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Dealing with DEATH in the OR
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- čas přidán 11. 02. 2017
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Thank you for this, I'm an OR nurse with two years experience in a Pediatric OR. My first experience with death was doing an organ harvest on a 15 month old who passed due to a non-accidental trauma. It was the hardest thing I've ever done in my life, but this video helps me deal with it a little bit better, thank you. One thing you touched on was the post-mortem care which is so important. I spent so much time cleaning and washing that baby, making sure his hair was clean, he had a fresh gown and a fresh diaper. It's a terrible thing to go through and it's even harder when it's a kid. Thank you for touching on this sensitive subject that few people ever talk about.
A nicely done, appropriately compassionate and respectful video. I am an RN of 41 years, worked in the ED and now in oncology. I've seen death many many times. I've forgotten the details of most of the deaths I've seen EXCEPT I remember the first time. I remember it like it was yesterday. I remember that I cried, I remember asking why and remember that one of my co-workers comforted me.
Thank you for your professionalism and respect of the patient and family.
hey man, i started watching your videos out of curiosity a while back ~ 2 years, and i got so interested in these videos, that I have enrolled into an accelerated program, where we have no breaks, no days off really, and a couple months later, I am one module away from starting my externship. thank you so much for introducing us to this, and for all the help that your videos have shown me, even a heavy hearted video such as this. thank you.
Tater Games wow that’s amazing
@@stephaniesanchez2057 I'd recommend the route that I took for everyone serious about this role. I've met some amazing people, worked under some of the best doctors, and have seen some things that make me just think, holy shit, I was just in somebody's abdomen.
Tater Games I start my surgical tech program in January, I’m sooo excited. I’m just not the biggest fan of blood but I’m sure I’ll get used to it over time. How do you like it??
@@jdd9044 I wasn't too much of a fan of blood either, i was going through culinary school before I decided to go this route. But one thing to keep in mind, this is all done in a controlled environment. it is normal to see blood in surgery, and it is something we sign up for. The doctors you work under know what they are doing, and the blood loss is nothing to be concerned about. I felt queezy and even scrubbed out a couple of times when I first started, but after a while, if you try to stay strong, you can do amazing. Just remember to study as hard as you can, if it is blue or green, do not touch it unless you are sterile, and don't get overwhelmed. it can seem like a lot at first, but like riding a bike, it can become second nature. it is that best thing that I have ever done for myself, and I have made connections and have experienced some amazing things. I do not doubt for one bit that I have made the right decision, and I guarantee that you have done the same. just stay at it, watch videos, try to get used to the terminology and procedures, and you will do fine. also, study your instruments, handle them, get to know what they feel like, and what they are used for, that is one of the major things.
Wow man that’s awesome, you just made me that much more excited, I think I’ll do really good and I’ll keep your tips in mind, thank you and good luck with your career!
Thank you for this video on compassion. Although this did not take place in the OR, ill never forget my first hospital death. I am currently a Nursing student at the time of this writing. During a clinical, a patient was actually about to get discharged. The patients wife was in the room talking to him and getting his belongings together for his discharge. When he got up, he suddenly got dizzy then collapsed. She called for help and I was one of the first on scene. He was unresponsive and not breathing. My instructor came in and called a code. I began compressions and continued even when the full code team was assembled. All measures were attempted, but ultimately, the patient passed. When the code team began clearing out, I stayed with the patient for a moment, said a prayer and closed his eyes. I will never forget the look of the patients wife or the sound of her crying when she was escorted out of the room when the code blue was called. I will never forget the feelings of his ribs breaking during the compressions. Perhaps above all, I will never forget the feeling of humility and compassion towards a man I have never met in my life as I closed his eyes and was the last person he ever saw. That night, I cried in private. I knew what I was signing up for as a nurse, but the first death hits hard. I learned a lot that day. I learned that it is a privilege to be part of the end of someone's life journey.
I cried watching this video! I'm in school now (on my 3rd of 4 clinical rotations) and will be done this July...I haven't seen death in the OR yet but thank you for addressing this sensitive subject.
Renee K i cried too!! im in my first semester of surgical tech school and will be starting clinical rotations in March.
