Jehovah's Witness nurses in the critical care unit?
- 2Nov 14, '10 by asdf88Hello
This is my first time posting a thread. I was just wondering if anyone is or knows of a Jehovah's Witness nurse who works in a critical care unit. Also if you dont mind can you tell me at which hospital? The reason I am asking is that I am also one of Jehovah's Witnesses and I just passed my NCLEX. Yay I really want to work in the critical care unit, specifically the CCU. However, when I explained to the supervisor of the ICU/CCU about the issue with the blood transfusion, she said she couldnt hire me on to the critical care unit. Yes, this hospital is offering critical care positions to new grads. I was really devastated because i wanted to really work in the CCU. So I was wondering if it's the same for other hospitals. I explained to the supervisor that I am willing to care for the patient who is receiving the blood transfusion, but that I would need a second nurse(most likely the nurse who would be verifying the blood with me) to spike the blood and press the start button. I do understand why the critical care environment may not want to have a nurse who cannot initiate the blood transfusion. So I was just wondering if I do not have a chance at all in a critical care unit. For now I am orienting in the med-surg floor and I still have lingering feelings for the critical care unit.
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- 40Nov 14, '10 by Emergency RNCongrats on your passing the NCLEX
You have to understand that administering blood or blood products is inherently within the scope of practice for all nurses. Given that the chances of transfusion therapy being almost routine in critical care, if I were that supervisor, I wouldn't have hired you either. It isn't that you're bad or evil, just a liability because you're hobbled by your religious beliefs; you cannot perform on the same level as the other nurses. If she hired you, then what about the next Jehovah's witness nurse that comes along; will she have to schedule the both of you on separate days? You can see where this is headed, right?
I'm sure that there are lots of areas within nursing where you can both honor your religious ethos as well as excel in your practice. But seeking it in an arena with a high likelihood of transfer of body fluids (as an adjunct of routine patient care) is probably not a wise career choice.
That said, my previous understanding has been that Jehovah Witnesses themselves can neither consume blood nor accept transfusions of whole blood or its major products. However, I was unaware that they cannot participate in transfusing others.
Good luck!Last edit by Emergency RN on Nov 14, '10
- 9Nov 14, '10 by roser13Any restriction on a nurse's ability to render to care to 100% of the patient population will likely be construed as a negative on his/her hiring potential. This would be true in any economic situation.
Given the current dire nursing statistics (supply > than demand), any such restrictions could be fatal to your application.Last edit by roser13 on Nov 14, '10
- 48Nov 14, '10 by Up2nogood RNFor nurses we do a lot for pts that sometimes we do not personally approve of. Prolonging life for a painful pt, drug addicted pts who come in seeking more, parents who don't believe in proper healthcare for their children. We have to look past issues of this type everyday, and still provide unbiased care. If your religion prevents you from looking beyond your beliefs and giving an ordered treatment than yes, this could be a hindrance to your career on any unit with pts that need blood products.
- 13Nov 14, '10 by roser13Quote from TittytatRNWhat she said. It's not about the nurse - it's about the patient.For nurses we do a lot for pts that sometimes we do not personally approve of. Prolonging life for a painful pt, drug addicted pts who come in seeking more, parents who don't believe in proper healthcare for their children. We have to look past issues of this type everyday, and still provide unbiased care. If your religion prevents you from looking beyond your beliefs and giving an ordered treatment than yes, this could be a hindrance to your career on any unit with pts that need blood products.
- 24Nov 14, '10 by April, RNI give blood products almost on a daily basis on my unit. It's not uncommon for one patient to receive multiple units of blood products in one shift. It's time consuming. Another nurse might not have time to start all those transfusions because he/she is already busy with another critically ill patient. It would be a burden on your very busy and likely stressed co-workers.
- 1Nov 14, '10 by perfectbluebuildingsDo you have your heart set on ICU? There are other specialties where having to give blood and blood products is not nearly as common, whereas it's almost daily in many ICUs. I realize you could do the care of the patient after the blood is started, and that you need a second nurse anyway for administration of blood products, but it's still a liability, especially in an emergency or even code situation. But don't give up on hospital nursing!! Just look for something non-ICU, if you can.
Edit- I just saw, missed the first time around, that you are on med-surg right now. That you have a job is wonderful! You will learn a lot in med-surg, about many disease processes and really get good assessment and time management skills. You may find another area of specialty that you'll love, but that you never thought of before, from your observation of a wide variety of patients, or you may decide med-surg is where you belong. Good luck with it all!!!
- 10Nov 14, '10 by lkwashingtonI am sure the OP will giving blood transfusions on any floor not just Critical Care Units. This would mean another nurse would have to hang the blood and push the start button for the OP everytime. This would take care from other patients. Most nurses already feel we don't have enough time for our patient now. As nurses we do check blood with one another but we dont have hang it or start the blood for the other nurse. This could cause an uproar.
- 26Nov 14, '10 by RedhairedNurseCongrats on passing the NCLEX!
I have a question and I mean no disrespect, I just have little understanding of this particular religion other than the transfusion issue. But what comes to my mind is what is the difference in pressing the "start button" and continuing to monitor the pt throughout the transfusion process? By monitoring and caring for the pt you are still taking part in the transfusion process.