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Thread Closed Available for reading only. | Advertisement Sponsored Links | | | | No. 41 |
Nov 11, 2009, 07:30 PM
Re: pro life to work in ER OR OB Originally Posted by Julz034 I'm sure I will run into quite a few whom are pregnant, want to abort, or parents want them to abort, but my role is to make sure they understand all the risks and benefits, and to provide deep, emotional, one-on-one counseling with the teen to make sure this is what she wants to do. If I can save a life, it'd make my day. However, everyone has their own opinions, they're rights, and that's fine, but... I will NEVER be there when that takes place. If I'm picking and choosing patients, so be it, but this is completely against what I believe in. WWJD? In my eyes... wouldn't be to kill a child he just put in that mothers womb. Things happen for a REASON, who knows why, but to me if it's there, maybe it's meant to be. I was a young mother at 15, and while yes, it's been hard, I've got by. My daughter is following in my footsteps, looks up to me, is a great well-rounded child, and is going to be very successful in life. I hope to use my story as motivation for other teens down the road.
Sorry for going a little off-topic, but that is most definitely NOT your role as a nurse in a child psych setting ... It's not the staff nurse's role to provide "deep, emotional, one-on-one counseling" about anything, let along reproductive choices. As you say, everyone has their own opinions and rights, and it's not your job to try to change their mind.
If you want to be doing "deep, emotional" counseling, please consider pursuing graduate education as a psychotherapist. That's the appropriate level of training for that kind of practice.
| | No. 43 |
Nov 11, 2009, 07:39 PM
Re: pro life to work in ER OR OB
I'm Catholic, too. But even if you don't work in ER/OR/OB/GYN you can still run into the situation. What about a person on methotrexate for arthritis -- if she happens to get pregnant (early enough so she doesn't know, or doesn't tell you because her RA is making her miserable, or she doesn't care), and you give her the pill, you may have given her an abortion. Same with a lot of other drugs, including Lipitor. Here's a study about how often Category X drugs were prescribed to women on TennCare http://www.ncbi.nlm.nih.gov/pubmed/14996249
I'm not willingly going to be part of an abortion for the sake of a woman not wanting another child; aside from the whole "automatic excommunication" thing, it would break my heart. However, the reality is I give a lot of people a lot of medicine, and some of that medicine would kill a fetus in the blink of an eye. I can ask a woman if she's pregnant, but I can't do a pregnancy test on everyone I give methotrexate, lipitor to. So I may be unknowingly guilty. Also, some drugs, like isotretinoin, acitretin, and thalidomide, are so toxic the woman HAS to be on some kind of contraceptive (and no doc is going to prescribe them if a woman's method is rhythm, there's too much liability).
If you want to completely avoid the situation, I suggest being the nurse in an elementary school or working in long term care. That's the only two areas where you're not likely to run into it, and even in the local elementary school, there's girls in 3rd grade who have already started their menses. Long term care looks like the safest bet, because you will see it in the fields you mentioned (unless you're lucky enough to live near a Catholic hospital who's hiring).
I just do the best I can, God knows my intent is to help not hurt, and I leave it with Him.
| | No. 44 |
Nov 11, 2009, 07:42 PM
Re: pro life to work in ER OR OB Originally Posted by elkpark Sorry for going a little off-topic, but that is most definitely NOT your role as a nurse in a child psych setting ... It's not the staff nurse's role to provide "deep, emotional, one-on-one counseling" about anything, let along reproductive choices. As you say, everyone has their own opinions and rights, and it's not your job to try to change their mind.
If you want to be doing "deep, emotional" counseling, please consider pursuing graduate education as a psychotherapist. That's the appropriate level of training for that kind of practice.
I am going into grad-level, thank you!
| | No. 45 |
Nov 11, 2009, 07:47 PM
Re: pro life to work in ER OR OB Originally Posted by elkpark Sorry for going a little off-topic, but that is most definitely NOT your role as a nurse in a child psych setting ... It's not the staff nurse's role to provide "deep, emotional, one-on-one counseling" about anything, let along reproductive choices. As you say, everyone has their own opinions and rights, and it's not your job to try to change their mind.
