Texting while doing patient care?

Nurses Relations

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This was a new one on me and I thought I would throw it out there to the nurses and get your opinion. I was a patient today in an outpatient clinic. I was getting my vitals taken, and as the nurse was putting the blood pressure cuff on me, she pulled out her smart phone and said "wow, three text messages!" I said, "Oh, do you have a child emergency?" She said, "No, a friend with a job crisis," and then as the blood pressure machine was taking my blood pressure, she started reading through/responding to her texts. Then, when the machine was done with the reading, she realized she didn't have a pen to write down the vitals, so she took a picture of the machine readout with her phone (which I thought was...creative).

Now, as an employee of the facility at which she works, I know that it's against policy to carry around a personal phone and be seen texting while on company time. I personally would never dream of texting while walking around in the halls, but to whip out a phone and start texting while taking someone's vitals? That's just a whole 'nother level. I was completely at a loss for words. Am I the only one who finds that completely appallingly unprofessional, or is that just how it is nowadays? I brought this up at another message board (not nursing related) and another person said that as long as she knew what she was doing and practiced safely, it was all good. I'm of the opinion that I expect my care provider to practice safely AND be professional.

Thoughts?

"exactly. its a perfect example of old people not embracing technology and vewing it as negative because they don't connect the same way as others. the point is times are changing and it is what it is. being on your cell phone at work is not automatically rude. smartphones give us the power to access so much knowledge in the blink of an eye. text messaging is just very convenient. the reality is that its not that horrible to have a phone on you. but like i said, people are so judgmental. i'm not worried because the amazing thing about time is that the people with old age views will eventually retire (hopefully). and to the person asking what we did before cell phones......that's like asking what we did before cars and light bulbs. we made due with what we had until something better came along. mulitasking is possible. i don't care about people telling me "studies have shown" unless they did the study themselves "

ok, two points here.

one, rude is rude, whether you have a little youth on you or not. ignoring your patient in favor of a text session (not to mention being so lousy at multitasking that you forget your pen and paper when you are sent to take preop intake vital signs) indicates lapses in synapses that is breathtaking regardless of the age of the beholder. perhaps you were multitasking when you sent that post, given the number of misspellings in it. i dunno, though, because maybe since you are such an excellent multitasker that you are the special snowflake that disproves that theory. i'm not seeing proof yet, though.

i am one of those older nurses for whom you have such contempt. listen up. i got my first computer (and my first tattoo, so long as we're talking trendy) probably two decades before you were born. heard the term "early adopter"? where do you think we go after that? we stay with our old apple iics or whatever the hell the 1980s pc equivalent was? no, cupcake, we stay as abreast of the times as you think you are. "just because you can doesn't mean you should" is still in force, though, just like your grandmother told you.

i am every bit as capable-- and interested-- in connectivity as you think you are, although i may be old enough to be your grandmother. but i would never in my wildest fantasies be texting a buddy on my iphone while i was supposed to be keeping my full attention -- full attention, mind you-- on a patient situation. it has zero to do with "not embracing technology." it has zero to do with connectivity allowing you to look up things you were evidently too busy multitasking to learn in school. it has to do with being a nurse, being fully present in the moment where at any time you may need to make a difference.

two, if you are really uninterested in the results of a study unless you speak to the researcher who did one, how do you know that those drugs you're giving are effective and safe? spoken to fleming lately? dashing off such a careless little soundbite bespeaks immaturity, too, you know.

yeah, yeah, yeah, tell it to the marines. aren't old bats allowed to vent too? consider it done.

grntea . . . . . . . . :w00t:

:yelclap::cheers::yeah::up:

Specializes in Emergency, Haematology/Oncology.

I hate my phone. It's not fancy but I can run over it in my car and it still works. I rarely answer it and rarely respond to texts and guess what? I still have friends! That's because I can communicate well without all these fandangled little devices. If I don't respond to people they assume I'M AT WORK (or just don't feel like talking to anyone). I find text messaging decidedly inconvenient ("leave me ALONE"). My mum had a Tandy 1000 and a dot matrix printer and I had a hotmail account when hotmail was created. I am not even that bloody old and it irritates me terribly when people suggest I retire because I think that certain things are plain unprofessional. Put the phone away. Besides, if I retire who is going to do your work for you? I have had my phone in my pocket and on once at work, only because my Dad was sick and I was waiting for him to let me know what was going on as he lives interstate and had been taken to hospital. My ringtone is (embarrassingly) "eye of the tiger" for sentimental reasons and one of my doctor colleagues hid and rang it every time I went near a patient, it was the first and last time.

Specializes in none.

How about getting the DON to text her "your fired, you moron!"

Just a guess, but I don't think we'll be seeing EmanEMT answering any of these questions directed his way anytime soon--I believe the Defender of Technology has left the building.

