SO mad...and not sure I should be. - page 3

Please forgive the's been a bad day. I work in a clinic that dispenses controlled substances. As such, we have various and sundry very stringent rules in place so as to prescribe as... Read More

  1. by   juzme
    Ok, you say you are mad and not sure you should be? well I believe anyone can feel anyway they want to....they are feelings! But how you choose to react to those feelings are an entirely different subject and you chose to deal with your feelings by venting here, which is helpful. No matter how any of us feels about drug addicts or abortion, like some wise nurse said in a post here,"do not personalize pts, you are always going to find drama and be upset". Even if we think we know what someone is going through, we may not have the full story of their lives, their hardships and it is not fair to them or ourselves to rack our brain judging them. Judging is so exhausting! Compassion(even though it may be hard to give at times)is so much easier...accept the situation, handle it the way it must be handled(your clinic has policies) and give the best care we can as nurses.

    just my

    and sorry i forgot to for your bad day.
    Last edit by juzme on Aug 1, '12 : Reason: to give op hug sign
  2. by   cjcsoon2bnp
    I can understand why the OP would be frustrated and angry. I understand and completely agree with her on this issue. I also think she did a great job by not sharing that with the patient and maintaining her professional boundaries. I will say this though, if she broke this rule that your clinic has clearly spelled out and the consequence of breaking said rule is termination as a patient then I wouldn't hesitate to terminate her from the service.

    I should add that this decision would not be as a punishment for the patient because I disagreed with her choice to terminate her pregnancy so she can continue to get controlled substances. This decisions is a matter of setting expectations with these patients (i.e. reporting a known pregnancy to the clinic immediately) and following through with the consequence (terminating the patient from the service for failing to report). Failure to do so with this patient could create a ripple effect in which other patients begin breaking the rules and expecting no consequences. That's my opinion as a psych. nurse and I'm sure on the flip side you could find another psych. nurse who would say that you have to remain flexible and not terminate the patient from the program because that would force her to seek her medications from other potentially dangerous sources. I think in this situation it is very difficult to think with an objective mind and there might be no "right answer". Best of luck and let us know what you decide to do about this situation.

  3. by   BrandonLPN
    I'm of the opinion that "she's pregnant and doesn't want to be" is 100% a valid enough justification for an abortion in and of itself.
  4. by   AngelfireRN
    It was not my decision to have that conversation amongst all and sundry present. The initial interview took place with myself and another staff member present as witness. Then the patient went back to the lobby and after sitting awhile came up to the window and hollered the question through.
    Not the way I would have preferred, to be sure.
  5. by   ghillbert
    These are the precise type of people who need to be allowed access to terminations. Do we really need more children with parents like this? At the very least, she recognizes her limitations.
  6. by   Glazdm
    What happened to the "do no harm". This post has become about abortion, and shame on you nurses for deciding it is your right to feel that termination would be best. Who elevated you to that position?
  7. by   Dutch Tulip
    The comments giving unequivocal support for abortion on demand make me uncomfortable, especially the commentor who had to keep reminding herself to ignore the ethical side of the debate. It's so complicated! That's why I don't work in women's health .

    I have to agree that the patient should have been immediately released from the practice because if you give her an inch, she will take a mile. Readmit her to the practice after the abortion? Fine. Perhaps it would be a wake-up call that getting pregnant again would be a major inconvenience, if only that it interrupts her narcotic access.

    Sad situation all-around.
  8. by   serenitylove14
    Your not wrong for feeling the way you feel but I would rather her abort this baby then to be doing insane amounts of drugs and really messing this baby up for the rest of his life. She may not have the same moral principle as you, but she knows that her drugs are more important than the baby inside her and for that I applaud her for not ruining anothers life because she has an addiction.
  9. by   grownuprosie
    Quote from Glazdm
    What happened to the "do no harm". This post has become about abortion, and shame on you nurses for deciding it is your right to feel that termination would be best. Who elevated you to that position?
    How dare we decide it is our right to feel? Last I checked, everyone has the right to feel whatever they want. Just because you disagree, does not mean that our "feelings" are any less valid than yours. We disagree. That's fine. However, shaming everyone that disagrees with you will get you nowhere.
  10. by   Elladora
    Quote from Glazdm
    What happened to the "do no harm". This post has become about abortion, and shame on you nurses for deciding it is your right to feel that termination would be best. Who elevated you to that position?
    In the end it doesn't matter what ANY of us think is the matters what the patient thought was best for HER. And she made that choice. I'm also guessing she didn't mention any pregnancy because she knew she was terminating.

    (For the record, I'm also in the "it's for the best" group).
  11. by   RNJHUPHL
    "In cases of rape, incest, extreme youth, maternal danger, or a known fetal condition"

    Without knowing can you rule out that its not any of the above as her reasoning for terminating the pregnancy? All of those scenarios can be explained into your case except for the extreme youth and congenital condition. Sorry you had a bad day.
    Last edit by RNJHUPHL on Aug 2, '12
  12. by   RNJHUPHL
    To also note, many may find that telling hey I'm in an incestual relationship so me and baby daddy decided to get rid of it may be too forward. I don't know of many abuse victims who a) are able to get an abortion b) tell you that they are pregnant because of incest. Maternal danger is a vague term because if I'm dehydrated and can't maintain fluids then it is maternal danger. Incest can cause fetal abnormalities so this could be all in one. Maybe people react the way that they want to react especially if they don't want someone to know about it. Being with abuse victims in the pass women are tough to crack and women will lie most of the time to protect the abuser. It is hard to judge.
    Last edit by RNJHUPHL on Aug 2, '12 : Reason: typo
  13. by   serenitylove14
    I have to agree with RNJHUPHL. I am 30 weeks pregnant right now and this entire pregnancy has been a "Maternal Danger" there is so much that could go wrong that if I wanted to get a abortion simply for the fact that this baby is killing me wouldnt justify me getting an abortion in that respect. What this woman has is an addiction and during my clinicals I saw crack babies and its not pretty or fair to the baby that their mother did that to them because they had issues they couldnt get over.