If you want to be doing "deep, emotional" counseling, please consider pursuing graduate education as a psychotherapist. That's the appropriate level of training for that kind of practice.
Oh, and not sure where you're from, but in my hometown hospitals-- the nurses ARE the ones responsible for groups, one-on-ones, and counseling type sessions. They typically have 3 nurses on, as well as 2-3 mental health techs. My son has been in and out of psych units as he has a severe mental disability, so I think you should speak for yourself and your career and where you work. I know how our hospitals work. And as I said, I will be getting my MSN in Psychiatry. So, at that time is when I plan to do more one-on-one counseling. IF, I did have a patient come in while working as a staff nurse that had this issue, what kind of nurse would I be to not give her the attention or advice she may need? If I had to stay after to talk to her, then that's what I would do. Where I'm from our nurses are compassionate and take the time to talk to patients and counsel them.
Also, when I get my BSN, I plan on doing homecare cases as a case manager. I only plan on being a "staff nurse" for no more than 2-3 years. With case management, especiall in home, you do A LOT of care planning, one-on-one counseling, and getting them to talk. Again, don't know where you're from or what kind of nursing you do... it's different everywhere ya go!
| | No. 46 |
Nov 11, 2009, 07:47 PM
Re: pro life to work in ER OR OB Originally Posted by RhiaRN75 Well, the possibility to care for a post-op abortion pt is possible in ANY area of nursing. I've even seen it happen on peds. So.
I am personally against abortion. I am not Catholic, but I have nothing against Catholicism the way some in the southeast do. My views on religion are pretty tolerant since my own beliefs are contraversial. Anyhow- there are other things that go against Catholicism... so the problem is not so much caring for post-op abortion pts as it is how strict you are in general with your beliefs. I'm all for personal beliefs.... but there is a fine line in pt care- and eventually we all do something we'd rather not do. However, we had our beliefs and convictions before working as a nurse- so we make our own choices.
An absolute devout Catholic wouldn't even work in a hospital that performed abortions, D&C's, dispensed birth control, etc. If you are that steady in your conviction- I applaud you- but you're not going to find many places to work outside of a Catholic-run hospital.
Otherwise- there are ways around it, even in ER, OB, and OR. You just have to find the right place. If you live in a really large urban area.... it will be fairly easy in most regards beyond OB, if you can work in a strictly adult or peds hospital. For example- I once worked at a huge facility where peds and OB/women and infants are stand-alone facilites but still a part of the whole hospital complex- so most things you would have the biggest problem with never went to the 'regular' hospital. Each had it's own ED and OR. (By the way, this was in a Catholic-majority northeast state) I now work in a very small rural ER, so the same, to an extent, applies there. No abortion services exist close to home, and our OB unit doesn't care for post-op D&C's because most of our pts who need those are devestated at the loss of their child- it happens d/t fetal demise, so they are rarely placed on OB... and if so... again, fetal demise. Elective D&C's d/t birth defects and the like are rare in our hospital- they are usually sent to a speciality center but if not, they definatley don't go on OB. What few occur are usually a life and death situation- as in, Mom will die if something isn't done now. However, almost any ER will administer Plan B in some situations, so if you have a problem with that it may be tricky if your coworkers are not willing to administer it for you- even a Peds ER does this. I have a Catholic co-worker, and I have no problem with administering Plan B for her pts... but not all nurses are willing to do so. We have had a few pts who showed up w/ day one post-abortion complications.... she doesn't agree w. their decision, but doesn't let that impact her pt care. The choice was already made, she's not supporting it. She doesn't let her beliefs prevent her from saving someone's life- as that's judgemental and not very Christ-like.... her words, not mine.
As for OB.... again, even at a facility that doesn't perform abortions, all OB units I know of offer the Depo-shot post delivery if Mom wants it. There's also elective tubals which you'll see in OB and OR. So, if you are against all forms of BC, you'll have a problem.