Staff where I works occasionally texts at the desk during down time 3-5 am occasionally, some nights we run around non stop start to finish.If someone is done all his/her work and is texting in between call bells I do not care about that and that is not any different than the ones who sit there talking about thier kids no one cares about or sit there surfing the internet. Never saw a staff person text during pt care. have however seen HUNDREDS of pts text/ use cell phones during med passes, assessments etc. I Hate that. ESPECIALLY when they expect me to wait for their text to be read or answer a call etc. I have other things to do and just say, " ring when you are done" and walk out if I am that busy or stand there. One time, I was hanging a med that required 2 nurses, after a while, I found a nurse that had enough free time to actually sign this off/check it with me, we both go to the pt's room and check name band, blah blah blah go to hang it, set up the pump at the pt's phone rings and the pt yells to us , " EXCUSE ME, THIS IS PRIVATE" meaning his precious phone convo, " well excuse me I do not care!". We jsut kept on doing our job until we were done(30seconds) and then walked out. god. how rude.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
Unprofessional and inconsiderate. As a patient it would make me feel less important. I don't like the fact that she took a picture either. What is she going to do with it? She better delete it. .[/quote']

She did tell me she deleted it after she charted it in the computer.

More than unprofessional...what about confidentiality? The nurse has a photo of your vitals, is there a photo of you also? I would have immediately reported this to her supervisor!

This was a new one on me and I thought I would throw it out there to the nurses and get your opinion. I was a patient today in an outpatient clinic. I was getting my vitals taken, and as the nurse was putting the blood pressure cuff on me, she pulled out her smart phone and said "wow, three text messages!" I said, "Oh, do you have a child emergency?" She said, "No, a friend with a job crisis," and then as the blood pressure machine was taking my blood pressure, she started reading through/responding to her texts. Then, when the machine was done with the reading, she realized she didn't have a pen to write down the vitals, so she took a picture of the machine readout with her phone (which I thought was...creative).

Now, as an employee of the facility at which she works, I know that it's against policy to carry around a personal phone and be seen texting while on company time. I personally would never dream of texting while walking around in the halls, but to whip out a phone and start texting while taking someone's vitals? That's just a whole 'nother level. I was completely at a loss for words. Am I the only one who finds that completely appallingly unprofessional, or is that just how it is nowadays? I brought this up at another message board (not nursing related) and another person said that as long as she knew what she was doing and practiced safely, it was all good. I'm of the opinion that I expect my care provider to practice safely AND be professional.

Thoughts?

That is completely unprofessional, and I am sure taking pictures is against P & P, not to mention she just opened a potential HIPPA violation.

I believe that smartphones have a place while practicing nursing, but it must be done in a professional manner. I am personally against any P & P that is as limited to say "no cell phones on the floor at work". I am a professional and I know I can use my smartphone in a professional manner. All of my nursing references are on my phone, calculator and I have access to online information. I recently moved into Risk Management where I work and I can have access to my work email while away from my desk with my phone. That allows me to roam around the hospital and check with the staff about issues, as opposed to being stuck at a desk all day.

I will agree monitoring is needed with the use of phones. I also teach and I once had a student text me that she was going to be late for clinical. Not a good choice of communication and not acceptable. We also had an issue with nurses texting pictures of EKG's to cardiologist to read. That was not a smart idea. Not only HIPPA and against P & P, but really how well can you read a 12 lead on an iPhone. I know they have great resolution but they are so small.

I would have either said something to her.

So do nurses really text with each other for work purposes on their personal smart phones during work time? And that's work-sanctioned?

I know our hospital just sent out a big email about how text/SMS communication has gotten in trouble with HIPAA compliance issues, and a 5-physician group just got a huge fine because they were texting each other and using patient names in their texts.

You can so long as you do not release patient information. I have nurses text me to please come to the floor they have a question about something, or my director will text me if I am out rounding as opposed to paging overhead. But yes patient protected information is a HIPPA compliance issue if you send it via non-secure channels of communication.

First, again I'm positive she was a nurse. I find it amusing that people find it difficult to believe that it was a nurse doing it, rather than a tech or an MA. Secondly, because of the nature of what I was having done, it wasn't possible to do it at a different clinic.

It does not matter what her role or title is. She could have been a family member or a visitor. No photos should ever be taken especially without consent. The only exception to this is for would care progress documentation, or education if you have the person or family members consent to take a picture. Where I work family cannot even take a picture of their family members as patients when they are not awake, alert and oriented.

If I am not wrong, I believe many places have even banned or limited videos of child birthing.

Come on people here. We are getting "too overly involved" here. Yes, I agree, she ought not to be using her phone on personal matter while working. But taking a picture of the vital sign device was a great idea. I know what it is like when I do not have my clipboard and we all put vitals on our hands or on a 2X2 or alcohol pad and then guess what? We lose it. Or at least I have.

I am not saying that it was the correct thing to do; I am saying it was quite quick thinking. And please let's get over this HIPAA over usage word. Give me a break. We have little papers taped to the bathroom door with the patients room/bed number and the CNA's put their I and O's on it. Are some of you now going to tell me that this is a HIPAA violation too?

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