Renee K I
I've found most deaths happen on the emergency list & are usually predicted but when it happens to a patient on an elective list undergoing something routine it is shocking & traumatic to say the least... we just don't see it often enough (thank god) bless you
I am 19 year old . and I am a surgical technologist student of 4th semester and I liked your video
I am not in the medical profession, although sometimes I feel like a medical professional. 🙂 I'm usually the one on the table. I happened upon your videos, and have been watching them. I have had over 15 surgeries in my lifetime (nowhere near a lot compared to some!). None of them have been terribly complicated, and have ranged from a 15 minute toe surgery, extensive ortho ankle repair, laminectomy, hip replacement and even amputation (I have Lupus w/ major avascular necrosis due to years of taking prednisone). I am deathly afraid each time I go into the OR. Your videos are helpful from a patient side because they show what happens "behind the scenes," and also the meticulous care you give each and every case. This video I hesitated to watch, but I'm glad I did. It was comforting to hear how well you take care of the deceased until the family member can say goodbye. I realize protocol might be different where I live, but still, it was truly beautiful to listen first hand to the compassion you have for both patient and family. Your videos are touching more then just future CST's, they are reaching out to people like me. I need my knee's replaced next, along with revision to my oldest hip replacement (it was put in when I was 21 and now I'm 43). I know there are more surgeries in my future. I don't think I will ever stop having fear, but now I also have more knowledge to combat the fear. Thank you for making these videos. Thank you for the role you play in the OR. Thank you for helping out an entire new generation of CST's! Finally, thank you for the part you play in making sure each patient does go home to their loved ones to recover and continue to live life! -Diane in Florida
That was amazing to read. Thank you so much.
This video made me weep at the end towards the part of covering the body with warm blankets. You are so sweet. Thank you for sharing.
Death is something I don't think anyone can be prepared for or learn dealing with it, when it happened to me I felt like it was my fault, and I felt so guilty.
I'm so sorry. At best, we're all pushing death back just a bit further, and helping people live as long and as well as they can.
I can tell you have a great heart. God bless. Been a nurse and paramedic for many years starting my first job in the OR tomorrow. Nervous but excited! 😉
I’ve been wanting to be a surgeon for so long and I just got invited to go see a bunch of surgeons in Boston I’m so excited and I get an award for academic achievement
I have tears coming down watching your video imagining myself being a surgical technologist and facing the death of the patient during surgery is this normal to cry since I am going to school to be a surgical technologist this year ?
Thank you SO MUCH for having this channel. I'm going to go back to school to be a PA, and need to get an allied health certification first, and start accumulating patient care hours. I was considering surgical tech, and you're giving me such a good perspective on the pros and cons of this position!!!
Yo Im 14 and my dream since I was 6 and my dream is to be a surgeon and so your like an angel to me
Great to hear :) Follow that dream!
Surgical Tech Tips thank u that's more than most teachers say.
TadhgMan7 TM You go, dude! Just promise us, nurses, that you won't turn out to be the bitchy surgeon hahahaha
lol pls i have lots of respect for nurses. ill only get mad if their terrible
If and when you are a surgeon, remember patience
It remains astounding to me how you all manage to tread that line between compassion and moving on. You have battled to save that person in front of you, you're unsuccessful and you manage to fight back what, for me, would be a sense of hopelessness, failure, having let someone down. Wondering if you did everything right. You manage to dust yourself off, learn what you can from the experience and then move to the next person who needs your help. It's a truly noble profession.
It’s sounds harsh but after your first few deaths, it’s day in day out, just another day
ICU nurses by far
Terminal weaning off the ventilator- older patients, new post code, sepsis... trauma
I am a nurse educator and love your video's. If you don't mind I love to show these to OR staff - very informative.
CNAs deal with death my first was my hardest. Still hard to let go of the ones I have lost
i'm scared i'll cry. is that normal do you think?
+dylan p totally normal, and you shouldn't be ashamed for it. People deal with a loss in different ways.
I am 17 years old, i love your videos, ever since I was 5 I wanted to do surgical technology, some people actually say I can't but i don't listen to them, your really helping me out, i decided last year when im done with high school, I'm a junior now, I'm going to scti suncoast, they got a good program. Thanks man
HELL WAR go for it man
How’s it going
That is something that is really hard as a CNA, we create a bond with our patient, and many times knowing that they are in hospice and that eventually we will have to deal with their death, but when it comes we are never really prepared. The way I cope is to instead think I will never see this person again, have I done everything I could? Instead I think “I’m grateful for the time I was able to serve this person and for the honor I had to just meet him/her”
I have the weirdest habit which I hate where I giggle. My teacher fainted in class and I giggled because I was in so much shock. I really want to be a surgeon and this has always bothered me. I love you channel btw
I laugh and giggle too at the most inappropriate times. One time (no kidding) at my wedding during the vows, and another time at a funeral service. On the opposite side, I can appear quite insensitive to the death of someone close to me. It's as though I'm afraid to show my emotions.
