Viata de asistent medical nu e usoara nicaieri

… Sau un mic comentariu despre empatia profesimale nurseonala.

Am dat peste un comentariu al unui asistent medical din Anglia de acum cateva zile, printr-o cunostinta care e AM acolo. Comentariul a devenit “viral”.

E evident ca are de-a face cu probleme asemanatoare cu cele din Romania in viata sa profesionala, diferentele vin mai degraba din salariul sau si dotarile spitalelor. Desi nu sunt inca AM, problemele lui sunt foarte asemanatoare cu ce am intalnit/observat eu in spitalele noastre subfinantate… Asadar “I can relate”, cum ar zice americanul.

Dar la un moment dat comenteaza din experienta personala si trage concluzii pe niste idei care n-au fost exprimate… atragand atentia asupra faptului ca lumea comenteaza din experienta personala si trage concluzii aiurea. Interesant, nu?

O sa-i reproduc aici comentariul in original si intregime:

As a newly qualified nurse I was left in charge of 7 patients, a scary experience! At 7am I was handed over a lady with constant diarrhoea in a side room needing a lot of support. In my bay of 6 were two higher dependency patients requiring continuous observation and frequent intervention, the lady at risk of falls, the confused patient constantly screaming and a patient with her family at her bed side as she was dying. Soon into an already stressful shift a patients heart stops unexpectantly, thankfully attempt to resuscitate were successful but as I did chest compression the family of my dying patient came to the bay, stood at the end of the bed and said we need you Neil. A look of desperation in their eyes but what could I do? I had to continue CPR. A heart beat returned and soon after I was able to walk away from that patient, no time to reflect tho or grab a drink. My dying patient needed medications, the confused patient was wondering, the medications were late, the hourly observations were late the buzzers were ringing. Where do you start, do you prioritise the patients you can save, do you ensure the patient dying gets 100% attention but don’t forget the medication rounds, the patient lying incontinent, surely she needs me the most but I just can’t get to her! Things are about to get worse as due to sickness and staffing issues I’m handed over an extra 7 patients mid shift! In this bay, another patient dying with no private room to move to, family arrive with minutes to spare but are so angry with me. How could I not have called them sooner? As they shout I want to console them but I can hear my monitors alarming, buzzers ringing, patients need feeding, has the confused patient managed to escape yet? As i listen to the family vent I see the family of my other patient crying as they run through the ward. I follow them, she has passed away. I wasn’t at her bedside but her family were. I wonder did they feel supported. I’ve had enough,
I cry! I don’t mean to, it just happened. Still so much to do, I need to spend time with this family but I can see my monitors alarming, I need to help this patient fast but people are staring at me crying in the middle of the bay. The porters arrive they need a nurse escort for a patient needing an urgent scan. It’s impossible. 13 hours later i hand back over to the night staff, I then prepare both my patients for the mortuary.
I grab my first drink and bit of food for the day, I sit and do my paperwork. I leave 15 and a half hours after starting.
I have to be back in 9 hours.

So tonight in then Irish media there was a news article about a young lady who passed away in an open bay surrounded by noise. It sounds awful, it shouldn’t happen but it does. The family very angry about losing a loved one to cancer and who wouldn’t be, want an apology for the final hours of her care. As nurses we allow the anger, we accept it, we expect it. The situations break our hearts! But reading the negative comments by the public and thinking back to standing in my bay crying I left a comment supporting the staff as all the comments were frustrations against dr’s and nurses! the world isn’t against us surely.

People were commenting on their own experiences, drawing conclusions on points that weren’t made.
The article was so one sided, it had a quote from a local td in opposition to government,
Of course it was negative.

My comment initially went down well, a positive comment amongst a population of bad experiences but then it started, people wishing it would happen to me to see if
I would support staff,
Actual adults threatening me.
We do our best, some days that’s not enough but we don’t stop trying and we don’t stop caring…

Nu prea inteleg curtoazia sa profesionala dusa la extrem (de la final). Face observatiile corecte despre un articol citit de el, ca este partinitor si ca unii dintre oamenii care l-au citit s-au grabit sa arunce cu noroi la gramada in sistemul medical de la ei. Daca inteleg bine, comentariile au fost facute pe un site din Anglia – deci oamenii care comentau, o faceau oricum despre sistemul medical de la ei din tara, din cauza unei probleme din alta tara. Un pic gresit. Cam cum fac si eu acum, ok. Dar asta nu inseamna ca trebuie automat sa sari in apararea breslei tale, fara sa stii exact ce s-a intamplat. Vitriol va exista intotdeauna, mai ales pe site-uri de stiri, unde toata lumea poate injura “anonim”. Cel mai bine e sa-l ignori. Oricum, problema familiei indurerate era mai degraba cu managementul spitalului, nu cu AM sau cu doctorii, deci sprijinul sau era un pic nenecesar.

Face referinta la o poveste din media irlandeza (cei neinclusi in UK, adica) din ultima saptamana. Articole aici sau aici. O femeie a fost internata pe 12 mai intr-un spital universitar din Waterford, Irlanda cu un diagnostic prezumtiv de litiaza biliara. 4 saptamani mai tarziu este diagnosticata ca fiind suferinda de cancer (nu se mentioneaza care). S-a stins din viata internata intr-o sectie comuna cu mai multi barbati, la sfarsitul lui iunie.

