Passion and purpose: Celebrating caregivers
This video opened the 2019 Press Ganey National Client Conference where 3,400 health care professionals gathered for three days of learning, sharing, and networking. Press Ganey dedicates this to all caregivers committed to providing patient-centered care, and celebrates the passion that drives them and the compassion that transforms the experience for their patients.
Video Summary
Nurse Amy emphasizes the importance of patient safety, starting with double-checking wristbands and obtaining crucial information such as names and birthdates as she attends to several mothers in labor. She attends to each mother's concerns and administers medication when necessary. Amidst the challenges faced during the labor process, Amy provides comfort, support, and reassurance to the mothers, assuring them that they are in good hands and that the medical team is dedicated to their well-being and that of their babies. The video showcases the critical role nurses play in ensuring patient safety and highlights the compassionate care provided during childbirth.
Video Transcript
"All right, we've got three laboring mothers today, five who will be going home. Let's remember to double-check those wristbands."
" Hi. I'm Amy. I'm going to be your nurse."
"Hi, Amy."
"How have you been doing?"
"I'm doing well."
"To keep you safe, can you tell me your first and last name and your date of birth?"
"So what are some of your other concerns? I'm going to be taking some notes while we talk. Can you tell me about how you're feeling? Hi, Michelle. It looks like you've been having some contractions."
"Yes."
"I am going to give you Stadol. It should help dull the pain. I need a hand double-checking the patient's insulin."
"Hey. Go for Amy."
"Hey, we've got a patient coming up from the ED, seven months, complaining of intense nausea, headaches, and blurry vision."
"Pre-eclamptic?"
"Looks like it. We're going to need you in room eight now."
"Hi there. I'm your nurse, Amy. I'm going to be with you through this. Can you start by telling me your first and last name and your date of birth?"
"I'm Luisa Torres. November 17, 1991."
"Thank you, Luisa. I'm going to insert this IV so that we can give you some fluids and medication, okay? And we're going to attach this blood pressure cuff so that we can see your vitals and keep an eye on those. Can you tell me about how you're feeling?"
"What's going on with my baby?"
"We've ordered some tests to find out. Can you tell me about your pain right now?"
"My head. I feel really nauseous."
"I need you to breathe, Luisa. You're in good hands. Baby's heart rate is steady at 115. See? 115. That's good. That's within normal limits."
"What does that mean?"
"We'd like to see a heart rate between 110 and 160. Have you picked out a name for your baby yet?"
"Sofia."
"Sofia? That's a beautiful name. Sofia is doing just fine. I need to know more about how you're feeling."
"Everything's fuzzy. I... My head... It really hurts. So much."
"I see it hurts. But you're doing so great. You've been so strong. I'm here with you. Everyone is here just to keep you and Sofia safe. We're all here doing everything we can just to take care of you and Sofia."
"She's not supposed to come yet. She's not supposed to."
"Well, that is the first rule of motherhood, Luisa. You're going to make plenty of plans, and kids are still going to be whoever they want to be."
"Okay. Let's order a CBC now. I need an initial dose of levodolol hydrochloride."
"What's that? What is he saying?"
"We need to get your blood pressure down to keep you both safe."
"Where's my husband? Does he know? Where is he?"
"Yes, yes. He knows. We've already called him. He's on his way. Just breathe deep for me, Luisa. Just like that. You're doing so well."
"Hi, Luisa. Now, I know this is a little different than our original birth plan, but the team is going to take great care of you."
"Patient's BP 170 over 110."
"Where's the fetal heart rate? Good."
"I feel so hot."
"Here you go. You're doing just fine."
"180 over 110. Fetal heart rate is dropping. 90."
"The baby is decelling. We've got to get her on her side."
"No, no, no. It hurts too much."
"Luisa, we need to reposition you so that we can take care of you and Sophia."
"Gentle."
"Patient's BP 170 over 110."
"Are you ready? Turn. Good job, Luisa. You're doing so, so well."
"Patient's BP at 180 over 110."
"What's the fetal heart rate? 75. 70."
"Okay, Luisa. The baby's heart rate is dropping. Your blood pressure is increasing. For the safety of you and the baby, we're going to have to prep you for a C-section immediately."
"No, no, no, no. I know this isn't how we planned it, but this is what's best for the baby."
"No, this wasn't. This isn't what's supposed to happen. Why is this happening?"
" Luisa?"
"Where's my husband? Why isn't he here?"
"Luisa, I need you to look at me. We need to keep you and Sophia safe. We're all here just to keep you and Sophia safe. Luisa. I can see you're scared. Breathe with me. Just breathe, okay? Just breathe."
"Heart rate is 65. Luisa, just keep focusing on me. Breathe. Luisa?"
"Yes?"
"Luisa?"
"I feel her. I can't. I can't."
"Luisa? Luisa?"
"Fetal heart rate is 60. 55. Patient's blood pressure is 200 over 120."
"Okay. Let's move her to the OR now."
"All right, Amy, we'll take it from here."
"Hello? Uh-huh. Okay, yeah. Tell Michelle I'll be right there."
Baby cries.
"It's okay, Sophia."