gagging with your patient?

13 posts · started Jan 2, 2005

Nieup Jan 2, 2005, 12:01 PM
Can anyone offer any "tricks" to break the gag reflex? I've heard of only one.....to smile. I just don't think my patient is in the mood for me to be smiling at them when they're puking their internal organs up!

Seems like nothing affects me when coming from any orifice BELOW the neck. But when things start spewing from the nose and/or mouth, I become a sympathetic puker! This has got to be so embarrassing for my patient, not to mention how totally unprofessional I feel!

Any tricks, methods, ideas...anything to keep me from performing in such a moronic method?

Thanks,
1mg.epi Jan 2, 2005, 6:04 PM
I once took care of a little old lady in the ER who had a SBO. I was a big time "sympathetic puker" . Boy some one starts to vomit, I start to do the goose neck thing. Well this little old lady was vomiting stool. I started to gag praying I did not spew. The little lady was crying saying to I'm so sorry.

I felt so bad I stopped gagging and put my arm around her and thought, "No, I am the sorry one." That night I got over it. no trick, just got over it.
Nieup Jan 3, 2005, 1:38 AM
Thanks for sharing. I keep hoping that I, too, will "just stop doing it". But, it just seems that each time I think I've licked it, I'm forced to realize I haven't. I hate to sound like such a whiner, but as a new nurse (to be) this REALLY concerns me. I'm there to make the patient feel BETTER!...not worse!

Again, thanks for letting me know there's hope.
Powerade Jan 3, 2005, 8:52 AM
Theda, if you find anything that works let me know okay! Actually I looked after a mate on the way to school one day who happened to be vomiting. No probs that day, I guess I was too busy worrying about her than anything else.

I still worry I'm going to have a problem with the whole gagging thing too.
chillynurse Jan 9, 2005, 6:37 PM
Hi--

I'm not an R.N. yet. In fact, I haven't started school yet. But I do have 3 years of private duty experience so I've encountered this a few times. Now I can't say that I NEVER get sick but having cleaned up a lot of nastiness and watched it happen here are a few of my tricks:
1) sometimes you can find a spray that will kill the odor if you need to clean up a mess. it's instantaneous and usually subdues it enough that you can clean up quickly and move on. having everything ready- gloves, trash, etc- helps immensely before starting the job.
2) you can look away and focus on something like holding the patient's hair back and rubbing the forehead or back to comfort them without standing right in front of them and getting a whiff.
3) and I can't promise this will work for you but it usually works for me... keep your mouth wet at all times. If I generate some spit on the tip of my tongue and between my lips, it helps calm me down. You don't want to try and hack up anything just get a little spit between your lips and try not to breathe or watch.

I hope that helps a little... Good luck!
JuliaS Jan 9, 2005, 7:35 PM
Sometimes smells really bother me. One trick that one of my instructors shared with me is to apply a small dot of mentholatum at the base of each nare. That way you don't smell the vomit, bm, wounds, etc. Another trick I have learned is to apply a small drop of oil (I like cinammon) to my mask. As stated before in this thread, looking away, standing to one side, concentrating on the patient will also help some.
Morgan1982 Jan 18, 2005, 5:31 AM
it must be american nurses! lol I'm a nursing student in australia. I hate to think what you will do the first time you smell an open abdominal wound!!
litljenarey Jan 20, 2005, 12:18 AM
Carry a little jar of vapor-rub (they sell it in jars about the size of lip gloss) and whenever you smell anything that may bother you, put a little under your nose.
It COMPLETELY blocks every other smell on earth, and something about it is very calming.
1mg.epi Jan 22, 2005, 7:11 PM
When I worked ER we used vapor-rub under and some times(I mean every day) in our noses. It is the best smell when dud comes in that has not bathed for 2 years and when he takes of his socks they stand up. Boy oh boy Vicks smells so good at that time.
cassioo Jan 23, 2005, 8:58 AM
In my area they not only remove the shoes but the underware too after the no bath for 2 years...when they are and the support person also has the shoes off. I always say soap is cheap...We had one lady that used to come in twice a week, when she came in to have her baby a co-worker told her she had to take a shower first as it would make her veins stand out better to start the IV....she didn't use the soap so then she was dirty and wet...like a dog in the rain smell.
Moris Cahn Feb 22, 2005, 6:44 AM
Vick's is very harmful when applied beneath the nostrils. The strong mint odor kills the olfactory receptors.

I heard there is something new called OdorScreen for this purpose. I haven't tried it yet.