They are a group of people who seem ordinary, but in fact they are extremely special. They are alive and full of longing for life. They are afraid, because death is always staring at them. They are hemodialysis patients, and we are nurses who get along with them day and night in the hemodialysis room. Special departments and special patient groups have given us a special mission, that is, to make life closer to life!
How time flies! Unconsciously stayed in the hemodialysis room for more than eight months. In these eight months, I realized the helplessness of patients in the face of diseases. I have witnessed various scenes of joys and sorrows, I have felt the eyes of patients' trust, and I have also encountered the embarrassing scene of "a scholar meets a scholar, and I have no regrets"!
As a nurse in hemodialysis room, the most important thing is to have compassion. All men are born equal. Why should they suffer from this disease? Their hearts are full of injustice. Some of them are in their twilight years, some are in their prime, and some are even in their prime, but they are all alike and are favored by diseases. The economic pressure and physical pain are immeasurable, and the psychological burden is self-evident. Many patients have depression and rebellious behavior. Once upon a time, how many desperate patients took their anger out on us and swore at us; How many desperate patients have thought about refusing dialysis and giving up their lives? In the face of these, we have the responsibility to be their spiritual compass and help them build up confidence in overcoming diseases. Gradually, we became friends and became a family. This is no longer just a therapeutic relationship. Sometimes, we talk about family and make some jokes. No matter whether it's cold winter or hot summer, we come to the department to open the door early every day. (www.fwsir.com) I just don't want those elderly grandparents to wait too long, just want them to enter the warm home of hemodialysis room as soon as possible. Many patients come alone, without family. When they are hungry and thirsty, we are his family, pouring water for their hot meals enthusiastically and saying "slow down and be careful with the dialysis line" in a caring and attentive manner. Of course, understanding is mutual, and they also cooperate with our work. They wait in line in order before dialysis and consciously abide by the rules and regulations of the department. When they saw that the quilt on the hospital bed was not folded neatly, they couldn't help but reach out and help them clean it up. Seeing that we are busy every day, some patients feel uncomfortable and embarrassed to disturb us during dialysis, and silently endure it. This worries us. In the process of dialysis, we patrol every patient all the time, observe their vital signs and whether there is blood seepage at the puncture site, constantly ask about their physical condition, often have a pleasant conversation with them and pass on some self-care knowledge to them.
As nurses in hemodialysis room, we should have a higher sense of responsibility than ordinary wards. There are more than 200 ml of blood in the extracorporeal circulation pipeline of dialysis patients, which runs continuously for four hours at an average speed of 230 ml/min. Each pipeline has many connectors and side holes. A little carelessness, perhaps just an improper clip, will make the patient lose valuable blood and even lead to more serious consequences. As we all know, every patient with renal insufficiency has anemia in different degrees, so every drop of blood is lost, not only the patient himself, but even we feel extremely sorry. In addition, the dosage of heparin is even more sloppy, and large doses will lead to bleeding tendency in patients; A small dose can not only prevent coagulation, but also make the patient lose more blood. At the end of each computer session, we always check the dialysis machine and dialysis pipes over and over again to find potential safety hazards. In the process of dialysis, we dare not neglect, always monitor the patient's vital signs, pay attention to the changes of blood flow, venous pressure and transmembrane pressure, and be alert to the occurrence of some acute complications of dialysis, because many cases can be serious to the point of irreparable in a few minutes. In the hemodialysis room, there is a saying: as long as the patient's blood does not return to the body for a minute, our hearts will not let go for a minute! In front of patients, we play their friends and family, but in our hearts, we are always on our guard against ourselves. As medical personnel, we should always remember our responsibilities and missions.
As a nurse in hemodialysis room, it is essential to have compassion, responsibility and love for patients, and skilled operation technology is the guarantee for our nurses to overcome diseases. (This article comes from Fan-Wen-Xian-Sheng-Net) In the hemodialysis room, our operation is in contact with the patient's blood, and we must strictly abide by the aseptic operation technology. Thick and long internal fistula needles and blood lines more than three meters long are directly connected with the patient's blood, and some intubation tubes are directly exposed to the outside world. If the aseptic technique is not strict or slightly improper, it will cause many complications, bring unnecessary pain to patients and even endanger their lives.
We are nurses, we need to master basic nursing skills, we are hemodialysis nurses, and we also need solid and excellent hemodialysis specialist skills. Patient care here is no less than intensive care unit; The aseptic operation here is no more sloppy than the operating room! ! My proud and desperate patient is here to raise the sail of life again; I am proud that we let health embrace everyone's body and mind again. I will never forget the day when a patient with hyperkalemia and cardiac arrest woke up with tears and said "Thank you for giving me another life", which was a comfort to his family and an affirmation of the work of medical staff! This is no warmer than a thank-you note! "Give someone a rose, and there is a lingering fragrance in your hand" and "The tablet is silent, and actions speak louder than words", and our personality is sublimated in this little bit of understanding and care!