-including my patient- thought that THERE was something the matter with me! However, the feeling-MY feeling- had ONLY grown worse, more intense, more incessant! I then did something I had never done before nor since, I picked up the phone and called the supervisor at our sister mini medical ER and advised her that I was sending a patient for assessment by their MD and to please alert the MD. Well, she wanted and NEEDED details about WHAT my patients symptoms were. I told her his chest was bothering him, which wasnt exactly a lie. It wasnt exactly the truth either. By that time, something inside me was screaming, HURRY! Well, everyone I was working with and my patient looked at me as if I was senseless when I calmly explained to the young man that I was sending him out to be assessed by an MD- and they ALL said so too! I sent him out by car- he was still arguing. The RN who was assigned to be in charge who re-assigned me to charge said What you just did was a FOOLISH WASTE of our time, limited staff and resources! Stupid! Just plain Stupid! she walked off in a huff. Well, I knew one thing for sure. Id be hearing about that situation. I didnt hear anything for about an hour and a half. When I called the other facility I couldnt reach the supervisor. While I was placing that call another line rang, when I answered it, it was the male staff member that I had sent with my 33 year old. They were at the regional hospital. The young man had been briefly stabilized in the regional hospitals ER before being rushed to the Cardiac ICU. He had had a massive MI and they didnt know whether or not he was going to survive that night! (Even I was WOWED!) The RN WHO had made the decision that I was going to be in charge that night and then disapproved of my choices asked when they were coming back. I then informed her of what I had been told. She asked me if I was joking. I just shook my head. The 33 year old made it through the night and went on to have surgery. When he ultimately returned to our Center, he saw me at the desk. He grinned and said to the other clients, Hey, dont be asking her for no Maalox! After I did that I wound up in CCU and had to have by-pass surgery! All because I asked for some Maalox! Ha!
I've learned to trust those 'feelings'. They have never let me down. Though most of the time I had a little more to go on than I did with that 33 year old.
Brenda
If there is one thing I've repeated to my kids, it's NOT to discount or explain away nagging feelings. You don't have to understand where they come from, just go with it. I'm a pretty logical minded person, and most of the time can track down what stimulous triggered the feeling. The important thing to learn is to act on your feelings first, then analyze it later. For instance, if you're not getting a good feeling from somebody, get away first, don't stand around looking for the reason they are affecting you this way.
|