Everyone I took care of this week died - either through codes or withdrawal of care. It was a rough one. I have so many opinions about the dying process. Sometimes I think I should find a PRN job in hospice just to see the more natural side of the dying process to counterbalance all of the extraordinary measures we use in the ICU. Thanks for making the video.
That's a pretty incredible post. I think hospice would be a pretty amazing job. I'm starting my program in January and I want to eventually get into ICU. I think i would be up for hospice too, that would be a very intense job. I'm excited for my journey and I know its going to be Gnarly. I plan on continuing to make videos through out my program and career to work through the stuff i experience. Yours and nowskies videos really help me prepare for this thing! Thank you!
Death in the ICU is not real death. Yes, physical death has occurred - but it’s certainly not a natural death. The first hurtle in dealing with death is to understand death is not a choice it’s a reality, it will happen to you and it’s natural. Many nurses new and old struggle with death because they view it as the enemy, which it is not. Over 18 years I have pronounced so many deaths I can not even count. One comment that I noticed as odd was when he was speaking about a DNR, the example was given with an old person. This type of bias feeds into ones difficulty. You have a wealth of new information but you are extremely disconnected to the actual patient, this will change in time. Stop looking at the monitors and being afraid of being alone and realize you are in the presence of another human being.
@@squhillboy I agree, all too many people shoot down and stigmatize "death" as being this horrible demon, it is a perfectly natural occurrence which is inevitable. Sure, we don't wish to see anyone let alone friends and loved ones pass on, and for my grandmother's case having reached the end-stages of Alzheimer's and Sundowner's Dementia and as sad as I was to see and accept that she's gone, especially having been her "live-in" caretaker for nearly 10 years as she'd forgotten everyone else and only recognized me, I'd also felt a huge feeling of relief and inner peace within myself that she'd went on peacefully and is no longer suffering from the torment of such a sad disease. I remembered having sat at her bedside during her final days/hours holding her hand as she'd already slipped into unconsciousness, so I just kept rubbing her hand and stroking her head while talking to her and saying "I love You", I think she'd become more at peace when I'd be talking to her even though she was unresponsive and told her that "it's OK to let go" and that "I'd be alright" which is something that many people may not do.
What made this video funny was that you were trying to find the appropriate words to say but any how you say it its still uncomfortable. Thank you very much for sharing. 10/16/19
Thank you to all of you caring and hard working nurses, for all that you do. I know it’s a very stressful job, even more so with the computer age and Medicare rules. My God bless you.
Although I am in no capacity a nurse, I did want to say that I really appreciated watching this video as it helped me to gain a little more perspective. I'd been a volunteer EMT-B for a few years up until my Great Grandmother required 24/7 care after having reached the end-stage of Alzheimer's and Sundowner's Dementia and required palliative care which took place at her home where I was her caregiver, and I agree that it is very difficult to undergo such an experience, especially when you can see the grief and distress that a lot of the family members go through after realizing the loss of a loved one. For me, it was as you'd stated about the "breaking the news" per-se when a patient had expired that'd been the most difficult for me. But you are also absolutely right where generally, they're passing can at times be a beautiful thing to witness! I'd watched my grandmother go through all of the stages of pre-dying and active dying, with the "Lazarus Sign", "surge of energy", and "agnostic breathing" having been her final moments before being at peace.
I did post mortem care in the last few weeks of my preceptorship in nursing school and it was interesting and scary. When the woman passed I thought I kept seeing her arm move and it freaked me out, but I understand the importance of it. I can do it for work, but I can't see my family in those circumstances.
Has to be tough getting to know the dying and watch them pass. My mother used to volunteer to help with those in their final days. She had many of them to her house. One man collected stamps. Mother had all kinds from my dad's stamp business so she would drive him to her house so he could mess with his own stamp collection and buy some of her stamps. Then she told me the man had died the following day. She would hand feed them. She never got depressed but eventually with some prodding from me got away from the gloom of it all although she did help many pass with dignity and a better quality of life.
You literally can’t get a healthcare job if you aren’t BLS certified, and that includes CPR. If you mean out in the real world, then basically it’s 100-120 beats per minute, or do compressions to the rate of Stayin’ Alive. Your hands go on top of the ribs right in the middle of the chest, crossed over one another so you get more power behind it. Try and make your compressions around 1 1/2 to 2 inches deep each time, and you may hear some ribs crack. Ribs cracking really throws you and you feel off about it, but the person you’re doing compressions on is technically dead and can’t feel it at the time. Broken ribs is actually very common, normal, and often necessary to save a life.
