bedside manner Archives - Off the Charts

My Supporting Role

In nursing as in acting, connecting is key.

The Actor, by Picasso/Wikimedia Commons

When I graduated from nursing school, I was given a pen, stethoscope, tape, and scissors. In my current practice as a pediatric nurse in acute care, I’ve found that it’s all too easy to let technology with all its conveniences and safety measures take center stage. I have a bedside computer, cell phone, and cardiac monitor, among many other technical tools.

Yet the importance of creating a therapeutic milieu for patients and families has remained unchanged. Now the challenge I have is how best to use technology as a prop and a backdrop and not as the main event, how to prevent data collection from creating a barrier between me and my patient.

Of course technology has many advantages. In the past, I had to spend long stretches of time away from the bedside, creating written medications sheets and care plans. I remember spending hours looking up each medication dose and side effects in reference books. Transcribing written doctor’s orders and medication information was an art form. Now we obtain the most current doctor’s order and medication information in seconds with a click of a button.

Making technology an asset, not an obstacle.

While these conveniences have given me more […]

Guest Author2020-02-07T11:15:00-05:00September 16th, 2013|digital health, nursing perspective, patient engagement, Patients|3 Comments

A Nurse So Cold

Al is weak, frail, and most important, scared. At 55 years of age, after 34 years providing care, she finds herself in a major medical center— on her back, staring at ceiling tiles. The woman who’s always had skin as pure as a china doll now ironically has a porcelain hip. She’s just 36 hours out from a total hip replacement, and she knows something is wrong. She feels her heart pounding, she can hear the beating in her ears, feel the pulsing on her pillow. She rings the call bell to ask for the nurse to check her. An hour comes and goes, and no one comes to her room.

That’s from the August Reflections essay, titled “Miss Orienting Nurse.” The author is Linda Pellico, an assistant professor at the Yale School of Nursing, who tells of her chagrin at witnessing rote care provided to a hospitalized friend by a former student of hers. We hope you’ll read the essay and let us know your own experiences as a nurse or patient—or both. How many of us will someday have to rely on such cold and distant figures as the nurse and MD portrayed in this essay?-JM, senior editor

Jacob Molyneux, senior editor/blog editor2016-11-21T13:16:06-05:00August 16th, 2010|career, nursing perspective, students|2 Comments

“As Comforting as a Rodeo Clown”: When Competence Is at Odds with Bedside Manner

Then it comes to me. This is the same recovery nurse who brought our son out of anesthesia when he had ear tube surgery. This is the woman who jostled him in her arms like she was mixing pancake batter in a Tupperware container, who insisted “baby need stimulus,” dancing away from me as Luke reached and screamed.

That’s from the Reflections essay in our February issue, and is written by a patient who tells a funny (and insightful) story of finding himself dependent for a second time on a nurse and doctor he’d sworn to himself he’d never let near him again. So, does it help to hear the patient perspective sometimes? (For the best reading experience, click through to the PDF version.)