Oricum ai privi situatia, este lamentabil faptul ca ultimele momente ale vietii unei persoane grav bolnave au fost petrecute la comun cu niste oameni care erau patrunsi de febra unui meci de campionat mondial, nu in relativa liniste (ceva ce ar trebui sa ai oricum tot timpul intr-un spital)… O fi avut o vina in asta si personalul medical din spitalul cu pricina? Poate.

Merita aparat un coleg de breasla atunci cand cineva il acuza de ceva? Da, cu siguranta, mai ales cand este acuzat de ceva doar pentru ca face parte din acea breasla, dar nu cred ca trebuie sprijinit neconditionat.

E probabil sa gresesc, posibil sa-mi schimb perspectiva peste 1-2 ani, dar asa gandesc eu acum.

Oricum, dupa ce am citit comentariul asta despre viata unui AM in Anglia, chiar ma intreb cum se vor adapta colegele mele care au terminat in vara si care sunt ca si plecate in Anglia. Chiar ma intreb daca un roman se adapteaza mai greu la conditiile “grele de la ei” dupa ce a trecut prin conditiile “Grele de la noi“.

4 thoughts on “Viata de asistent medical nu e usoara nicaieri

    1. Corect.
      Dar mi se pare ca romanii se adapteaza surprinzator de rapid in strainatate – in meserii de toate felurile. Chiar in meserii in care unii localnici au probleme in a se adapta.
      De aici si curiozitatea mea, exprimata in ultimul paragraf.🙂

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  1. Am si eu niste intreabari..as fi recunoscator daca ai putea sa imi raspunzi..Tu vei ramane in Romania?Sau pleci in strainatate?E o diferenta dincolo intre am cu facultate si cei cu postliceala?Recomanzi ca cei cu facultate sa faca master la Cluj pt asistenti in anestezie si terapie intensiva..adica ar fi un plus daca as pleca dincolo si sa am si acest master pe langa amg?Multumesc anticipat.

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    1. Nu stiu ce voi face. Pentru moment, stiu ca vreau sa termin scoala si ca mai am o gramada de invatat si foarte putin timp la dispozitie.🙂

      Nu as vrea sa-mi dau cu parerea la modul general. Nici nu am informatii din toate tarile UE, d-apoi la nivel mondial. Ce stiu, pot sa-ti spun:
      – in UK toate asistentele noi fac facultatea, dar nu toate (cel putin pana in 2015) dau licenta. Puteau termina si cu o diploma (ceea ce presupune doar prezentarea unei lucari, nu si niste examene, DACA am inteles bine). Dar da, licenta este considerata viitorul si asistentele actuale (multe cu o diploma echivalenta cu cea de postliceale de la noi) sunt incurajate sa isi echivaleze studiile si sa faca niste completari pentru a primi licenta.
      – in tarile nordice, la fel, generatiile actuale termina majoritar facultate – dar sistemele sunt diferite (3 ani / 3 ani jumatate). In Danemarca ar exista si niste forme de invatamant care dureaza mai putin de 3 ani si nu se termina cu licenta.
      – in Germania/Austria/Elvetia exista si (un fel de) postliceale si facultati. AMG licentiate nu sunt decat o mica majoritate pentru moment, deoarece nu stiu exact ce sa faca cu ele si cu cunostintele lor suplimentare.
      – in Spania nu se mai “fac” decat AM cu licenta (din cate am inteles) de cativa ani buni. 4 ani de studiu. Studentele Spanioloaice cu care am intrat in contact mi-au dat impresia de a fi bine/foarte bine pregatite.
      – in SUA exista cateva tipuri de asistente, dar pentru a fi RN trebuie sa ai minim diploma de colegiu, daca am inteles bine
      Eu zic ca si in Romania se incearca trecerea la AMG licentiate, dar e un proces de durata. Plus ca suntem o mina de aur pentru toate postlicealele aparute in ultimii 20 de ani pe toate drumurile. Deci vor disparea greu scolile vechi si diplomele vechi.

      In general, si AM cu licenta din Romania cu care am intrat eu in contact sunt mai bine pregatite decat cele doar cu diploma de postliceala. Dar depinde de la persoana la persoana. Exista studenti si studenti – dar cam toti termina facultatea.

      Ma rog, ce vroiam sa zic cu toata treaba asta e ca… oricum ai da-o, atata timp cat inveti si faci si practica, dupa facultate ar trebui sa fii mai bine pregatit. SI se va vedea. Adica vei avea un avantaj real fata de cei cu diploma de postliceala. La asta se adauga usurinta in a echivala/face recunoasterea diplomei in tarile UE (e mai simplu cu licenta, teoretic).

      Orice master e util daca te invata ceva ce-ti place. Si daca ai timp sa mergi la cursuri si chiar INVETI ceva.
      Daca vrei sa lucrezi in TI sau chirurgie, cred ca ar fi foarte util.
      Daca nu… tot ce pot sa-ti zic e ca, decat sa aduni o diploma in plus dar sa nu inveti nimic care sa-ti placa sau sa-ti fie util, poate ai gasi ceva mai bun de facut.

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