@@annamarie9424 I ask this because I am a newly licensed practical nurse. I only practiced once on a dummy and got bls certified. This is the case for many new nurses. We know how to do it by books because we’ve been tested countless times but when it comes to the real thing we need practice
@@perfectlyhonest4139 Ah, that’s true. Okay I get that question now. My hospital actually just changed the policy to where we have to be re-certified and practice it 4 times a year. But it’s definitely way different on a real person than a dummy😬
@@annamarie9424 That’s the way it should be, to keep it fresh in your memory. I find myself having to watch videos and re-read the portion of my book about cpr. I think it all of my training will kick in when I have to call a code on my first patient. I am anxious just thinking about it... R u a nurse also? LPN or RN?
@@perfectlyhonest4139 I’m actually not a nurse, I’m a PCT, but our hospital lets us do quite a bit. I got this job because I planned on going to nursing school, and the nurses I work with are great and have actually personally brought me along with them and taught me how to do lots of different things! They’re always happy to teach, so I’ve learned A LOT while working here! I do think I’m starting to lean more towards medical sonography, but we’ll see. I’m still deciding since I’m only 19, so I have a lot ahead of me😅 But we are all trained the same as far as BLS goes.
I’m a nursing home we don’t put them in a body bag we clean them dress them and then the funeral homes picks them up but they don’t put them in a bag eather
Wiltifah Boyd the patient lays in their bed and appears like they’re asleep and they don’t stay in the facility for too long. The funeral comes and pick them up usually a few hours after they’ve been pronounced and everything else is taken care of. Hope this helps!
@@kated.4496 My buddy works in a busy home that has those that live independently, some needing assistance and some in critical care or end of life hospice care. They all have issues including those living independently and many do die. He said when they do pass away after the death certificate has been signed by a doctor the staff cleans the body up the best they can then waits for the mortuary to arrive. He said the mortuary attendant assumes responsibility then places the deceased on a gurney and makes them appear to be alive with their head exposed laying on a pillow. Then they roll the body out of the place in plain view of everyone in nearby rooms that really don't even pay attention hopefully thinking someone is leaving via ambulance for treatment out the back door. The attendant's suit is a give away it's a funeral home.
Everyone I took care of this week died - either through codes or withdrawal of care. It was a rough one. I have so many opinions about the dying process. Sometimes I think I should find a PRN job in hospice just to see the more natural side of the dying process to counterbalance all of the extraordinary measures we use in the ICU. Thanks for making the video.
That's a pretty incredible post. I think hospice would be a pretty amazing job. I'm starting my program in January and I want to eventually get into ICU. I think i would be up for hospice too, that would be a very intense job. I'm excited for my journey and I know its going to be Gnarly. I plan on continuing to make videos through out my program and career to work through the stuff i experience. Yours and nowskies videos really help me prepare for this thing!
Thank you!
Death in the ICU is not real death. Yes, physical death has occurred - but it’s certainly not a natural death. The first hurtle in dealing with death is to understand death is not a choice it’s a reality, it will happen to you and it’s natural. Many nurses new and old struggle with death because they view it as the enemy, which it is not. Over 18 years I have pronounced so many deaths I can not even count. One comment that I noticed as odd was when he was speaking about a DNR, the example was given with an old person. This type of bias feeds into ones difficulty. You have a wealth of new information but you are extremely disconnected to the actual patient, this will change in time. Stop looking at the monitors and being afraid of being alone and realize you are in the presence of another human being.
@@squhillboy I agree, all too many people shoot down and stigmatize "death" as being this horrible demon, it is a perfectly natural occurrence which is inevitable. Sure, we don't wish to see anyone let alone friends and loved ones pass on, and for my grandmother's case having reached the end-stages of Alzheimer's and Sundowner's Dementia and as sad as I was to see and accept that she's gone, especially having been her "live-in" caretaker for nearly 10 years as she'd forgotten everyone else and only recognized me, I'd also felt a huge feeling of relief and inner peace within myself that she'd went on peacefully and is no longer suffering from the torment of such a sad disease. I remembered having sat at her bedside during her final days/hours holding her hand as she'd already slipped into unconsciousness, so I just kept rubbing her hand and stroking her head while talking to her and saying "I love You", I think she'd become more at peace when I'd be talking to her even though she was unresponsive and told her that "it's OK to let go" and that "I'd be alright" which is something that many people may not do.
@@squhillboy o
@@squhillboy o
What made this video funny was that you were trying to find the appropriate words to say but any how you say it its still uncomfortable. Thank you very much for sharing. 10/16/19
Thank you to all of you caring and hard working nurses, for all that you do. I know it’s a very stressful job, even more so with the computer age and Medicare rules. My God bless you.
Although I am in no capacity a nurse, I did want to say that I really appreciated watching this video as it helped me to gain a little more perspective.
I'd been a volunteer EMT-B for a few years up until my Great Grandmother required 24/7 care after having reached the end-stage of Alzheimer's and Sundowner's Dementia and required palliative care which took place at her home where I was her caregiver, and I agree that it is very difficult to undergo such an experience, especially when you can see the grief and distress that a lot of the family members go through after realizing the loss of a loved one.
