About transgendered patients - page 3

Hello all, In addition to "working the floor" I also teach nursing, and two of my students this past week posed an excellent question. I had my (second year) students working on taking patient... Read More

  1. by   pedicurn
    Quote from VivaRN
    I usually start out by saying, "these are questions we ask everyone" (and we do)

    What was your sex at birth?

    How do you identify today?
    Well ...if I asked those questions to all my p'ts in Australia .... I would receive a daily spectrum of reply ranging from the obscene to comments about 'PC gone mad'. Many wouldn't be able to stop laughing and I would have problems completing the assessment.

    Obviously if I suspect a p't is somewhere on the transgendered pathway .... then will ask.
    If we had to ask these questions to all p'ts ....then we've gone political and political should be kept out of the workplace
  2. by   Cinquefoil
    If anyone would like a link that gives an EXTENSIVE point of view on best practices in transgendered health care, check this out:


    It's geared towards the current US system, of course

    :redpinkhe Cinquefoil
  3. by   Rob72
    I'm stating this on the basis of more than a few trans and homosexual members in my family. Your duty is to the majority of patients- not a colorful minority.

    When possible, private rooms are best. When not, the residing population of your floor needs to be carefully considered, and which primary population (male or female) will accept the TG with less upheaval. Having a beat-down or cat-fight in the hall is frowned on by Admin, and will cause gray hair and legal upset.
  4. by   rnnursingstudent
    Personally I think hospital need to update their clinical forms that they have patients fill out. One hospital I was at had male female and other with a space to write what your other is...I also agree with what someone said regarding having nursing students do a project with local LGBT companies. The main thing is to be respectful and non judgemental
    Last edit by rnnursingstudent on Feb 10, '13 : Reason: wasnt done writing
  5. by   RN1822
    I am in western mass and we recently had a MTF, with out the surgery, pt in an acute hospital that needed LTC for rehab. Our challenge was bed management as we did not have a private room available. I was in admissions at the time and while we were trying to decide what to do the pt found placement in a competing facility with a private room. We never came to a clear agreement on what was the most appropriate thing to do and honestly, I think our admininstrator drug her feet hoping this admission would go away.

    I think this is a complex issue and would love to hear how others have bed managed when there was not a private room available.
  6. by   martymoose
    I had a pt once that had not made it obvious how s/he was to be addressed. Was apparently MTF(with hormones, later found out), but no surgery yet. Thing was , based on appearance, we were told pt was female, and therefore was roomed with another female.Well, lets say that the pt still had male genitalia- the nurse who had him hadnt been told ( had to check a surgical site) and she came out of the room shocked( just from not being informed) And now we wondered should we move the pt? should we move the other pt? It actually all worked out in the end, as the other pt I believe had suspected gender change, they had great conversations,and she didn't mind.
  7. by   Genista
    I remember taking care of a transgendered person who dressed as female, but was anatomically male. We called (her) by the female name she asked to addressed by. In (her) chart, it stated, "phenotypical female, genotypical male." (She) had not had any surgery/hormones. (She) was assigned a private room as well.