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The Best Care We Can Give With What We Have

Posted on February 19, 2010

February 19th, 2010

I wanted to keep sleeping but the heat is too much. I need water! Well, I’ll survive. These Haitian people have it far worse.

Even though there is no JCAHO, I still felt we provided the soundest & safest care we could with the supplies that we have. I hope to be a little more organized tonight and provide my best nursing care because these people deserve it.

For example, there is no braden scale, fall risk assessment, or care plan, but I still turned my paralyzed patient and changed the diaper. I wouldn’t let the one patient go outside to have a BM because she was unsteady on our gait. We only restrained people if absolutely necessary. There was one guy who had to be restrained (we had one vest, but we used gauze for his arms & legs) because he was a danger to hurting himself. Mostly, chemical restraints were used. We also had a couple confused patients. They were all young by the way. Maybe head bleeds? There was no CT scan to know for sure.

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