(Rusty, you slay me!
- I actually feel kinda bad in a way for imposing my "bias" in this situation, so I'm going to ask not to have this patient next time I work. Plus, after three days in a row of this, I've done my hitch on the isolation tour of duty.)
The kicker is that this patient has consistently refused her nicotine patch (ordered for several days now.)
This patient's condition is such that she is pretty messed up already, and is not likely to live anywhere near long enough to get sick from it. Not Hospice terminal, but not going to have a full life span.
BUT, I still can't in good conscience assist a patient to do things like this at work. What they do at home is their own business, but this is a real ethical issue for me, and I feel like I am within my rights to say that I won't contribute to a patient harming herself (additionally) in this manner.
I also advised the aides working that they are not obliged to sit in the designated smoking area to monitor the patient. I feel strongly that if a nurse later decides to assist the patient to smoke, she needs to take accountability for it and sit with the pt rather than asking an aide to do so.