Best way to ask out a patient

Nurses General Nursing

Published

Okay, I know many are about to jump on here and say, "NO!!!! DON'T DO IT!!!!" but first, hear me out.

First, let me be clear that I have NOT acted unprofessionally in any way in this situation. Now, let me give you the scenario:

I'm a 24 yo single male staff nurse in my third year. For the last 4 days, I've been caring for a 20 yo female patient with viral pneumonia. She expressed to me that she was feeling very alone because she's a college student and her parents live more than 1000 miles away and she has no family in the area.

So, naturally, I made a point as part of her care plan to visit her whenever possible so that she might not feel so alone. Well, she clearly likes to talk. I would pretty much simply say hello and ask how she's feeling and she just talks and talks, even with the pneumonia! I actually haven't disclosed a whole lot about myself, certainly no more than I would to any other patient, but in my conversations with her, it is absolutely amazing how much she and I have in common. She has the most infectious smile.

In the last two days, it's becoming apparent that she may have a similar interest in me. A couple other nurses on my wing have told me that she's been asking when I'll be around. Also yesterday she felt the need to tell me about her past relationships with guys and how they never seemed to care much about anything but themselves and how she hasn't dated anyone since last winter.... you know, the typical "Hey, I'm available, hint, hint" discussion. I'm about 80% sure that she's hoping I'll ask her out just by the hints she's dropping.

Now before I go further, let me make it known that yes, I've had several other young female patients before, a couple of whom I must admit were probably more attractive than this young lady. And yes, I know about the concept of transference. And I'm experienced enough to understand and feel the typical nurse/patient connection that develops. This isn't that.

Now, back on track. I have NEVER expressed these feelings toward her in any overt way, or even to my co-workers. I have not given her undue time that I wouldn't give to another patient. She doesn't even know for sure that I'm single, unless another nurse has told her that, which I doubt.

I've decided that if all possible, I'd like to ask this girl out AFTER she is discharged either Friday or Saturday, but I'm not sure what my options are. I could either say in my last visit with her, that it would be nice to talk to her again some time, but I don't think that's the right approach. Should I talk it over with our ethics adviser? She's very busy and that just doesn't seem like the right way to go either. Writing down her phone number from her records and calling her after discharge certainly wouldn't be ethical.

Another possibility is that I am most likely to be the one to wheel her to the exit on her discharge. Perhaps that might be the right time to speak to her briefly about possibly getting together for coffee or something, because as soon as she gets out of that chair, she's technically not my patient anymore. The last possibility is to not say anything and instead look her up at her school some time next week. That might be the best option.

I just don't want to be thinking back saying "what-if" 20 years from now. You just don't get a lot of chances at happiness and after dating plenty of girls, I just have a strong feeling she might be the one for me. Either way, I've got to find out. Thanks for reading.

It's not a boundary once the relationship has been terminated, and I'm totally okay with the term vicious. We have no indication this man is a predator and he should not be treated as such. "Scam on their vulnerabilities"? I call it like I see it.

When things can lead to questionable interpretation, the practice is questionable. I think this is one area where the term 'Boundary' most definitely applies.

It also concerns me that two people are posting on one account (if OP explanation is correct), which leads me to be concerned with this whole situation.

(no flaming, please, JMHO, as it was Nurse Salt's and Mary C's)

I really can't fathom why two people posting on one account has any bearing on the situation of a former patient and nurse (key word former) going out on a date.

ETA: When an opinion is flaming someone else to begin with, one should not be surprised when the flames are reversed.

I really can't fathom why two people posting on one account has any bearing on the situation of a former patient and nurse (key word former) going out on a date.

ETA: When an opinion is flaming someone else to begin with, one should not be surprised when the flames are reversed.

For me it was more a misrepresentation of self than anything... Opening an account is not hard (neither is stating that you are a visitor and using your brother's account) and I felt the OP lost some credibility when it was brought up he may have been 35. I was weary of the situation (for the sake of his license) but when this came up so did red flags in my mind. Being 35 and interested in a 20 yo pt is VERY different than being 24... JMO

Well, Farmer Jane, besides the obvious boundary issues, it just dosen't add up for me. There, I said it. Flame me if you will. MY opinion, thanks.

