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What would you do?



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No. 10
from ernoc333
Old Sep 22, 2009, 03:33 PM

Default Re: What would you do?
Welcome to Nursing and Being Accountable. As a Nurse you aren't only Professionally Accountable for your Practice, but also accountable to the Conditions of your Workplace, the Behavior of your Coworkers, Safety and Ethical Issues. If you're not Management or Supervisory, your scope of Accountability in a case like this is to get in writing as requested, what you witnessed in the behavior of this person. Just be sure you tell the truth, are objective and are free of preconceived perceptions and influences by others in your write up. Write only what you saw, and this will ensure you're being fair and you can have a clear conscious knowing you were unbiased and truthful. Good luck!
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No. 11
from nurse2be09
Old Sep 22, 2009, 05:47 PM

Default Re: What would you do?
I would like to thank everyone for their responses. I have already sent an email to the director about what I've witnessed.

Please bear with me, as this is a second career for me, and I'm still learning the culture of nursing.

I do feel it's my duty to advocate for my patients, but I'm also the type of person who pick and choose my battles. Since the ER wasnt my home persay, I just didnt want to be involved in unit issues.

The night this incident happened, the triage nurse was spoken to by the charge nurse regarding the whole "assessment" issue. I think from there it escalated to the director.

It's just that I'm a new grad, I try to keep my head to the grind, and it's hard enough trying to learn a new job without all this other mess going on. And on top of it, it was very hard for me to land this position and I didnt want to do anything to jeopardize my job. I got a son to take care of and bills to pay. All I wanted to do was learn what I needed to know in the ER and move on to my home unit.

Anyway, what's done is done. Like I said, what happens from here, happens.
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No. 12
Old Sep 22, 2009, 06:01 PM

Default Re: What would you do?
Yep that is inappropiate, unprofessional behavior. All you are doing is saying what you witnessed. You are not single handedly causing this guy to lose his job.
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No. 13
from Bamaeyes
Old Sep 29, 2009, 09:28 PM

Default Re: What would you do?
Re: What would you do?While he should have expressed his frustration and concerns to the triage nurse in private, I am trying to see his side as well. Had the triage nurse properly assessed this patient, instead of assuming he had an STD, would she have made him wait over two hours to be seen?

Originally Posted by mmulligan23 View Post
I agree with gninab. The patient was NOT fully assessed. We all know what assuming things will get you in nursing.....either a dead patient or a lawsuit. So, my personal view is that this guy's unprofessionalism probably shouldn't be viewed more seriously as this nurse not properly evaluating a patient. "A,B,C,D" airway, breathing, circulation, disability....seriously...he could have lost a limb. They should both be in the directors office being disciplined.
I have to agree with this also. This could have turned out a lot worse.
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No. 14
from LilgirlRN
Old Oct 07, 2009, 12:37 AM

Default Re: What would you do?
Really it doesn't matter that you're a new grad or that you don't know this guy. You saw what happened. Tell the truth, "just the facts ma'am" Just know that you aren't responsible in anyway, you will not cause this guy to lose his job, he did it himself. "Did you look at his penis in triage?" NO!, and vaginas arent examined in triage either!
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No. 15
from nurse2be09
Old Oct 07, 2009, 04:33 AM

Default Re: What would you do?
Originally Posted by LilgirlRN View Post
Really it doesn't matter that you're a new grad or that you don't know this guy. You saw what happened. Tell the truth, "just the facts ma'am" Just know that you aren't responsible in anyway, you will not cause this guy to lose his job, he did it himself. "Did you look at his penis in triage?" NO!, and vaginas arent examined in triage either!
Thanks for your input! The nurses also said the same thing you just said, that they don't examine vaginas in triage, even if the patient states they are bleeding heavily. I have sent an email to the director stating what I saw. The guy is still working there, so I guess he was given a warning or something.
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No. 16
Old Oct 07, 2009, 09:00 AM

Default Re: What would you do?
Eventually, you will have to take report from this guy and be responsible for a pt. that he has cared for.
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No. 17
Old Oct 07, 2009, 12:11 PM

Default Re: What would you do?
Your documenting of the facts only...no bias...will likely not be what gets this guy fired. Whoever he is, he won't know that this had anything to do with you. If anything, his anger may be piqued at the triage nurse. Welcome to nursing! There is drama no matter where you go...and even if you try to avoid it like the plague. In my facility there is no private area in triage to look at a penis. Just for your own future reference, make sure you document the patient's complaint/symptoms AND the fact that the penis was not visualized in triage due to privacy contraints.
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