Thank you for addressing this. I actually have a phobia of dead bodies 😕 and I'm sure I'd be very emotional. Have you ever cried in front of the family or seen a surgical tech break down in the OR??
+Cecilia Diop it's always a tough and tense moment. I haven't seen anyone tear up, in the OR, but it does happen quite a bit if you go see the family to give your condolences.
What i was taught in school is to overcome those horrible and traumatic feelings of hopelessness after having lost a patient in the OR and to express to the family all of the detail in the most calm way possible m obviously the family will break down and that should be expected as death is every humans greatest fear as they may not show that fact that it is you can easily tell after losing a patient...what i am trying to say is that its not surprising to see a surgeon cry its a horrible thing to go through and its sadly unavoidable at times but you have to take that as a way to help you get a second of relief.
Very interesting, I love hearing opinions from other health professionals. I think it’s important to also keep your local laws in mind. Where I live any death within 24 hours of surgery has to go to the state coroner, we can’t remove lines, wash the body etc they go straight to our morgue pending formal investigation. It’s not nice from a nursing perspective, as id love to do everything you mentioned, but that’s what we must abide by.
Em
Salute to you doctor you are so kind hearted doctor, your patient and Thier family are so blessed and lucky to have you as Thier doctor,thank you for your informative
Vlog about medical procedures that your sharing with your channel, it is really helpful and educational,God bless to you and your staff👍❤️
I have seen death over my 13 years of being a Surgical Tech. 9 years of CVOR.
There is always another patient needing your 100% attention.
I'm 16 in 12 days and my dream is to become a neurosurgeon. Ive heard that since I have Asperger's I would be good at the job. I have a 4.0 GPA and will start to study soon. Thanks for the information. It is a weird feeling since you will feel things that I wont because of my Asperger's. Thank you again.
I wish you good luck in your dream job! if it wasn't for a neurosurgeon I'd be dead...he saved my life, my brain went up into my sinus cavity...I pray you do very well and good luck!
Bless your heart. Loved your video and your genuiness. I am hoping to be an OR nurse in the near future. I hope to go straight to the OR after nursing school but someone told me being a floor nurse would be ideal first. I'm not sure what the ladder looks like for a new graduate to the OR.
beanandpopcorn Hi, I saw your comment and thought I could help. I have some friends who have become nurses and have gone straight into the field they want. I'm not sure where you live or where your wanting to work, but there is always a need for skilled nurses especially in the OR. Hope this helps and good luck!
For me it's always emotionless freeze, I usually feel guilty, and always follow my routine,then on a way home i get half-dozen donuts,at home after i make cup of good earl grey tea ,eat donuts and sob in tears,then take a shower and all way from hospital to home I pray,than I watch some old movies...I learnt to let go ,at 1 st i just smoked and smoked ,on my 3 rd death i went to hospital chapel and somehow it gave me peace of mind and heart,but my girls ask me to get donuts on a way home ,while i was buying donuts -I just broke down,people in a shop ask if i'm ok ,i told them no ,i just lost a patient ,the lady at the counter said i put rasberry donut for you -pray,eat ,pray and breathe ...since then i pray ,buy donuts eat ,pray ...other thought always bring me to gratitude for a day,for everything in my life- among all people and places in any given moment -the whole spectrum of different lives just fly by -everything happiness and sorrows,wealth and wraith ,all 4 seasons, at all times , summer in Northern hemisphere -but winter in a Southern .Life never stops ,even if it was ending for someone - it is already tommorow somewhere.
God bless you 🙏 ❤ for the kindness of your heart.
My dad went to the hospital by ambulance..3 days later was put in hospice...they brought him home at 2:30...he died at 7:30...i miss you pops i know your with mom...i love y'all and miss y'all with all my heart
Hey man. Love the videos and of course loved the heartfelt advice given here. I can tell you really love your work and that it's important to you to do it to the best of your abilities. I think you're so awesome for sharing your thoughts, ideas and experiences with us. I'm in school now to be a CST and graduate in December. I was job shadowing and heard a GSW to the head was coming in. We went to the ED to see if he'd make it to the OR and got there just before they brought him in. They tried CPR and other measures but he didn't make it. I watched them pronounce. So I've already experienced the death of a patient. I obviously had no contact with the family afterwards and wasn't scrubbed in and operating when he died but I felt very detached from it emotionally. I usually feel like I have a lot of empathy but felt nothing, maybe a brief sense of loss for his family. Does that make me a horrible human being? Or should I expect to have different reactions when I'm more invested in the patient or expected a better outcome?
I took a death and dying course early on. I found it helpful.
Wonderful human being!
So after your experience with an OR death.... How did you recover from it??
