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What I wouldn’t do for earplugs

You may think that ICU’s are nice quiet places. Except for the occasional “code blue” or unstable patient, you’d think we’d strive to provide a nice quiet environment for healing. Maybe with the soft woosh of the ventilator in the background, like you see on TV.

Nothing could be further from the truth.

Ever hear of ICU psychosis? It’s an affliction that people who are cooped up in the ICU too long tend to experience. Because we usually take the pt’s vitals every hour, do a full assessment every 4-8 hours, and turn bedbound patients at least every 2 hours, it’s actually a rare thing that anyone ever gets to sleep. When people are deprived of sleep, they get really wacky and try to crawl out of bed or start yelling and screaming.

We definitely don’t provide a therapeutic environment noise-wise. I find myself to be the perfect ICU nurse – I cannot STAND the myriads of beepings and alarms that continually go off. Which is the point… if there’s an alarm going off, it’s supposed to be annoying enough so that it is not ignored. Yet in fact, you’d be surprised at how good RN’s get at filtering that crap out. Not me. I’m blessed. :/

There are ventilator alarms that go off every time the patient coughs. Sometimes that can literally be every few minutes. We used to have vents that emitted one annoying alarm, but now we have new vents that alarm on different levels. If it’s a stupid alarm, it’s just 2 warning beeps. If it’s as bad as the vent becoming disconnected, it actually sings a little annoying song. The respiratory therapists gave the little tune lyrics: “Get-your-ass-in-here.” Next time you see me, ask me to sing it. I will.

Then there are IV pumps. IV pumps alarm because the infusion is finished, the line is occluded (patient bent their arm, nurse forgot to unclamp line), or the bottle is empty and the line is now sucking air. The most god-awful ear-splitting sound happens when the pump has not been plugged in. It usually alarms “internal error” when the battery dies and I swear it is audible from out in the parking lot. If you happen to be standing right next to one when it does that, you can expect some tinnitus for a few hours afterwards.

Monitors make a huge amount of noise, both out at the desk at the bank, and in the patient’s room. Arrhythmias, low pulse ox, low/high blood pressure, bad tracing (patient moving around), apnea, etc. Most of these are nuisance alarms that don’t signal anything urgent. Unfortunately, they just add to the melee.

Tube feeding pumps: we used to have tube feeding pumps that alarmed just one annoying beep. Now we have new ones, and they also sing little songs when you forget to restart them or when the liquid dinner runs out. I will not sing you this song even if you ask nicely.

THE TELEPHONE NEVER STOPS RINGING SOME NIGHTS.

The nurses who staff the unit and the doctors that come through to round on their patients are the worst noise-makers yet. Even though your loved one is critically ill, that doesn’t mean that the nurses not caring for him/her won’t sit at the desk and loudly chat about the bar scene the night before, the adorable thing their child did, or the stupid thing their husband did that morning. We honestly don’t realize how loud we are. Doctors can produce plenty of noise, especially when dictating their notes. At shift change, there can be 3 or 4 sets of nurses talking all at once while giving report.

Then there are family members. Visiting rules are pretty much at the discretion of the nurse in our CCU, and if the patient is feeling up to it (and even if they aren’t sometimes), there can be 5 or 6 people visiting in the room. Not to mention the patients themselves… If they are indulging in a little ICU psychosis, they can be screaming any number of things loud enough for the whole unit to hear – “Will someone get this dog off my ceiling??”

Yes, yes. I will be right there. Just please stop shouting.

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Comments

Amen.

Say it again, and louder -

A-friggin’-men.

I found this post horrifying. Don’t kid yourself–you’re awake for the beeps and alarms, but just as clueless to their affect on patients as the sleeping RNs. Take a vacation. The nurse’s role in aleviating ICU psychosis is enormous. Sounds like you’re adding to the problem. Get thee out of ICU.

Unfortunately, Diana’s email isn’t real, so although I tried emailing her this, I shall also have to post it here:

Hello Diana,
Thank you for the comment. I think, however, that you missed the point of the post.
I wasn’t saying that ICU psychosis or all the myriad sounds of the unit were GOOD.
I was merely sarcastically commenting on reality. We try to keep it down, and when the docs are loud
and other nurses are loud, there are always those of us who shoot them dirty looks
and say “Shhhhh.”

