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
As to your records, keep them faithfully; the doctor usually looks
them over very carefully, but sometimes you find one who passes
them over in a lofty manner, rather trying when you take such
pains with them. You may conclude that it is not necessary to keep
them accurately in such a case, but this same doctor may ask you
some day how long ago it was that the patient's temperature took
such a sudden rise, or how many days it is since she first had
solid food, and if you have accurately kept and carefully
preserved your records, you can tell without a moment's
hesitation. It is better, more business-like, and every way to be
commended, that the nurse should keep, and be exceedingly
particular about these records. If the doctor will write his
orders on the fresh daily record at his morning visit, it is a
great help to the nurse, but very often he is in a hurry and you
must write them yourself. If you have to do this, take your record
and write as he tells you, _when_ he tells you. If the orders
are at all intricate it is your only way of being absolutely sure
you have everything correct. It is a protection to you also, if
the family are inclined to criticise.
A nice little point for you to remember is always to leave the
doctor _alone_ with the patient for a few moments, if it is
at all possible, at each visit, Wait until he has asked all the
questions he wishes, or until you have told him all that is
necessary to tell before the patient, and then on some errand,
real or imaginary, leave the room. Of course, if the patient is
desperately ill, you cannot do this, nor will it then be
necessary.
It is a good plan to wait for the doctor at the head of the
stairs, or at the foot, if you are likely to be over-heard, and
tell him there all you could not say before the patient as to her
condition, etc. He likewise may have something to say,--some
final instruction to give, some caution he would not wish the
patient to know of. This is also the time to speak about yourself
if you are sick or tired, or unhappy in your position. Perhaps
neither of you have anything to say, and a friendly nod and a
"patient is doing nicely, nurse," will send you back to the sick-
room feeling that your work is appreciated, which always goes a
long way toward making the hard places easy. Your patients may be
very curious as to what you have to say to the doctor, but you can
readily and truly tell them that there are many things you have to
say to him, that would be hard for you to say before them, and
hard for them to hear too, and these are things you arrange
outside.
Always be sure to have on a convenient table, if your doctor be of
a homoeopathic school, a little covered tray, and on it two
glasses, clean, and turned upside down to keep them from dust,
teaspoons and covers for the glasses, also a small pitcher of
fresh water. Many doctors of the old school also use some
medicines in water, so it is best to have glasses always at hand.
Public-domain text, read in full here on John Shaqi.
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