About transgendered patients - page 4

by YEGRN

5,687 Views | 32 Comments

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 health histories, and the... Read More


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    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.
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    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.
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    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.


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