So I think it can be done if you can find the right facility.
hmm you would not work for a hospital that dispensed birth control?   Seriously we live in the 21 centuries,even public school have machine that dispense birth control!
Ps.Also a trully religious person should be filled with compassion,non-judgmental attitude and emphathy instead of self proclaimed pseudo-rightenousness or self-love! Please learn how to respect people from all walks of life after all you have taken an oath to treat pt with dignity..but why do I even bother responding to your judgmental post,maybe to show you another side of the coin!
| | No. 47 |
Nov 11, 2009, 07:51 PM
Re: pro life to work in ER OR OB Originally Posted by Blackheartednurse hmm you would not work for a hospital that dispensed birth control?   Seriously we live in the 21 centuries,even public school have machine that dispense birth control!
The OP stated she has no problem with birth control that doesn't let them child be conceived and then kill it. My friend is a strict catholic, and condoms are ok. If you're aware the birth control pill, you take it, possible conceive, and then it kills the child. No, not a medical professional but when I was seeking birth control, my friend didn't know this, told me and I asked my very trusted OB/GYN, and she said yes this is true. I have researched it and it's true. So, it's actually a good thing children have access to condoms. What she is referring to, though, is birth control in which conception takes place, then is chemically aborted by the birth control.
| | No. 48 |
Nov 11, 2009, 07:57 PM
Re: pro life to work in ER OR OB Originally Posted by Julz034 IF, I did have a patient come in while working as a staff nurse that had this issue, what kind of nurse would I be to not give her the attention or advice she may need? If I had to stay after to talk to her, then that's what I would do. Where I'm from our nurses are compassionate and take the time to talk to patients and counsel them.
this has absolutely nothing to do with being "compassionate", and everything to do with scope of practice.
yes, nurses are taught how to therapeutically communicate, limit-set, redirect and other interventions we apply in 'managing' a symptomatic pt.
but we are not licensed to be counselors or therapists.
nor are we licensed to give (medical) advice.
if you are saying your state bon allows this, i'd love to know what state you're from.
leslie
| | No. 49 |
Nov 11, 2009, 08:36 PM
Re: pro life to work in ER OR OB
[quote=JayMar23;3969505]I am not saying the life of te baby is more important thanthe life of the mothers in a situation like that, however i do not believe that the life of the mother is more important than that of te child either,,,, obviously these situations are terrible and i feel awful for anybody having to go through that, but i still would have to decline taking part in the procedure. I could take care of the patient afterwards but an abortion is an abortion and regardless of the situation what they do to that baby is the same.
I dont believe in taking a life to save another. Now, in situations like an ectopic pregnancy where the baby will die no matter what, i do believe that you need to save the mother.. if one life and one life only can be saved then that is what you must do of course... but the Catholic church also believes in doing this in a way that is not a direct attack on the childs life (removing the tube,, but not aborting) ...
It strikes me when I read this how murky things get when you try to draw a line in the sand. For me it reinforces my belief that having an abortion or not having one is a personal decision that needs to remain so.
I think that patients have a right to the same level of treatment, no matter what their provider's personal beliefs are. That also includes the options that patients are presented with. If you have a patient who presents with an unwanted pregnancy or possible unwanted pregnancy (and you can fill in what some of those situations would be in an ER or Peds unit) they deserve the same level of support and education on their choices from whoever is taking care of them. How would you handle that?
You seem to have a pretty well grounded moral compass. I would hate to see you not practice in a field you may love and be good at over all of these "what ifs". But I think its important to recognize that your patients have rights that are independent of your beliefs and even of your values.
And I just have to put this out there. I think the Catholic church should keep a low profile on this issue. They are so quick to talk about protecting innocent lives and familes when it comes to denying people the right to make their own decisions on abortion, on voting for politicians who support abortion rights, on gay marriage, etc. Their own record in protecting children in their own instititutions, and on protecting serial child abusers is pretty abysmal. Those who live in glass houses.....
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