As I said in the post, I hate the beeps and alarms. I wish we could turn them down, at
least at night, but The Powers That Be won’t even let us do that. I wish that patients
wouldn’t cough and set off their alarms, I wish the phone would ring more quietly,
and I wish that visitors didn’t feel the need to multiply 4-fold. I wish that
patients didn’t get confused and start screaming loud enough for the whole unit
to hear.

How you got that I am adding to the problem is beyond me. I am complaining
about the problem. As I said, we do our best, but it still isn’t good enough, and
it makes me sad. It’s reality. The way I deal with reality is usually through
a little thing called “sarcasm.”
Either read the posts carefully or get thee off my blog.

AMEN! (I mean…amen)

Hi,
I think your words are right-on. My wife is in a burns unit at the moment wired up to all manner of gadgets and there is a never-ending set of beeps…oh and did I mention she is right outside the nurse’s station.

I am researching this subject for a page on my site VisionAndPsychosis.Net.

Sudden onset psychotic episodes may be caused by a problem engineers discovered about fifty years ago. This quirk of human physiology is believed confined to the business office and incorrectly designed workstations. It is related to the human vision startle reflex.

The facts as you describe them seem to fit.

If you have information such as case accounts which would show that these psychotic episodes usually happen after the patient’s eyes open email me.

You might be interested in the new short section on Culture Bound Syndromes at the bottom of the Chaco Canyon page.

IF YOU HAVE FRIENDS OR FAMILY USING COMPUTERS IN UNPROTECTED WORKSPACE SEND THEM TO THE SITE TO READ … PREVENTION… AT THE BOTTOM OF MOST PAGES.

Unprotected workspace is any workstation without Cubicle Level Protection.

I would be interested in cases which did not involve drug delirium and which did not resolve with no treatment.

I think the RN who has bitched and conplained about the “noise” should heed the advice of the email sent advising you to take a VACATION. If you were looking for a quiet job, maybe you should have applied at the local library. Sounds like you need to re-read your email, take a step back, re-evaluate your job and decide which road to take. Either take the road to recovery with all those family and loved ones there to encourage and support their ill family memeber OR take the road to the employment office and get yourself a job that requires NO PEOPLE SKILLS AT ALL! I work with the noisy public everyday and happen to have my father in an intensive care unit. He’s been there 145 days and is experiencing ICU psychosis as we speak. You think your are annoyed by noises, try walking in any one of your patients shoes for one split second. Then tell them not to cough, or family to stay away. You’ve got issues, and THANK GOODNESS you are not in my father’s hospital. I feel sorry for the families who get stuck with your care. My advice: GET THE EAR PLUGS, save us all a little grief!!!!!!!!!!!

As a member of the police reserve I had to undergo specific training for each type of restraint that I would eventually have to implement. Before I could use handcuffs I had to be placed in handcuffs for a few hours so that I had an accurate understanding of how the individuals I would be restraining feel. Likewise, I had the pleasure of experiencing a tazer and Freeze+P pepper spray. As a result the officers in my department have a healthy respect for the discomfort we have to administer as part of restraining an individual. How can you even pretend to know what it is like on the other side without first hand experience? Perhaps as a training exercise, individuals who plan to pursue a career in ICU should be subjected to a little of there own medicine. A few restless hours intibated and bound to a bed should help develop a clear understanding of your patients plight.

I am a writer doing research, specifically on psych wards but also generally on patient/medic relationships. Despite what some others say about your work ethic, I think it’s completely alright to vent. I could easily read how you have ear, eye and heart for your job along with a good hand in writing. No job follows a strict ideology or specific point of view. In that case I would like to hear the (reserve)police officers story when they tested bullets on him.

You give a good impression of what nurses do and how it affects them.

im an icu nurse,and i happen to surf these web site for my in service education. its surprising that none among the respondents offers concrete solutions to the problem but aggravated it either by just being sarcastic or just accepting it. with the latest trends in technology i am hoping for inventions that will provide soundless alarms and room interiors that can have projected image of the patients actual home and other familiar objects or people. only with these advancements can we truly resolve icu psychosis.

Thank you for this post. I found it while trying to understand what my dad is going through and why, and it really helped me. Thank you.

I didn’t read the original post as whining as some commentators took her but rather as explaining why patients have as difficult a time as they do in the ICU

I didn’t read the original post as whining as some commentators took her but rather as explaining why patients have as difficult a time as they do in the ICU

Jean, I don’t think she’s complaining about her job. I think she’s saying that given how irritating the noises are to someone who is well, the effects they could have on people who are ill/feel helpless are immense.