I agree that 35 and 24 are very different. I said as much in a previous post.

While it may be weird to some people to use the same account, not everyone views it in a similar manner. This is not a prolific poster so he doesn't have a known personality. I'd wager that to him it's just a very occasional post, nothing more. I simply can't assume something sinister based on that alone.

Well, Farmer Jane, it just dosen't add up for me. there. MY opinion, thanks.

Well that's fine, but we're all responsible for our opinions. You can think it's weird. I can think it's weird that you think it's weird. See how that works?

Well, Farmer Jane, besides the obvious boundary issues, it just dosen't add up for me. There, I said it. Flame me if you will. MY opinion, thanks.

Answering the edit. First, there is no "obvious" boundary issue once the nurse-patient relationship has been terminated. Second, I haven't flamed you. Why would I? If you flame someone, it may be returned. If you don't wish to be flamed, don't light a match. Problem solved. You're welcome. :)

I agree that 35 and 24 are very different. I said as much in a previous post.

While it may be weird to some people to use the same account, not everyone views it in a similar manner. This is not a prolific poster so he doesn't have a known personality. I'd wager that to him it's just a very occasional post, nothing more. I simply can't assume something sinister based on that alone.

Who implied his actions were sinister? I (and a few others) merely began to question the validity of the OPs story/sitution...

I believe the right thing would have been to respect the patient-nurse therapeutic relationship and walk away from her crush on you. Maybe you've heard of people dating their patients, but we're warned to wait 6 months to 1 year to pursue any relationship.

Besides, there's a difference between befriending a patient and pursuing a romantic relationship, and from the OP's original post, it didn't seem like he was only interested in friendship.

I'm not relieved it worked out well, and I find this whole thing incredibly disturbing. But I guess I go to work to nurse patients and not scam on their vulnerabilities to get dates.

Next time a hot 20something on a vent rolls in, I can assure you, I won't be wheeling them out HOPING they give me their digits. I'll be thrilled to terminate our therapeautic relationship and hope that I provided the best possible care WITH no other intentions than doing a good job, utilizing clinical/assessment skills, and making sure they have the best possible education they've had while under my care. PERIOD.

But I guess from everyone's excitement about this possible date, I'm in the very small minority. I should be using my patients rooms as a dating ground?

First of all, I don't care if you find it disturbing. Second of all, there is no "crush" either way. Third, if you saw her, I doubt you would be calling her a "hot 20something." In fact, the term "plain Jane" would probably be more appropriate if I were some kind of Shallow Hal, which I'm not. Fourth, I HAD no other intention than doing my job. Fifth, I didn't DO anything other than my job.

Sinister:

I'm not relieved it worked out well, and I find this whole thing incredibly disturbing. But I guess I go to work to nurse patients and not scam on their vulnerabilities to get dates.

There is a significant difference between giving undesired advice and accusing someone of taking advantage of a patient. I support the former and disagree with the latter.

The following was what I also took issue with, but her post was not a big deal, nor over the top--I just don't think it makes sense:

It also concerns me that two people are posting on one account (if OP explanation is correct), which leads me to be concerned with this whole situation.

If the OP explanation is correct, it's really no big deal.

Specializes in med-surg, psych, ER, school nurse-CRNP.

Wow, what a firestorm.

Bossfrog, when I was a new nurse, I dated 2 of my former patients. I also dated the son of one of my patients. They all made the first move, not me. In fact, I had no idea the son was interested until I came in to work one evening and the secretary led off with, "Now, Angelfire, I just want you to know that I am not here to play 'Dating Game' for you". (She was kidding). He had left a note for me with her with his number.

The others, well, I just took care of them as I would any other patient, and it went where it did. I still keep up with one of them , he is married with a child now. He's on my buddy list, I'm on his, we still talk, although his wife and I talk more than he and I do!

It can be a good thing if it's handled well. OTOH, you ARE in a position where they are at your mercy and very vulnerable; you know every detail about their health while they are there, and they may percieve you as something more than you can ever be because of your role.

Good luck to you and please let us know who gets Guitar Hero status.

+ Add a Comment