To take or not to take..
3rd week of "vampirism"
I feel it's ok if i was taking patients i'm seeing everyday in rounds. But for some strange reasons, there is a particular room where it is "no man's land" where there's only an MO seeing the patients without any HOs or SIPs but all the discharges and bloods are done by us..
So it's quite hard when approaching patients and some ask. "Wa again ah? How's the last result ah? This one is for what ah?" Then have to refer to forms, computer etc.. To satisfy them and make them more comfortable at giving their cubital veins for my perusal..
Worse scenarios include elderly patients that firstly think that 3 days of 2 tubes each will suck them dry.. Or those that feel that blood taking is a real torture. That doctors and nurses who have to hold their hands and poke them are cruel. Then have to convince them that they will not be dry with 20ml of blood gone in 3 days.. That we are doing this for their own good.. Will sometimes ask myself if i am doing the right thing by taking blood when they are so against it. Also dunno why i have this calling to try my utmost best to make a super reluctant patient agree to the blood taking when there's talks about patients' autonomy and also i will have 1 less blood to take with each refusal.. Hmm.. because i will feel uneasy if the blood taking tray still has empty tubes?
I feel it's ok if i was taking patients i'm seeing everyday in rounds. But for some strange reasons, there is a particular room where it is "no man's land" where there's only an MO seeing the patients without any HOs or SIPs but all the discharges and bloods are done by us..
So it's quite hard when approaching patients and some ask. "Wa again ah? How's the last result ah? This one is for what ah?" Then have to refer to forms, computer etc.. To satisfy them and make them more comfortable at giving their cubital veins for my perusal..
Worse scenarios include elderly patients that firstly think that 3 days of 2 tubes each will suck them dry.. Or those that feel that blood taking is a real torture. That doctors and nurses who have to hold their hands and poke them are cruel. Then have to convince them that they will not be dry with 20ml of blood gone in 3 days.. That we are doing this for their own good.. Will sometimes ask myself if i am doing the right thing by taking blood when they are so against it. Also dunno why i have this calling to try my utmost best to make a super reluctant patient agree to the blood taking when there's talks about patients' autonomy and also i will have 1 less blood to take with each refusal.. Hmm.. because i will feel uneasy if the blood taking tray still has empty tubes?
posted by KwangHow at
1:11 PM
1 Comments:
sometimes i just write patient refuse to have blood taken on the form. i feel it's cruel too, but sometimes just comforting them and talking to them abt their family or lives allows me to take blood from them the next day. I guess they see it as an opportunity to chat with me.
By
Wei Qiang, at 9:56 PM
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