Trauma Naked? - page 10

I was in an MVA a month ago. Paramedics cut off my shirt, and strapped me on a backboard. When I got to the E.R, I was conscious, with no visible injuries, just a bit of a headache. Yet, I was almost... Read More

  1. by   middleager
    I am just in the looking into stage of nursing, about to finish one career and looking for somewhere to finish my working years. I am really interested in nursing as I have such a high opinion of what you folks do. Personal experience, in general nurses are among the most caring & compassionate people on the earth. So please for give me if I am an outsider and display that in this post..I am a newbie for sure.
    The issue of quality of care vs privacy/modesty has been debated here and elsewhere often rather passionately. Providers can be in that catch 22 damned if you do damned if you don't. I think the need to remove clothing and why should be a given. While a minority may argue it isn't right to do so, I think the majority understand it is needed. The bigger issue at dispute is the manner or how it is done and a secondary issue is the right to self determination. Assuming one understands stripping the patient is required to do the best possible examination for the patients benefit, simple consideration for thier modesty should not be ignored and both sides should feel OK with how it happened. From the patient side, agreed you remove the clothes, pulling the curtain would take seconds, placing a blanket or if more exposure is needed to examin, placing a towel over "private areas" would take seconds, keeping people out who don't need to be there...police etc should not compromise the care the patient recieves and are at least doing those little things that make the patient more comfortable and show concern. Then there is the right to self determination. We all do things that compromise our health and well being, we drink, we smoke, we drive to fast, we eat fatty foods. We have the right to make these decisions, as long as a patient is cognicent and understands the consequences of thier actions, shouldn't they have the right to make that decision on thier medical care? I understand it isn't quite so easy with providers who are targets of lawsuits and lawyers. It's often a judgement call if they are mentally and emotionally able to make the call. But if the patient is able, and makes the decision to jepordize thier care by putting modesty infront, shouldn't they be able to do so...provided they are willing to accept the consequences and not later hold the providers liable for thier decision. Should be a waiver that would provide some protection AMA type forms. Maybe it's the law of natural selection in play, choose modesty over our advice and the weak link may be eliminated...sorry for the long post...and your profession is awesome, I hope to be part of it sometime in some capacity
  2. by   leslie :-D
    while i think we all support the necessity of a thorough head to toe, i am from the camp that it only takes a minute to safeguard a pt's dignity...
    whether that entails pulling a curtain, asking a family member to leave or throwing a sheet over vulnerable areas, it ultimately takes little time to preserve modesty.
    sure, i understand that everyone's in high gear.
    but should that make us less sensitive to valid concerns?
    while 'saving a life' will always trump other priorities, it can be equally as noble to save one's 'self-respect'.
    such actions go a long way in enhancing credibility and respect for our profession.

  3. by   TiredMD
    Quote from claybob
    madashell - What did you do or say when you saw your girlfriend so carelessly displayed like that? A similar thing happened to me but it was my mother. Can you imagine? I was furious!
    How come male relatives are always more concerned about whether or not their wives/sisters/mothers are naked than if they're medically okay? Those are some seriously screwed up priorities, gentlemen. I totally understand why so many charge nurses have a "no visitors" policy in the trauma bays.
  4. by   Tweety
    Seems like after 12 pages everyone is in agreement here:

    1) If one is in a trauma they must have their clothes removed for assessment exceptions, the patient must be viewed nude head to toe

    2) The above should be done with respect to the person's modesty and dignity.

    3) The person in the original post (made five months ago and pages ago) was treated unprofessionally.

    With that we can safely close the thread after so many posts saying the same thing over and over again.

    Thanks for your participation.
    Last edit by Tweety on Nov 1, '08