Have you? What were the circumstances? What were the consequences? What, if any, legal or ethical guidelines did you consider when making that decision?
Jun 18, '17
For the most part, I only refuse a patient if I've had bad experiences with that patient/family before. Sometimes that happens. The families may not want you back, but you were accidentally assigned. I've had a few patients that were judgmental about race (sometimes schizophrenic), and find that working with them can be more detrimental to the patient. Overall, I realize that there are "easy" days and "hard" days with nursing. Even when someone tries to make a balanced assignment, your 5 "walkie-talkies" can be on the call bell every 2 minutes or critically ill, or your 5 incontinent patients can be great to work with. On my unit, it is very common to change a patient with someone else. (I can work well with the "demanding/needy" types, so they are easy to "trade" with). I've never refused a whole assignment, usually just a patient. Someone always has the easiest team, and someone the hardest. Everyone's day will come for each.