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1 final post on Mon Dec 12, 2011 10:50 pm

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This book has really taught me a lot. I have already posted this once before but I really like how Marcus Engel put everything in black and white. He said do this but don’t do that and right now that’s what I need to know. I know that therapeutic communication is a major thing I need to work on and this book has helped me the most by far when it comes to being therapeutic.
I took the chapter of the “Watch dog” as meaning Marcus used it for a security blanket. Unfortunately I haven’t been able to really bond with a patient at the hospital in this way yet seeing that we are only there a couple hours a week and they come and go all the time. But I have had a connection with one of my patients at the nursing home I work at. This patient’s daughter’s name was Kelli. I knew that this Kelli had passed away many years ago and she would holler out loud constantly for someone named Kelli. People at work would come tell me that lets just call her Jane, was asking for me again. At first I would explain that I wasn’t the Kelli she was talking about but after a couple of months of this I decided that I would be whoever or whatever she wanted me to be. No matter how upset she got as soon as I walked in the door and said “Its Kelli!” she would instantly calm down and relax.
The first time I started an IV I probably said I was sorry 10 times. Even though I did a great job I still kept saying it because I knew I was momentarily hurting my patient and I was just preparing them to feel sorry for me before I messed up. Now I know the next time I don’t need to say it at all. Its just something that has to be done, and if I just talk about something else, they will be over it in a couple of seconds.
I think most people that know me knows that I have no problem rocking the boat. I am always the one who my peers come to and say “ask such and such about this or that.” And I happily raise my hand and ask what needs to be addressed. There are many times I get in trouble for “rocking the boat” but I have learned so much and helped so many people that I don’t mind it one bit. One incident that comes to mind first was a patient I had my second semester of nursing school. She was a CRNA. Every student knows how hard it is to have a nurse as a patient but I was bound to have a good day and not let anything come into my way. I knew that she was about to have some tests done and the orders stated that it was with contrast. But when I went to do my initial assessment she told me how glad she was that she didn’t have to “drink that nasty stuff.” This triggered a thought in my mind. I went back and double checked the orders and took the matter to my nurse. The nurse told me that she does too need the contrast and handed it to me for me to take it to her room. After speaking to my instructor I decided I would just directly call her doctor and see if she truthfully needed the contrast or not. I knew that her nurse would be mad at me if I was wrong but I was also thinking heck if this lady is a CRNA then she knows what she is doing. Long story short she was right and she didn’t need the contrast. Her nurse was pretty upset with me because I had made her look like the bad guy but I stood up for my patient and did what was right even though it took a lot of work.

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