patient privacy

Nurses Relations

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during my career i always did whatever i could to protect the patients modesty regardless of gender or age. i was recently a surgical patient at a VA hospital and had what i feel was a disrespectful experience. without discussion i over heard the surgeon and anesthesia resident invite a bunch of people in to "observe" my procedure. before i could respond i was put out. the procedure was a double inguinal hernia repair and umbilical hernia repair which meant i was totally exposed from the nipple area past my genitals for the prep. i also learned they placed a catheter at the time as well. the anesthetist and surgeon were male as was one of the nurses. the remainder of the people helping were two females and the balance "observing" were female totalling approximately 10. though i'm far from a prude, i was denied the courtesy and respect of being asked permission before hand so i could agree to observation and decide how many i would feel comfortable with. it was as if

i was a slab of beef on the cutting table without any regard to my feelings, dignity, or modesty. it was like being a cadaver for an autopsy class but i understand even there the body is draped. it makes no difference how many naked bodies one sees or whether they titilate you or not; it's about that particular patient and their rights, feelings, and concerns. to dismiss their concerns with comments that you've seen it all is disengenuous and demeaning of their feelings. as a man in nursing i've heard peers talking about male patients on numerous occassions. though i would never discuss such things you know there is a double standard. perhaps, if we truly are professional, we should take the time to let the patient express what they would appreciate and then adhere to it. remember, there may come a time when you become that patient and if someone is unthinking you can be the patient exposed for all to see, in the room, surgical suite, etc. ask yourself how you'd feel

having strangers gauk at your body and making comments.

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Specializes in OR, Nursing Professional Development.
Pretty much figured consent forms were frequently ignored... you just happened to catch yourself being violated.

Who's to say what happens when a PT is out.

if I ever need surgery, I'm going to insist on a trusted loved one be at my side the entire time with a cam corder.

Good luck finding (1) a hospital willing to allow non-hospital personnel in the OR- even reps not employed by the hospital are required to do all inservices/computer learning modules that staff must do in order to be granted access; and (2) a surgeon willing to agree to those terms. Visitors to the OR who know nothing about the OR are more of a hassle than a benefit both to the patient and the staff- worries about them passing out, contaminating the sterile field, interfering with care, the list goes on.

When having my son, I was asked if medical students could observe and participate in the birth. I told the Dr, "You can have 1 student observe, the same student this is not a parade. He/she is also only allowed to observe. When it comes time for any stitches or checking the cervix, only you can do that." The doctor was OK with that. The next day, the medical student came in to ask questions and that is when I found out that he was an idiot. He asked questions like, "Do you have any lady partsl bleeding?" and was very concerned when I said yes... well duh, I just passed a 9lb baby out of it. Then a series of other questions that were ridiculous. He also stood on the other side of the birthing suite like I had the cooties. This was my second child and knew that most of the questions he was asking were not needed. Being extremely tired, I kicked him out of the room. The nurses came running in my room laughing after about 10 minutes, this med student evidently had been irritating patients all morning and thought that I wasn't allowed to kick him out of the room. He wanted the nurses to call my doctor. They made him do it and my doc was equally irritated with him. I wish I could have been a fly on the wall to hear what the doc said to him.

Make sure when you sign your consent, that you cross out and initial the "students can observe" part. When you then give consent for surgery, again indicate no observers/students. Unfortunetely, because it was a VA hospital, you have little choice on not getting the procedure done and going to an alternate hospital. (Well, you do, but at your expense). As an outsider looking in, it is a shame that vets seemingly have little choice.

Most people will observe a surgery such as yours for learning purposes. And I would hope that whomever the surgeon would choose as observers would be mature in the dignity and respect department. But it is your body, your choice.

Thank you for your service to our country, sir.

Specializes in Med Surg.

I'm actually kind of shocked that more folks don't think this is a big deal. I don't mind (usually) having students when I'm hospitalized. I will let them observe or try a great many procedures (on me). However, I will not allow them to start an IV or draw blood. I have very poor access and I've had three ports. It would be traumatic for me AND for the student to have one of their first blood draws on a pt in which they were unsuccessful.

Same thing with observers. No way I would have let observers in when I had my son. That was just too sacred. Other surgeries/situations I would be ok with it. It is something I ask about prior to surgery because I understand that at teaching hospitals sometimes you can get into the situation where the surgeon lets a student do some of the surgery. I am not comfortable with that (sorry) and I state so on my consent in writing prior to surgery. Also had a doc sneak in that he wanted photos for his website and I crossed that one out too.

Oh yeah. Also had a physician try to bring a pharm rep into an exam with me once. Yeah. Not so much doc. Said no to that one too.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

All of this makes me appreciate the fact that every time an observer appeared I was asked if it was OK for them to be there. I do wonder about ORs and weird comments, though. As my OB was sewing up my C-section incision he was bragging to the rest of the staff that it was so low I would look great at the local nude beach. :/

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