For me, it was as you'd stated about the "breaking the news" per-se when a patient had expired that'd been the most difficult for me. But you are also absolutely right where generally, they're passing can at times be a beautiful thing to witness! I'd watched my grandmother go through all of the stages of pre-dying and active dying, with the "Lazarus Sign", "surge of energy", and "agnostic breathing" having been her final moments before being at peace.
Sir? This was a GREAT video!!!! I'm now going to subscribe to your videos, and I'm a Fan of them for LIFE!!!!
Aw thank you! ^__^
Thank You very much, Nowski.
I did post mortem care in the last few weeks of my preceptorship in nursing school and it was interesting and scary. When the woman passed I thought I kept seeing her arm move and it freaked me out, but I understand the importance of it. I can do it for work, but I can't see my family in those circumstances.
Gah.. we do some uncomfortable stuff. Definitely weird doing it for the first time.
first comment! yay! And good info, I'm a student nurse and had this on my mind while in clinicians.
Thanks! Yeah I always wondered about it as a student as well.
Hey Tim,
I love your nursing videos. Did you have to take the TEAS test before going into nursing school?
Has to be tough getting to know the dying and watch them pass. My mother used to volunteer to help with those in their final days. She had many of them to her house. One man collected stamps. Mother had all kinds from my dad's stamp business so she would drive him to her house so he could mess with his own stamp collection and buy some of her stamps. Then she told me the man had died the following day. She would hand feed them. She never got depressed but eventually with some prodding from me got away from the gloom of it all although she did help many pass with dignity and a better quality of life.
Thankyou
What if you don’t know how to do chest compressions? And you’re the first person to find that patient dying
You literally can’t get a healthcare job if you aren’t BLS certified, and that includes CPR. If you mean out in the real world, then basically it’s 100-120 beats per minute, or do compressions to the rate of Stayin’ Alive. Your hands go on top of the ribs right in the middle of the chest, crossed over one another so you get more power behind it. Try and make your compressions around 1 1/2 to 2 inches deep each time, and you may hear some ribs crack. Ribs cracking really throws you and you feel off about it, but the person you’re doing compressions on is technically dead and can’t feel it at the time. Broken ribs is actually very common, normal, and often necessary to save a life.
@@annamarie9424 I ask this because I am a newly licensed practical nurse. I only practiced once on a dummy and got bls certified. This is the case for many new nurses. We know how to do it by books because we’ve been tested countless times but when it comes to the real thing we need practice
@@perfectlyhonest4139 Ah, that’s true. Okay I get that question now. My hospital actually just changed the policy to where we have to be re-certified and practice it 4 times a year. But it’s definitely way different on a real person than a dummy😬
@@annamarie9424 That’s the way it should be, to keep it fresh in your memory. I find myself having to watch videos and re-read the portion of my book about cpr. I think it all of my training will kick in when I have to call a code on my first patient. I am anxious just thinking about it...
R u a nurse also? LPN or RN?
@@perfectlyhonest4139 I’m actually not a nurse, I’m a PCT, but our hospital lets us do quite a bit. I got this job because I planned on going to nursing school, and the nurses I work with are great and have actually personally brought me along with them and taught me how to do lots of different things! They’re always happy to teach, so I’ve learned A LOT while working here! I do think I’m starting to lean more towards medical sonography, but we’ll see. I’m still deciding since I’m only 19, so I have a lot ahead of me😅 But we are all trained the same as far as BLS goes.
Great video bro.
Why would the hospital approach the family about comfort care?
What country do you speak from as in my country the state does everything they can to save the patient. USA?
Yeah I am based in the USA
Hello I need your help please because I want to be a nurse but I don't know how to be a nurse
I’m a nursing home we don’t put them in a body bag we clean them dress them and then the funeral homes picks them up but they don’t put them in a bag eather
so you just have a dead body visable
Wiltifah Boyd the patient lays in their bed and appears like they’re asleep and they don’t stay in the facility for too long. The funeral comes and pick them up usually a few hours after they’ve been pronounced and everything else is taken care of. Hope this helps!
@@kated.4496 My buddy works in a busy home that has those that live independently, some needing assistance and some in critical care or end of life hospice care. They all have issues including those living independently and many do die. He said when they do pass away after the death certificate has been signed by a doctor the staff cleans the body up the best they can then waits for the mortuary to arrive. He said the mortuary attendant assumes responsibility then places the deceased on a gurney and makes them appear to be alive with their head exposed laying on a pillow. Then they roll the body out of the place in plain view of everyone in nearby rooms that really don't even pay attention hopefully thinking someone is leaving via ambulance for treatment out the back door. The attendant's suit is a give away it's a funeral home.
Where do you work?
8b