Sorry about your dad… it’s quite a few months later now, I hope that things are better.

Jean, I don’t think she’s complaining about her job. I think she’s saying that given how irritating the noises are to someone who is well, the effects they could have on people who are ill/feel helpless are immense.

Sorry about your dad… it’s quite a few months later now, I hope that things are better.

I recently endured a bout of ICU psychosis after spending some post op time on a ventilator. Could this have been caused by one of the drugs I was given, as anesthesia, or to get me out of the coma? ( induced, I presume, to make the ventilator tolerable)

I came across this post researching ICU psychosis because my father currently is experiencing it. He tried to PUNCH a male nurse. He’s going to be so embarrassed and humiliated when he finds out what he did. So weird that I had never heard of this before considering how prevailent it is! I was thinking of sending the nurses something to say thank you before I read this post, now I definately am!

I had ICU psychosis in spades during an extended stay in the hospital several months ago. You have enough of a grip on reality that you are aware of what is going on around you, but your brain is playing some pretty bizarre tricks on you at the same time. I could write a nice long article on all the sights and sounds I went through, but I will submit that when a combination of improvement and mild sedatives helped me get a semi-good nights sleep, it made all the difference in the world. I’m not a doc, but I bet that sleep deprivation has a lot to do with it. An ICU unit is the worst place in the world to get to sleep, and even when you are lucid, to be awake at 3AM in wrist restraints with nothing to do but stare at the walls until morning is a torture that I wouldn’t wish on Osama himself,

I had ICU psychosis in spades during an extended stay in the hospital several months ago. You have enough of a grip on reality that you are aware of what is going on around you, but your brain is playing some pretty bizarre tricks on you at the same time. I could write a nice long article on all the sights and sounds I went through, but I will submit that when a combination of improvement and mild sedatives helped me get a semi-good nights sleep, it made all the difference in the world. I’m not a doc, but I bet that sleep deprivation has a lot to do with it. An ICU unit is the worst place in the world to get to sleep, and even when you are lucid, to be awake at 3AM in wrist restraints with nothing to do but stare at the walls until morning is a torture that I wouldn’t wish on Osama himself.

My wife just completed 39 days in ICU and now is in her second day in a regular hospital room, the result of brain surgery. The last few days in ICU she was showing signs of confusion, but these last two days, she is hallunicating and more disorientation. She is going to a rehab center in a couple days. My concern is the duration of this condition and how soon mihgt it clear up? Any suggestions or helpful insights would be appreciated.

I’m a RN in a ICU. We come across ICU psychosis very often. It’s just important to keep the patients orientated with respect to time, place, why they were admitted, and keep them involved in their home life by telling them whats going on. It clears up eventually, but it can take a while. I know its hard to stay positive and patient but its important. Good luck.

I am 35 and I have been in a neuro ICU five times in the last year, all times I’ve been conscious. Two times following strokes, the other three following neuro-radiological “procedures” (as opposed to traditional knife surgery)…the very first time I went straight to the neuro ICO after being transferred from a smaller hospital’s ER. As they’re putting me onto the bed, a nurse just outside my room hung up a phone and decided to announce to every other nurse (and everyone within earshot, which was the whole ICU) “Okay, I just arranged transportation to the morgue.” Gee, wonder why I had panic attacks that started then and have gradually disappeared but not enough to make me stop carrying Xanax with me wherever I go…I retell that every time I go back into the hospital and nurses always get a kick out of it.

And as for orientation, when I finally got to the neuro floor a few days later, they came in and asked me what day it was, and I just answered “Hey, you’ve had me cooped up in this room with no windows for a few days, how the hell should =I= know what day it is?” That answer apparently was the right one because they didn’t ask me again.

I came here doing research for my family. My father is currently in the hospital suffering from, what we have been told, ICU Psychosis. However it has been 13 days since his surgery and he seems to be getting worse. Today he couldn’t recognize either his wife or sister when they came up to visit him, how we all miss the days when he was seeing lions and nurses who came into his room, but left by slipping under his bed. In the beginning it was, at moments, even a little amusing the things he saw and said but it is long past funny and crossing into the realm of horrifying.

He went into the hospital to have his bladder removed (cancer) and was an intelligent lucid individual who was thrilled that I set up a laptop for him to use while he recovered from surgery. Now he wouldn’t recognize a laptop from an egg timer and this whole affair is making less and less sense. My mother is depressed and afraid that somehow his surgery or the drugs or who knows what has triggered alzheimers and he will be like this for the rest of his life. I suspect the same thing… BUT IT MAKES NO SENSE!

