As nurses, we are grateful for monitoring equipment. The equipment tells us what we need to know at the touch of a button. But, we also know that relying on these machines alone can take the skill out of nursing. In the absence of monitoring equipment, there is no need to panic. The human body possesses what we need to carry out a basic if not effective nursing, life-saving assessment/judgement should things go wrong – our senses! A nurse needs to be able to tell if something is ‘off’ just by using their senses. The following are some tips on how we can utilise these senses and act in a timely manner thus also being able to save lives.
There is no greater tool to a nurse than the eyes. You can tell a lot just by casting a quick glance at your patient. Straight away you can tell how critical they are just by observing their colour, the rhythm of their breathing, chest movement or lack of it, a bleeding wound, a swollen leg, urine colour and any other physical signs of distress you can think of. Once you’ve noticed an abnormality, you can proceed with caution.
If a patient is unstable, they will make abnormal sounds. Sounds that indicate something is wrong with, perhaps, their airways such as wheezing, gurgling, stridor and so on. At other times, there are no sounds at all, which would also indicate a complete airway obstruction in some cases. So, using your ears, you will be able to ascertain whether your patient is making the right kind of sounds. If it is not breathing, they may cry/scream, or try to tell you something. Gather the facts with your ears and from then on, you will be able to act accordingly.
If anything, nursing is a hands-on job. You cannot be a nurse and not get your hands dirty. When faced with a sticky situation, take the time to feel your patient. Feel their pulse, their breath and skin. Are they warm enough, too warm, cold or clammy. That alone can tell you all you need to know about your suffering patient.
There is a lot that a nurse can tell just by using their sense of smell. Be it the smell of your patient’s urine, an infected wound or stools. Once you’ve established something doesn’t smell right, a nurse is able to proceed with confidence.
In 1674, Thomas Willis described the taste of urine in diabetic patients as ‘wonderfully sweet as if it were imbued with honey or sugar.’ I know what you’re thinking. Yacky right? Well, not according to those who nursed in the olden days. Before technology was developed the way it has, doctors and nurses, in some parts, used to taste urine for infection. Thank goodness we do not have to do that anymore. We have advanced technology now and we are able to diagnose at the press of a button.