Marquazia Pegues
December 2024
Marquazia
Pegues
,
RN
3 South Acute Care
Baptist Memorial Hospital- North Mississippi
Oxford
,
MS
United States
The patient finally agreed and allowed her to change the dressing. While this task in itself is small, the implications of not pursuing it could be huge.
I've been a nurse for over a decade and am very passionate about my patients. Working in dialysis now, I see a lot of small things that slip through the cracks when it comes to things like dressing changes on dialysis lines. A lot of nurses are scared to even touch the lines and I have had issues with some lines even going days without a dressing because of bad information that bedside RNs are not supposed to "touch" dialysis lines instead of not "use" dialysis lines. As such, I have made it a habit to randomly browse dialysis patient charts that we are seeing intermittently to see if line dressings need to be replaced. Today, I came across 2 notes on a more "challenging" patient. The first note I was not surprised to see that the dressing was coming off and the patient was refusing to have the line redressed. This is usually where I see most RNs stop. They document "Refused" and move on. But I found a 2nd note from the same nurse, this nurse. She went back in for the 2nd day in a row and again instructed the patient on the importance of dressing changes to prevent infection. While changing the dressing may be uncomfortable in the short term, the benefits greatly outweigh the risk of getting a bloodstream infection. She also included the family members present to assist in convincing the patient to have the dressing changed. The patient finally agreed and allowed her to change the dressing. While this task in itself is small, the implications of not pursuing it could be huge. And again, this was a "challenging" patient to deal with. So, being dedicated enough to try more than once to convince this patient to allow the dressing to be changed speaks very highly of her character as a nurse. There definitely needs to be more drive and passion in the nursing field nowadays, and I think she has it.