Making Good on Private Duty: Practical Hints to Graduate NursesLounsbery, Harriet Camp
Science
Making Good on Private Duty: Practical Hints to Graduate Nurses
Lounsbery, Harriet Camp
Private duty nursing
Do not sit down when the doctor is making his professional call,
unless he or the patient requests it. He will probably sit at the
side of the bed, your place is at or near the foot. If the doctor
knows the patient well, as a friend, and is inclined to stay a
long time, chatting, you can go quietly to another part of the
room, and take up your work or reading, but be sure the doctor has
finished asking you questions before you go.
Use sparingly technical terms. If your patient's feet are
oedematous, tell the doctor they are much swollen; if he
_ask_ if they are oedematous tell him "yes," but do not
volunteer to name the peculiar kind of swelling. If the abdomen is
tympanitic, tell him it seems much distended; and if he questions
much further, answer the questions fully and intelligently. If
your patient has the symptoms of phlebitis, tell him of the rise
of temperature, the swelling of the leg, the tenderness along the
course of the vein, and he will know that you know and appreciate
the gravity of the disease; but be sure you do not attempt to give
the symptoms a name, that is not your place.
I would have you be very careful as to what instruments you carry;
have them of the best. Let your thermometer be of the very best
make.
There is nothing more trying in a small way than to have your
thermometer doubted, and if you _know_ it is the best the
market affords, if you take it to the instrument maker and have it
tested once in a while, you need not fear, when you find an
unusual temperature, and report it to the doctor, and he quietly
proceeds to test your thermometer by his, which of course is
always correct. Be sure that your hypodermic syringe will work; if
the piston slips loosely after much using of brandy, aromatic
ammonia, etc., take it to be repaired, and see that the needles
are sharp, they become dulled very quickly; keep also the tiny
wires pushed through them. It is just as well to keep this syringe
in the room, its little case is very small and unobtrusive, and if
you keep it near your thermometer in some safe, handy place, you
will have it when some unforeseen emergency arises, and you do not
want to lose time going to your room for it.
III
THE NURSE HERSELF
Public-domain text, read in full here on John Shaqi.
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