Dear Nurse Marge,
I’m a new RN, and have been working on my unit for just over a month. Yesterday, I had a patient call out to me from the waiting room that he was having a seizure. I found him, twisting and jerking uncontrollably – and carefully using his feet to push himself away from the wall whenever he got too close to hitting his head against it.
It was very strange: when I looked directly at the patient, his tremors worsened. When I wasn’t right there, watching him, the situation improved: he was able to speak to his friends about what was going on!
The whole thing seemed weird, so I got help from one of the nurses who’s been really great about helping me out. He came out, gave the guy a look, said, “All right now. That’s enough of that.” and the patient’s seizure stopped. I asked him how he knew, and he said it comes with experience.
What else would an experienced nurse do in that situation?
Novice Needs To Know!
What would an experienced nurse do? Pretty much what your colleague did. What would an experienced nurse WANT to do? That’s another question.
I’ve always been fond of applause, myself. Faux seizures make me want to put my hands together and clap! Great performances should be appreciated!
Another way to handle this requires coordinating with some of your colleagues. Write numbers on blank papers and hold them up: give them a score! Of course, this means someone has to be the Russian judge…and never award more than a 3 or 4.
The drawback to this method is that it encourages people to try for their personal best! When Ativan and Diluadid are the gold and silver medals in the ER olympics, the competition can get fierce!