Nurse quits job to avoid distributing "morning-after" pills - page 2

Nurse quits job to avoid distributing "morning-after" pills By BOB JOHNSON Associated Press Writer Nine state health department nurses have resigned at least partly over concerns about the... Read More

  1. by   hipab4hands
    Quote from Amylcd
    I often wonder if these same people would have problems handing out birth control pills. They basically do the same thing, PREVENT pregnancy, not end it. Actually, I have a stash of BC that is only used for 'morning after'. (take 3 now, 3 in 12 hours) (yes, prescribed by my doctor.)
    I do have problems distrubting birth control pills out due to the policy of the facility that I work for. They allow women to call and request birth control pills without any type of physical exam or counseling for other birth control options.
    Women can get the pills right away, if they promise they will come in for a physical exam/pap smear at a later date. However, no one enforces this policy, and the patients are still getting pills without any medical supervision.

    As far as the morning after pill goes, I had a long talk with my pastor. We agreed that using Birth Control pills/ Morning After pills was a personal choice, and that it was not appropriate for anyone to interfere with the decisions. So, in the end, we agreed that my personal choices should not interfere with the choices of my patients.
  2. by   mattsmom81
    My son shared with me the other day that many of his college friends utilize this morning after pill on a regular basis...he says some of the guys even use it to talk a girl into into unprotected sex. I was amazed and disgusted to hear this...(also amazed that kids still consider having unprotected sex out there so frequently in this day and age) But...this pill still still beats an abortion or unwanted pregnancy in my final analysis, although it still doesn't fully set right with me.
    Last edit by mattsmom81 on Jul 2, '04
  3. by   Marie_LPN, RN
    Quote from mattsmom81
    My son shared with me the other day that many of his college friends utilize this morning after pill on a regular basis...he says some of the guys even use it to talk a girl into into unprotected sex.
    See, that's what bothers me about that pill in general. The abuse of it.
  4. by   fergus51
    That pill works the same as many birth control pills and other methods of birth control like DepoProvera. I used Depo for years. For those of you who don't know, it works by stopping women from ovulating, but since that isn't 100%, it will also prevent implantation of a fertilized egg (this is the same as many birth control pills). How is that different from the morning after pill other than the fact that I had to plan things more carefully?
  5. by   bluesky
    This may not be related, really, but I've thought of a similar dilemma...
    Apparently Dick Chenney goes to the hospital and unit where I'm about to start working when the heart troubles occur. I have to admit that it would be EXTREMELY difficult for me to give him the red carpet treatment that I know is expected... I might even quit over the issue. Now, I wouldn't mind giving him EQUAL treatment, mind you, just not VIP. HECK NO!
  6. by   kat911
    Quote from LPN2Be2004
    See, that's what bothers me about that pill in general. The abuse of it.
    I'd rather see them use the morning after pill than have one abortion after another. There will always be people who refuse to be responsible about sex and bout pregnancy. The less invasive ways are better, long term affects seem to be better and no one wants to see more abortions, even those of us who are Pro Choice.
  7. by   Audreyfay
    My 2nd job is working as a telephone triage nurse. We call in prescriptions when a verbal order is given to us via phone. We have patients who call all the time asking for the morning after pill. Several nurses here refuse to take those calls. None of us LIKE to take those calls because it usually represents irresponsible behavior and lack of foresight. Yes, I've heard all the stories, "the condom broke," "I ran out of birth control pills," "I just got a new boyfriend"..... I call in the prescriptions as ordered by the doctor. I feel that I have no way of knowing if the person really even WAS pregnant. It very possibly is just a sort of "making sure." BUT...I do not like taking those calls and do. I also try to do the patient education with the call.
  8. by   Nurse Ratched
    Quote from hipab4hands
    I do have problems distrubting birth control pills out due to the policy of the facility that I work for. They allow women to call and request birth control pills without any type of physical exam or counseling for other birth control options.
    Women can get the pills right away, if they promise they will come in for a physical exam/pap smear at a later date. However, no one enforces this policy, and the patients are still getting pills without any medical supervision.
    I can understand your frustration. I can't believe there is a facility that does not require an annual exam to receive pills on an ongoing basis. Cervical cancer is one of the most treatable forms of cancer when caught early, as the pap smear helps to do.

    And while I understand the notion that no one wants to see a woman get pregnant who's obviously barely able to manage her own needs, is no one concerned about the possible side effects of the pills? We have to educate on the warning signs, encourage not to smoke, and most importantly, document that the patient received and understood this information so if they drop over of a clot we're less likely to get our tails sued off.

    I also wonder about the incidence of treatable STD's in a population like this.

    There is a reason pills are by prescription. If there are just handed out like that, they may as well be OTC.
  9. by   bluesky
    Quote from mattsmom81
    he says some of the guys even use it to talk a girl into into unprotected sex. I was amazed and disgusted to hear this...
    That IS completely disheartning to hear. How could a young woman have such low self-esteem to put herself at risk like that? Sad, sad, sad. Of course it's pretty pathetic that the men are taking the same risk too.
  10. by   barefootlady
    Since I have been out of the work environment for awhile, I did not know this was such a HOT issue. Thanks for the education. I feel so out of it when it comes to the new age contraceptives, but I remember when the pill first hit the market. Many doctors would give them to patients but would not allow their wives to take them. So much has changed. I am glad these nurses took the road their inner voice told them was right for their individual beliefs.
  11. by   lifeisbeautiful
    Quote from SmilingBluEyes
    She exercised her rights here. All in all it was good for both entities, the nurse and the employer.
    We also have a big sign posted in the OR lounge that states that if we have moral/ethical problems with participating in an abortion, we have the right not to participate.
  12. by   Farkinott
    "Nine state health department nurses have resigned at least partly over concerns about the agency distributing emergency contraceptives, also known as "morning-after" pills, at family planning clinics.

    "The first time I had to do it, it made me physically sick and I told that to my supervisor," said Donna Tyner, who resigned from her job as a nurse practitioner at state public health clinics in the Montgomery area. She said she quit because she felt she was being required to distribute the pills, even though she is morally and religiously opposed to the process."


    Everybody is entitled to their own beliefs but I do believe that as a nurse my role is not to be a moral guardian for the wider community. My job is to provide a service. The nurse (above excerpt from original post) who resigned did so rightly as she was standing by her own beliefs. If your individual belief conflicts with the service that you are expected to provide then you really have no choice but to look for another job.
    I assume that providing the "morning after pill" is a harm minimisation strategy along the lines of providing free syringes and condoms. This doesn't make it right but tht's the way it is. We are not supposed to be judge and jury.
  13. by   mattsmom81
    My son's friend is pregnant although she has been using this 'morning after pill' routinely. She has decided to keep the baby....but called to ask me if the baby will be OK...any nurses out there in the know about this? Does she have a higher risk of losing the baby or the baby having problems due to the use of this pill frequently??

    I wasn't sure how to answer this so I just referred her to a OB GYN ASAP...trouble is being a nurse these kids all tend to call me for advice. Bet ya'll can relate. I try to squeeze as much education in as I can too...

    I'm confused...BCP prevent ovulation, but 'morning after' pills must do more than just that...because they're taken after the deed. So..those of you who administer it: does it kill the egg or cause sloughing of the endometrium or what????? I haven't had to deal with it so I haven't edumacated myself yet.
    Last edit by mattsmom81 on Jul 4, '04

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