None of this makes sense and all we get from the nurses and doctors are guess after guess ranging from the absurd to the plausible. My mother was a nurse and I was a Hospital Corpsman in the Navy so we both know when something sounds fishy. Right now were are waiting, patiently, in fear, to see what happens. I want to see his records but my mother does not want to rock the boat and ask for them so even between us now cracks are beginning to show.

I appreciate that nursing is a tough gig I mean I didn’t persue a career in the medical field when I got out of the Navy because I don’t like all that suffering, screaming, and hurting. I understand that listening to the beeps, pings, ravings, alarms, etc can get VERY annoying. Just remember when it gets bad though that NOBODY wants to be there not the patient or their family or their friends. Their goal was not to be a burden or inconvenience in your life.

It all seems to boil down to very bad luck.

I, too, came here looking for answers to my father’s sudden bout with ICU Psychosis. I’m glad to see he’s not alone, but would like to read more from those who have since recovered. How long did symptoms last? How long to recover? Any after-effects? Also, Dad has 2-3 fair days followed by 1 or more REALLY bad days;anyone else?

Just a follow up to my previous remarks for anyone interested-of the 3 weeks my father spent in ICU, his worst day by far was May 29(the beginning of week 4). By June 2 he was perfectly ‘sane’. No one thing really seemed to trigger the beginning or end of this utterly terrifying phenomena, & he has little to no recollection of those 25 days. Thankfully.

My mother is currently in medical ICU after having a seizure due to very high blood pressure. They have ruled out a stroke, brain lesion, etc. The best thing to come out of this is that she has been called “cancer-free” since she has had CT scans and MRI of her entire body. She is having hallucinations which started after she was removed from the ventilator 2 days ago. She has begun crying and telling people (even men) that they’re pregnant. She hospital is a shopping center, and we all need to get out because once you’re in there’s no way out. She said that she had seen someone who died 5 years ago. It is a very troubling thing; however, I have seen website at answers.com under ICU psychosis which bring comfort in knowing this is a temporary condition. She is very sleep deprived, not having slept in weeks. Thanks for this blog.

My significant other was hospitalized 13 days ago with a lung abscess, coded 11 days ago due to respiratory failure, and was gradually becoming more lucent. Three days ago, he was mouthing words, pointing, nodding and shaking his head, trying to write, and obviously very, very distressed, like a trapped animal with pain in his eyes (he is intubated and in hand restraints). Then, he got hypotensive that night and the next morning, there was no recognition in his eyes. He’d look at me but not respond. This morning, he was the same, but then his ventilator trach tube clogged with mucus and he coded again. He was rescusitated and the airway was cleared, but he is really unreponsive now. You can lift his eyelids and he does nothing. The docs say he wasn’t hypoxic or hypotensive enough for brain damage on either event. I am terrified. Does anyone ever come back from these things? A relative interprets the trapped animal behavior as him sending a message that he doesn’t want this care, and that he has now given up. I interpret it as he is frustrated and wants out of the ICU, but the decreased responsiveness is very frightening. His liver status is also acting up, so he might be a little encephalopathic from that.

My husband was in ICU and was sedated for 21 days after open heart surgery. His kidneys shut down from the trauma of going into cardiac arrest and being resuscitated three times. He was sent immediately for a second open heart surgery three days after the first one. The Doctors brought him out of the sedation gradually to a point where he was transferred to a room. This is where I learned of ICU psychosis. It has been the most bizarre condition I have ever witnessed. He sees our dog, who died 6 years ago, lying across his legs. He sees his mother who passed away 35 years ago and then he cries uncontrollably. He grabs at objects that aren’t there, sees people running in and out of his room, can’t really focus his eyes and tells me that I always switch his glasses with mine, thinks he has been in 3 hospitals and does not know what has happened to him at all. This behavior has gone on for 6 days since getting out of the ICU. He is now in the process of being transferred to a rehab hospital to help him learn to walk again. He can barely take 5 steps with a walker before he collapses. He is very weak, no appetite and does not sleep but for 10-15 minutes at a time. I don’t know when this will all end but I do know that he is suffering and it is so difficult to watch this once vibrant and robust man so weak and confused. How long will this last? Has anyone’s family member experienced more than a week of ICU psychosis??

