When did it become ok for patients to do this - page 2

I've been working as a CNA for a few weeks now and I've been hearing and seeing in the news about the horror stories about patients being physically abused and sexually assaulted by the caregivers.... Read More

  1. Visit  catman88 profile page
    2
    Ugh, blech, yuck. I hate these situations. I am typically a very non-confrontational, bubbly, sweet girl. Many people interpret that as being flirtatious, which I am most definitely NOT. When I first started my job (as an ophthalmic tech), I got many comments about my size/body which were very uncomfortable to deal with (I am very petite/was a dancer). Since then I have learned to minimize my makeup, keep my hair up in a bun, and definitely NOT wear any clothes that show my body -- loose scrubs and lab coats all the way for me. It helps minimize the subject even coming up, though I know lab coats are not commonplace for RNs.
    dpcRN and aTOMicTom like this.
  2. Visit  boogalina profile page
    1
    The approach that has worked best for me is to look directly at the patient/resident (if A&O) with strong, confident eye contact and say something to the effect of "that is inappropriate and you may not do (say) that" while stepping out of arm's reach (if the person is grabbing me, if that doesn't compromise patient safety). People become uncomfortable with being looked at directly, and will usually break their gaze first. Appropriate, professional, assertiveness is a good place to start, and hopefully will remove the "fun" of making you uncomfortable. With a confused patient, do your best. Redirect and distract, but be sure to also inform them that touching you/saying inappropriate things is not OK. Sometimes these little old demented men get confused in the middle of the night and mistake you for their deceased wife (I've figured this one out based on the name they address me with. . ."is that you, Louise??")

    If that doesn't work, inform the nurse caring for the patient, further on up the chain if you get blown off. (Actually, be sure to tell the nurse caring for the patient so they know what happened and can integrate this challenge into their management of the patient's care.) Also, don't forget to talk to the CNA relieving you about the behavior so they, too, may do whatever limit-setting they need to to manage the patient/resident.

    Thank goodness for male CNAs and nurses! Sometimes they're just the ticket for the resident/patient that can't/won't stop being inappropriate with female staff.
    aTOMicTom likes this.
  3. Visit  aTOMicTom profile page
    0
    Quote from boogalina
    ...Thank goodness for male CNAs and nurses! Sometimes they're just the ticket for the resident/patient that can't/won't stop being inappropriate with female staff.
    I am a male, and I approve this response.

    As I read the first few posts in this thread, I thought about how cool it'll be to see the look on some old perv's face when I walk in to relieve his nurse at his much-anticipated peri-care time. I never thought I'd look forward to doing personal care on someone. But to surprise some old chester? Heck yeah, sign me up! (as long as the nurse helps me out when some LOL grabs my glutes)!

    What movie was it where the dude thinks he's about to get a "sponge bath" from a cute nurse and she switches with some large Village-People-looking dude? Maybe a "Scrubs" episode...
  4. Visit  aTOMicTom profile page
    0
    Quote from boogalina
    The approach that has worked best for me is to look directly at the patient/resident (if A&O) with strong, confident eye contact... People become uncomfortable with being looked at directly, and will usually break their gaze first...
    Careful with this if you decide to work in corrections nursing... there it's called "mad-doggin'", and will get you into a bit trouble! "You mad-doggin' me, boogalina?!"
  5. Visit  Carpediem1012 profile page
    0
    I just read a short story in, "When Chicken Soup isn't Enough". There was a group of nurses who brainstormed how to deal with this situation in an empowering, yet non confrontational way. They would have a stack of cards at the work station. If they encountered a patient acting in this way, they would simply hand them a red card. The card stated that their behaviour was inappropriate in this environment. The nurses kept a pink card which reminded them to breathe, state that the behaviour was unacceptable and a number to report the incident. Maybe not the only option, but I thought it was kind of a neat idea.
  6. Visit  boogalina profile page
    0
    Quote from aTOMicTom

    Careful with this if you decide to work in corrections nursing... there it's called "mad-doggin'", and will get you into a bit trouble! "You mad-doggin' me, boogalina?!"
    Duly noted. Of course inmates are a different kettle of soup, so to speak. Used to go "inside" quite a bit in a prior career. Never got accused of "mad doggin'" so must have been doing it right! Not planning on a corrections nursing career except as concerns admits to my hospital from the fine local slams.


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