Being a nurse on 10-10-10

Published by: Natalie James (Tors) on 11th Oct 2010 | View all blogs by Natalie James (Tors)

I’ve never written a blog before.  I’ve never made a post about work before, but yesterday was an exceptional day.

I could never dream that the supposedly prosperous date 10/10/10 would leave me physically and emotionally drained.

I turned up at 07.00 for what I assumed to be a usually busy Sunday in A&E, but I never expected it to be quite so busy.  It was the day of the Great Eastern Run we assumed we’d have a couple in because it was such a warm day.

At 07.30 we got a pre-alert, we critical patients are in bound the ambulance pre-alerts so we can be ready in the resuscitation room, at motorcyclist (you hear that and never expect it to be a good thing) in cardiac arrest.  We never realized it would set the tone of the shift.

The thing with CPR that some may not realize is it’s a work out.  You’re stood rocking backwards and forwards pushing with all your strength trying to pump the blood around the body to keep the brain perfused.   The lactic acid builds in your arms, your stomach muscles tone as you rock, your whole body is tense.  The adrenaline zooms through your body.

In this case a young man of forty who has tubes hanging out of his mouth, eyes open but no one is there, the grayness and coldness of the skin.   I won’t go into the details of his injuries, but it wasn’t a pleasant sight, at all.  You can’t help but wonder if he came back, what he physical state he would be in. 

They call time of death.  Following your physical work out comes the emotional.  You go through a multitude of emotions, anger you couldn’t do more, sorrow he’s gone all though you didn’t even know him, anger again because you can’t help but feel you should have gone on longer, and then stall them.  You have to go to the family.  Whatever you feel doesn’t compare to what the family feels.  You can’t feel anything until you get home.

Then family may comprise of many people by then.  They usually are already in various states of shock, some crying and some staring into space.  You walk through the door and they hopefully look up, every time I have to escort the doctor I dread the look of hope that greats us.

The usual spiel exits the doctors’ mouth, I can always tell the family are waiting for the words ‘he’s alive’ or ‘he’s dead’.  Nothing sinks in after those two words, which ever they may be.  At this point my role shifts to being the nurse for the family.  They’re my patient now.  They deceased patient has to be made to look acceptable, the family have to be warned regarding injuries and how he now appears, they have to be supported as much as possible, and they have to leave the department following the best possible care they could have received.

Yesterday this was the first of four.  Three being runners from the not-so-Great Eastern Run.  Four physical work outs, four emotional work outs, four looks of hope, four grieving families, and one emotionally drained achy nurse.

Comments

10 Comments

  • Liss
    by Liss 1 year ago
    Oh Tors :( I really admire you for all the incredibly hard work you do, I can't imagine all the emotional and physical difficulties you must go through xxxxxxxx
  • Gels
    by Gels 1 year ago
    My word Tors, you all do such a great job remember that! hats off to you all. Those poor, poor families.

    Much love xxx
  • Kiki
    by Kiki 1 year ago
    Tors, I can only imagine how horrible the day was for you. I've only practiced rescus on a dummy and that was knackering enough. The emotional side of it - yack. Training aside, if you are a naturally caring person you always feel their pain, I don't envy you. What an amazing and tiring job you do; I have even more admiration for you as you still find the time to write and come on this site!! All the best sweety and make sure you get some well needed R&R x
  • maryluv
    by maryluv 1 year ago
    I hope that you're being good to yourself today. A bit of pampering, a bit of what you fancy and a bit of 'Tors' time.
  • Inktrailer
    by Inktrailer 1 year ago
    That's some kind of a day Tors, especially as I'm assuming it's not exactly uncommon. I hope you're getting plenty of rest on your days off, I'm full of admiration for anyone who does this kind of work. It's more than just a job.
  • CJ
    by CJ 1 year ago
    What a day for you, Tors - how terrible. My brother often rings me when he has days like that... those days full of the needless loss of life when things don't make much sense. I have no idea how you do it, to be honest - it takes a special kind of person to be a nurse (more so than being a doctor, I think), and no mistake. Be kind to yourself and relax when you can! xx
  • Natalie James (Tors)
    by Natalie James (Tors) 1 year ago
    Thanks folks. I honestly don't think I'm a special sort of person. You wouldn't usually have the same nurse run so many cardiac arrests (you wouldn't usually have so many in one shift), but there was a rubbish skill mix and too many juniors. I scarily was the next most senior.
    I've had a short meeting today about a new care bundle being introduced, but mainly slept and sat on my arse lol.
  • MinxieAD
    by MinxieAD 1 year ago
    I'm never going to moan about my job again!

    I hope you realise what a great job you do Tors. I have every admiration for people that not only do this job, but do it in such a respectful and caring way.

    Have a good evening x
  • Gerilyn
    by Gerilyn 1 year ago
    Ah sweetie! That absolutely 'P' s all over my crapiest days at work. I just hope for your sake you have some rewarding days at work ahead. xxx
  • Caducean Whisks
    by Caducean Whisks 1 year ago
    In the light of recent events, I am awestruck by the stamina of A&E staff - no slacking, no teabreaks, just focus, focus, focus. It must be so draining for you - and you're right to remind us how emotionally demanding it is as well. It's easy to forget that there are people behind the uniforms, who *don't* get used to witnessing death, no matter how many times it happens. Thanks for this thought-provoking blog.
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