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?

Specializes in Chronic Disease.

the difference with the patient being on the phone in their room is, oh, i don't know...could it be they are the patient? you are the professional and you are the one providing the service and being paid for it. i am all for technology, i love using the phone for looking up meds, dx, care plans, texting or paging the doctor. but not for personal business when the focus should be on the patient. i guess i have a problem accepting that because an unprofessional behavior continues we should accept it as the norm.

Specializes in ICU, MS, BHU, Flight RN, Admin.

It depends. I work at two hospitals. One large, one small. At the larger one, cell phones are supposed to be in lockers for the whole shift, never on you. Most don't lock them in lockers, but checking for messages is kept to personal areas, and at unobtrusive times(bath room break, stock room, etc)

At the other, small hospital, nurses frequently text doctors(who are in clinic next door or on sundays while they are in church) to req things for patients (eg. room 124a's b/p is still 188/96. It has been 40min. Do you want me to repeat the b/p med or wait and see?) The patients will ask sometimes if the doctor can be reached NOW via text from bedside, because they would like to know, and the nurses there will. I don't have a problem with this, either, as long as no patient identifiers are included.

Specializes in Med-Surg, Oncology, Neurology, Rehab.

This is such appalling behavior!! Uncalled for and unprofessional!!. I would inform her manager because I do not care how well she treats her patient or how good of a nurse she is she should not and I mean NEVER use cell phone in a patients room!!

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............ I don't care about people telling me "studies have shown" unless they did the study themselves.

Wow, seriously?

Here's another "not old person", not by a longshot, LOL.....I embrace technology. I even know how to use it---go figure. I connect with others in both the modern and 'vintage' ways.

But what does that have to do with the nurse at the patient's bedside who whips out her personal business in front of that patient? The nurse who made it quite clear there was no emergency that couldn't wait until after the patient was taken care of? The nurse who was attending to her PERSONAL business (that's the key here) when her attention was supposed to be focused on the patient?

I think it's pretty clear you missed the ENTIRE point of the original post.

Oh, and as for the comment about your disregard of reputable studies, simply because you haven't met the authors--that is simply an ignorant statement. I'm sure if you think about it a bit more, you'd have to agree.

Specializes in Acute Mental Health.

How in the world did I miss that first part!?! I apologize and yes as a pt I would report it! How awful to have to take second seat to a text message. Give em hell!!

Specializes in Emergency.
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.

I often used my call to text my charge stuff.

Such as:

"I'm getting coffee, brenda is watching my people" "Can I have room 12 please for a SOB"

But, NOT in front of patients. And I dont think I'd like my personal vital signs embedded in someones personal cell phone. Well, I take that back, I did once text my charge that I was taking the last trauma room for a trauma in front of the patient. And I explained what I was doing. The patient was happy that we had a way to communicate. STILL....that should not be the norm...

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
First was this an RN or an aid or medical assistant? Second report this person through a phone call to her supervisor. Do it by phone or in writing. This is inexcusable for anyone and I am pretty sure it is not condoned as a patient care expectation for care by anyone in charge. Third, seriously consider a different clinic that is more professional if at all possible.

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.

Phones at work are for real emergencies & for work-related calls only.

I don't care about people telling me "studies have shown" unless they did the study themselves

That is one of the most ridiculous things I have ever read on this forum.

Specializes in Skilled Nursing/Rehab.

I agree that her behavior was unprofessional. I definitely think you should report it. It's a nice idea to try to approach her first, but if it takes too much of your time, just email her supervisor. You were the customer at that time, after all!

I am a nursing student and a CNA in nursing home and I have encountered different rules about cell phones in different hospitals. In some nurses use them all of the time to look up meds and other references, but in others you can get fired for having your phone visible in all ways and patient care areas. And taking photos is definitely against HIPAA unless it with the patients informed consent as to how it will be used. Where I work we are not allowed to have our phones visible where patients are. If you have to make or return a phone call or text, you have to wait for a break or ask permission to leave the floor to do so. In addition they recently ordered that to comply with HIPAA no patient names were to used in an unsecure e-mail or text. Instead they have worked out a code to refer to residents. This does not affect me because I do not e-mail or text about residents.

Specializes in PACU, OR.

Strange to think that when I first worked as a nurse in the 70s, there was no such thing as a cell phone and emergencies had to be phoned through to the Sisiter in charge on the land line. Don't recall having suffered any from the ruling, so I don't really see why it's necessary to keep our cell phones with us, although it's practically part of the uniform these days.

One thing puzzles me though - why would she need to "photograph" a BP taken on a dynamap? Prior readings are recorded on the machine and can be retrieved at the push of a button, so I fail to see any "creativity", just ignorance of the device. Unless it's one of those really old-fashioned, obsolete models, but even our ancient Critikons retain prior data.

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