To Kathy whose husband had his second open heart surgery: Be of good faith, he will recover but will need all your support,love and understanding. This surgery really takes ALOT out of you. I was 49, a marathon runner when I had mine-5 vessels. I couldn’t walk to the end of the driveway when I finally got home and my surgery was w/o complications. The rehab is the best solution for monitored, systematic rebuilding. Be patient and supportive! I fought the rehab thinking I could do it myself-WRONG and discovered the emotional support from my fellow sugery survivors in rehab was as important if not more so. They KNEW how I felt everyday-you have to been there done that! Be aware depression is VERY commnon and be AGGESSIVE in getting help FAST! This is very debilitating and slows healing that can take up to a year. This are not just the blues either! I was a patient for 12 days.I made a promise that if I got thru the whole affair I would do something significant with the rest of my life and now am a ICU nurse..living the life as a survivor and loving my new found career..and working on a Masters..in race against old age. And dealing daily with ICU psychosis and reminding myself to let my patients sleep if they are stable. And trying to be QUIET!!! Look too for a chapter of Mended Hearts, an organization of open heart survivors that meets with families and patients-once he is better the volunteering might help him come to terms with some of what he has gone through.
Be strong!

I learned about ICU psychosis today. (This is wierd because I work as a social worker in a psych hospital.) My brother (age 42) had an aortic discection on July 8th and 8 hour emergency surgery and was then on a ventilator for 8 days and finally weaned off and appeared to be oriented to me although slightly confused. Two days later he then had 2 pulmonary embolisms, nearly died (again) and was on the ventillator for 10 more days (heavily sedated again) and has now been off the ventillor since Saturday and is no longer sedated. He is making very little sense, although he can be amusing at times – today he stated that he is going to trap crayfish with Condeleeza Rice! My parents are very worried that this is the result of lack of oxygen and will be permanent and we were just told that it might be ICU psychosis. My questions are the same as many others: is this really ICU psychosis? how long does this last? Will he get better? What can we do to help?

My dad recently has surgery for testicular cancer. He was only supposed to be in the ICU for 2 or 3 days but with various complications, he stayed in until day 7. By day 5 though, he was suffering ICU psychosis. He sees his cat on his lap and he thinks that everyone is out to get him, the “lawyers” keep on coming in. Thanks for this post because this condition was the scariest thing we experienced so far. In the morning he was fine and joking with me and by the night he was calling me over and over to tell me about the huge settlement he was getting. The comments from above are really strange that reference you going on vacation, in no way did I see that you were complaining, who would complain about this condition. If I was tied up for a week on opiates in a loud room, I would go crazy too.

Why haven’t we heard about this before? Seems like we should all be warned that this can happen — I’m so glad to have found this thread.

My mom had complications after knee replacement surgery and ended up in the CCU, though she started going loopy just the day after her surgery (before ICU). Does it have to be an ICU to be ICU phsychosis?

My sister has been in the ICU for almost a month now. She almost died twice. She is being treated for a brain tumor and she contracted some kind of lung infection due to her weakened immune system. She’s been psychotic since she came off the respirator – that was five days ago. It was funny at first and we were so relieved to hear her talking at all that we weren’t all that concerned. It’s not funny anymore. The information here has helped me a lot. I never heard of ICU Psychosis before. My family will be very relieved when I tell them what I have learned here. I’m going to try to make sure she at least can see out the window during the day and, even though it’s the nurse who’s wishing for earplugs in this post, I wonder if they might help my sister sleep at night. I’ve been in the hospital before and I know what all those noises can do to your nervous system when you’re medicated. Anyway, thanks for this posting and best of luck to all!

I’m amazed at all the info on icu psychosis. It has been quite an education reading all of these posts. GEENA – I got your message, and you just keep on doing your best. It’s all any of us can do. I’m researching this topic b/c my Mom has been in ICU for almost 2 weeks, and seems to periodically be someplace else, or just not in the here-and-now. I’m thinking family pics will help, and lots of visits. But, seems like sleep is the main thing that will help. Anyway, thanks – I have learned so much from your blog!