The best you can do is help the living live. The feeling lingers a while but fades in time
Great video..I am a vigil care hospice volunteer..its hard...but I love it.
WTF happened to the chair at 5:53!!!!!! Omg I JUMPED SO HIGH!!! 🥺😭😭
OH SH*T i didn't even realize that it moved...
He kicked it.
Not necessarily ,doctor's, nurses, hospitals employees go through grief process.
Hospice is not "about to die", and perpetuating that myth means that people are unwilling to utilise hospice care even when it would be super beneficial for them
Have you ever been in a life gift case? Gave lunch to one of our techs last year and it was very difficult, never had so much nervousness in my life but I just kept thinking other ppl will be saved because of this.
Yeah, harvest's are a bit of an odd surgery.
Surgical tech tips idk if u know anything about tca aka traumatic cardiac arrest but that was one of the things my sister died of but the main cause was blunt Force trauma to the head and trunk area it would be great to me and my family if you could please do a video about it
hello, new scribe here with previous hospice care .. I worry about my grieving process in the ED because I am a compassionate person and I am afraid of death myself.. am I going t be okay at my new job ? am I going to see death ?
A great aunt of mine passed away while getting gallbladder surgery and she died on the operating table. My grandpa actually also had surgery to remove an aneurysm from somewhere (not the brain) and he sadly didn’t fully recover from the surgery and it made him worse than he was. He also had dementia and that surgery I think sped up his dementia.
Love your videos! I'm looking for a surgical tech school. What school did you go to? Any tips on finding a good school?
The NCCT vs CST video I made breaks down what to look for in your school
Make sure you choose an ACCREDITED school
I am looking into school to be a surgical tech.. and I have 2 children is there any clinics I can work at having stable hours ?
+Hannah Smith working at a surgery center would be ideal. 7-4 no overtime or call time.
Surgical Tech Tips. thank you so much ! i am applying for college Saturday with Concorde :) so ready for this journey .. i wanted to do this before i had my children i want to still show them mommy can still fullfill her goals:) thank you for the answer !
Death is so sad
I think it's much better that the body of the dead is cold than warm; since if the body is warm, the family members are going to have a suspicion that their loved one is still alive, and could be saved to live.
This is one of the reasons why I don't want to do any profession that would expose me to death. I am a very emotional person and I don't handle grief very well. ( Be it a close relative or someone I don't even know).
Thank you for your service Sir. God bless you and everyone else.
I have seen someone pass away right in front of me
Who the hell disliked this video? I'll track you down… *: \*
then do what? give them a stern stare? you're like 10 years old LOL
Good Job A Sparks CRNA
I think I can handle death OK, I'd just wonder that if I was the surgeon, if I somehow screwed up. And if I did screw up, what a terrible blow that would be. I would think a lot of deaths occur due to surgical errors. Just like anything, there are probably great surgeons and absolutely terrible surgeons. And I'm guessing, it may be hard to get rid of a terrible surgeon. I'm guessing too there are surgeons who operate that are drunk or high on drugs. Also, one has many years of training, but like any profession, one is still learning through on the job procedures.
When I was in medic school, we were told that no one dies in the OR...
I wanted to ask...when working in a hospital setting as a cst, can u choose not to accept any call or is it mandatory? thanks!
sarah MZ 99% of the time, it's mandatory. You may find some crazy situation where you won't, but it's highly unlikely. Giving call away usually isn't a problem though. Every hospital has call hogs that want the money.
Surgical Tech Tips thanks so much..im starting school soon to become a cst and your videos are very helpful. wish me luck
This is why I can’t go into the medical field. If it happens I be crying my eyes out .
And that is perfectly okay! Everyone deals with death in their own way. Just remember that the Family's pain comes before your own.
Feeling of failure
This is all very helpful, but I realize this is in regards to someone who has signed a DNR, what role do you play if it is necessary to revive the patient?
+Julie Webber I've never worked on a patient in the OR that has signed a DNR. This is related to patients we try our best to save, but can't.
Surgical Tech Tips okay I understand, so you're just going over the experience after the crash team has came in and done whatever they do. I just finished my first week of clinicals yesterday and my first patient was elderly and very sick,they didn't put her under general for this reason, we were on edge the whole time, I kept wondering about what the first scrub' s role would have been had something gone wrong.
On average, how many deaths do you face per year?
It depends on a lot of things, like location, specialty, and shift.
Are you ever the only one to clean up the dead person and also in the room all by yourself with the dead person?
No.
You don't have the connection to people unless it's our own family member pr friend
I believe in God. The patient died. It was their time. The body is a piece of meat. Their soul has either gone to paradise or Sheol