Thursday, May 30, 2013

If My Stethoscope Could Talk



IF MY STETHOSCOPE COULD TALK
by Kimberley Ensor, RN, BSN
If my stethoscope could talk what would it say about me today?
Would it say that I rushed through my assessment so I could scope out a place at the nurses’ station?
Would it say that I was thorough or going through the motions?
Did I just kill time until break? Lunch? End of my shift?
What would my stethoscope say?

If my stethoscope could talk how would my listening skills be evaluated?
Did I actually hear my patient?  When medications were refused or when the patient expressed they had enough, would I actually listen?
As my stethoscope moved across their body, did I notice a change that needed to be addressed in the plan of care or did I just do business as usual?
Was I listening to my patient and their family members’ concerns or did I just perform lip service as from a script.
What would my stethoscope say?

If my stethoscope could talk would it say that I had my eyes open as I took care of my patient?
Did I completely understand the physician’s orders?  When my patient addressed me did I provide eye contact or was I too busy looking at monitors and equipment?
Did I notice something and speak up as an advocate for my patient or did I leave it for the next shift to handle?
What would my stethoscope say?

If my stethoscope could talk would it say I half-heartedly gave education and explanations about medications?
Would what I speak actually come from a desire to be a help to my patient or just to look good as an authority figure?
Did I form my words to be culturally sensitive or did I disregard my patient’s views, beliefs and preferences?
When I spoke to colleagues or interacted with the multi-disciplinary staff was I a source of encouragement.
Did I include my unit assistants in the plan of care for the patient?  Did I recognize my charge nurse as a valuable resource?  Did I appreciate my unit clerk for their invaluable help?
What would my stethoscope say?

If my stethoscope could talk, would it say that I am an example of patient centered care?
Did my care come from my passion to be a nurse or am I just hanging around for a paycheck?
Did my body language speak I care about you or was I stand offish and couldn’t be bothered?
Was I first to the room when an IV or bed alarm sounded or did I say ‘that’s not my patient and turn a deaf ear and go about my day?
Did I make myself available to my colleagues, to my patient or was I nowhere to be found during busy periods?
Did I take a moment to step outside and let the sun touch my skin, reminding me of why I wanted to be a nurse in the first place?
What would my stethoscope say?

My stethoscope would say,
I bring my joy and positive spirit with me each time I step on the unit.
It would say I strive to listen with open ears and see with both eyes.
It would say I try to be an asset to my unit and an instrument of excellent care.
It would say I utilize evidence based practices when answering patient questions and use simple languages.
It would say I work daily to be an advocate, a hand to hold, and an empathetic ear.
My stethoscope would say I am a nurse and I put my heart into everything I do.
I wear my stethoscope with pride.

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