My Dad had quadruple bypass surgery 8 days ago. I have been reading about post operative pshchosis and it appears that he is suffering from the same. He does not remember anyone being there, calls my Mom who spends the day with him screaming at her why she did not come there and why she won’t take him home. This is completely out of character. He raised his voice only at misbehaving children only through is 82 years. Any one have any words of comfort or suggestions on what to do to bring him out of this??
Thanks, Ken

My dad had quadruple bypass surgery 10 days ago. He came through with flying colors; however, two days after surgery he was having difficulty breathing and was moved to the ICU. He has been in ICU for 6 days. After what I have read here, he is definitely experiencing ICU psychosis! His nurse, a remarkable young man, explained to my family what my dad is experiencing, but it is very difficult to watch him in this condition. I certainly pray that this condition is temporary and once in a regular room he will become more coherent and aware of his surrondings.

I worked in ICU eons ago and remember the psychosis well. Has anyone ever tried earplugs for the patients? Something that may dull the roar of the beeping, the docs, and the nurses at least enough to catch a bit of uninterrupted sleep. It is cheap and at least worth a try. Especially for those who are lucid today…maybe it would keep the psychosis to a minimum.

Noise in the ICU is a HUGE subject. The research on the subect is quite interesting. Noise in ICU’s can reach 60-80 decibels. (Well over the OSHA safety zone). The noisiest periods are from 12-6 am. Machine noises are actually the worst noise for patient (alarms) – those noises really crank the stress responce into high gear. The most important fact to remember is that in critical care units “Silence Kills” and it can kill a patient alot faster than noise can. I remember a story a nurse (Mz. S)who left our unit recounted to me. She was totally unaware that she was in micro-sense recounting what fairly good research has found to be true. . . . Anyway, the story goes like this:

Mz. S goes to work in a unit in which the nurse manager strongly disapproves of noise. She insists on a “quiet healing enviroment”. The nurse manager tromps down hard on anyone to enters into any social discussions or conversations during the course of the day.

Mz. S finds an interesting phenomenon accompanies the quiet . . no one acts as a team when a patient is circling or going down the drain. She is on her OWN when a patient is going bad. She also notices that no-one discusses processes that aren’t working well or are dangerous – they just keep doing the same stupid things over and over again.

Mz. S left that ICU unit. Lots and lots of nurses left that ICU on a fairly regular basis.

Mz. S found a new ICU unit to work in. On her first day in the new unit a group of nurses and a couple of residents were discussing how many pencils one of the nursing supervisors (who was rather well endowed) could hold under her breast if her bra was off. The well endowed nursing supervisor was also participating in the discussion. The group was very collegial and invited Mz. S into the conversation immediately. Mz. S knew she was home. When her patients need a “village” to save them, she seems to get the team work and professionalism that is needed.

The name of your post is interesting. Earplugs for patients are the only process measure that have been found to reduce the noise in the ICU on an ongoing and consistant basis. Earplugs can keep the conversations going that need to be going and the patient can get the “quiet” they need. Being rude and “hushing” people doesn’t usually work unless your institution intends to hire a 24-7 “HUSH” police force. “Hush” is not a process measure for improvement. It’s a means to practicing your nursing recruitment measures . . over and over and over and over and over and over and over . . .

Welll.. What about the profoundly-deaf patient with ICU psychosis? He’s abt 43 yrs old. Can’t hear a thing without hearing aides. The sounds of the ICu are not his problem, the lights and touching is.. Any comments?

Wow, what was stress releasing vent morphed into an interesting ICU psychosis in-service. I had no idea it was so common.

On another note, I have noticed a difference between ICU nurses attitudes and Med-Surg nurses attitude. One of my co-workers transferred from the ICU to the floor, and I remember going with her to visit the ICU and they are much more serious. I laughed at my co-workers joke, while her ICU friend took it seriously. It’s a totally different mind-set.

My father suffered a major heart attack last year that led to the placement of an LVad while waiting for a new heart. He suffered from ICU Pshycosis for a total of 15 days, some days not so bad, others so bad it was extremely hard to watch. His ICU Nurses were fantastic, and great advocates for his care. It was those Nurses who actually got the ball rolling for the LVad, as the attending at the time was ready to do comfort measures till the end. It was these Nurses who inspired me to return to school to get my own RN so that I might be able to pay forward what they gave my family, more time with Dad and truly touching a persons soul. They treated us all like family.

Thank you to all the Nurses out there who do wonderful jobs every day!



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  • profileI am Gina. I have been a nurse for 15 years, first in med/surg, then CVICU, inpatient dialysis, CCU and now hospice. This blog is about my experiences as a nurse, and the experiences of others in the healthcare system - patients, nurses, doctors, paramedics. We all have stories!

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