Do No Harm – It's More Than a Promise

While the phrase, “First, do no harm,” does not appear, as such, in the Hippocratic Oath, it is widely accepted as one of the significant principles under which physicians, and, by extension, others in the healthcare field operate in the practice of medicine.

With few exceptions, those who pursue careers in healthcare, do so from a sincere desire to help others in achieving, maintaining and recovering an appropriate level of physical and mental health. While some clinical interventions can be temporarily painful or unpleasant, there is no intent by the care provider to inflict pain or discomfort on a patient.

FIRST DO NO HARM, by BENJAMIN SCHWARTZ ,  New Yorker Cartoons

FIRST DO NO HARM, by BENJAMIN SCHWARTZ, New Yorker Cartoons

For some of the more routine clinical activities, it takes more than a lack of intent to keep from inflicting unnecessary pain, it takes practice, practice and more practice. And, not just any practice - it takes realistic practice.

For example, take the skill of drawing blood or starting an IV. These are a fairly straight forward activities requiring the clinician to safely insert a needle into the vein of a patient. It is a task covered early in clinical training, but is it practiced as often or as realistically as we believe? Many of us have experienced the real pain and discomfort some providers unintentionally cause when drawing blood or starting an IV.

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Now, some might say it’s “just” a bruise, but in fact, a bruise is an injury producing an area of discolored skin due to the rupturing of the underlying blood vessels. For many it may be “just” uncomfortable and unsightly, but depending on the patient and other medical variables, it may pose a real danger or at least complicate other elements of the patient’s health.

To make good on their commitment to “Do No Harm,” clinical learners and practitioners alike must attain and maintain their hands-on skills to ensure they do not hurt the patient in the process of delivering the care they need.

It was for that very reason ReaLifeSim products were created. ReaLifeSim’s wearable IV training simulator permits students to conduct safe, repeated, realistic practice on a live people (SP’s, volunteers, or each other) to build both the competence and confidence necessary to “do no harm.”

Photo credit: ENA2018

Photo credit: ENA2018

James Benson, Chief Communications Officer

James Benson is a career public relations executive with over 38 years’ experience communicating with diverse audiences in a wide variety of venues. A retired Air Force officer, he spent the latter half of his Air Force career as a public affairs officer enjoying a series of one-of-a-kind positions with equally unique communication challenges. From arranging press conferences, to producing news and training videos, to explaining research, development and contracting issues to the media, he enjoyed tuning in to each audience to ensure the message was received and understood. As the marketing director of a mid-sized hospital, Mr. Benson directed the advertising and promotion of membership and referral programs and community health fairs, conducted outreach efforts to rural health care clinics and community education programs, created a trade show display and produced and hosted a radio health program. At the Department of Veterans Affairs, Mr. Benson served as a senior public affairs executive responding to media requests, preparing senior officials and subject matter experts for media interviews, hosting a magazine-style television program with benefit information for Veterans and providing emcee support for numerous department and public ceremonies and special events. As an adjunct professor, Mr. Benson has taught classes in communications for the past 10 years. Currently, Mr. Benson is providing strategic communications, media relations and marketing support to B & G Educational Innovations, LLC, makers of ReaLifeSim clinical simulation training products