Going out on dialysis

[kianhu]

I dont know how many of you guys have "gone out" on dialysis, but I have a question.   When you came back around, do you prefer someone screaming your name and slapping your face or a calm, soft tone?  LOL  Being a nurse for while, i prefer the calm approach.  I have some people I work with that act like idiots when someone goes out.  They yell the patient's name a 50 times, grab their face and sometimes a sternal rub.  I think this creates an anxious atmosphere for the other patients watching the whole scenerio.  I keep reminding people, lay their head back, open the saline and they will come out of it.  No need to scream at the top of your lungs, that is not going to bring them back any faster than the saline.  Last night, I had an over excitable pct rubbing the heck out this patient's sternum and yelling Talk to me, over and over again.  We work one RN and 3 pcts on this shift.  I know that this lady is going to be sore as hell. I kept saying, she is coming around and she is ok.  Anyway, I get irritated sometimes at staff behavior, especially pcts.  I dont want to sound like I am bashing people but a lot of these pcts come off the street, with no medical training at all, and get a 6-8 week crash course in hemodialysis.  I am not saying that all pcts are bad, I have some that are fantastic, but the number is few.  Then there are the pcts who get attitudes when told what to do, well ---hole, I am responsible for every single patient in this room, not you, and just because you have to get off your behind (was reading a book/magazine or primping in the mirror) dont get an attitude.  Since you have so much time on your hands, why dont you pick a chart and try to learn something or better yet, check on the patients.  Oh yea, and if you see a blood glucose less than 70, why dont you recheck it without me asking me to, duh.  Geez, I must be hungry.  LOL  I get cranky when I am hungry.  Felt good to vent. 

[Chicken Little]

During one of my first treatments in the hospital, my BP crashed.  My hubby tells me my eyes rolled back in my head and I just passed out.   I woke up to the tech holding, and kind of pumping his grip on my hand, and softly telling me I was OK.  If I woke up to him yelling at me and rubbing my chest I would have been mighty upset, as would my husband.   

And I agree with you.  Some people in the dialysis care business, shouldn't be.  If you don't want to help patients, don't work in healthcare.  I have much admiration for those that do it well. 

[kitkatz]

Calm is always good in the unit. Screaming and hitting only will get a combative patient coming up out of it.

[jbeany]

If I woke up to someone slapping me, they better be able to duck fast 'cause I'm slapping back.   

[Ang]

down  here  in  melbourne, the  treminollogy  is  "going  flat",had  it  occured  to  me  twice  in  last  12  months,was  75%  gone,pump  you  full  of  saline  and  you  come  back  right  as  rain.
once  cause  nurse  dialled  in  to  much  fluid  to  come  off,2ND  time  i  ate  tea  just  before  dialysis.
would  not  take  to  kindly  to  be  screamed  at  to  see  if i  was  ok,  and  yes  some nurses  don't  deserve the  title  their  given

[carson]

Oh, silly me, I thought you meant dating...

[Joe Paul]

Oh, silly me, I thought you meant dating...

Ditto.
Thing is if I went out, and someone was slapping me around I would probably be enjoying it 

[MattyBoy100]

In my unit in the UK, all the staff are trained nurses.  I haven't "crashed" personally but I have come close and seen others who have.  There is an emergency button on our chairs which immediately put us in a recovery position and usually a team of 2 nurses will stay with the patient til they come round again.  They also pull the screen round to ensure privacy.  So I haven't seen what else goes on behind the screen but there is certainly no slapping or shouting going on.  A lot of the patients are elderly and I don't think the shock from being slapped would do them any good at all.

I sometimes get a wierd rush to my head and my eyes get full of fluid.  When I tell the nurses about it, they recline my chair and take me out of HDF treatment.

[keefer51]

Yes, i have "crashed" a couple of times. Two times were at the scale as i was leaving. It is harder for me to deal with because of the fistula. When i had my catheter they would just hook me up to saline. The other night i crashed at the scale again and this nurse put me in a chair. She started to raise my legs and i started to laugh. She knew then i was ok.

[carson]

Oh, silly me, I thought you meant dating...

Ditto.
Thing is if I went out, and someone was slapping me around I would probably be enjoying it 

oh, oh, oh, too funny (OMG! where did all those smileys come from?)

[RichardMEL]

darn it carson you beat me to it!! I thought the same thing!

[Hephs-little-lady]

When Heph was on Hemo he always crashed on the way to the door to leave and always yelling "get my wife from outside in the car". He almost always knew he was about to go, but also always managed to wait for the final finale until I had been summoned to witness the whole dramatic event. Most of the people went out quietly in the chair, Heph went out ranting on the floor and came too ranting on the floor. "I've seen a great white light, etc. etc. etc..."   But I was always gentle with him, none of the face slapping and screaming.