I screwed up!

Specialties Ob/Gyn

Published

The pt (47 yr old with twins) was an out-patient who came in for a routine non-stress test. Her friend was sitting in a chair in the room, near us. I was reviewing her history from her chart and mentioned her IVF. The pt glared at me, and I realized I spoke out of line, and tried to back peddle by saying, oh I must have confused you with another patient....and then nothing more was said.

But a few days later she called me up, very angrily, and told me I caused her tremendous distress, because she had not told her friend about the IVF. I felt awful and apologized profusely. She also reported it to my supervisor, who fortunately, was very sympathetic to me. Perhaps because I have worked there for 32 years, and have never had a patient complain about me before.

I guess I hadn't thought of it as highly sensitive information, because we see many IVF patients who generally bring it up freely. Also, if she allowed the friend to stay in the room with her during the test, I figured she was ok with her hearing what went on. Wrong!

So, just putting it out there, so no one else makes the same mistake I did!

Specializes in Med/surg, L&D, ICU briefly, Informatics.
47 and pregnant with twins? The friend already knew.

My sentiments exactly, lol!

:yeah:

Specializes in Antepartum Testing, L&D.
47 and pregnant with twins? The friend already knew.

haha...that's just what my supervisor said - "is she kidding? she's pregnant for the first time with twins, at age 47 - and she thinks her friends don't know it's IVF!?" She also added,"she perfectly fine with baring her big belly in front of friend (during the test), but yet you're supposed to know that she doesn't want to talk in front of her..."

I still feel badly though, as the patient IS entitled to keep it a secret if she wants. And she told me she cried for hours over it! :crying2: And I usually try to be so alert to not divulging any confidential info (abortions, donor egg, gender of the baby if parents don't know). Guess in this day and age, I just didn't see IVF in that category. (I happen to have an 18 yr old daughter born thanks to IVF myself!)

I just wish she had alerted me in the beginning - but when I mentioned that to her during the phone call, she said the responsibility was on me, not her.

Oh well, live and learn...

I like the idea some suggested, of explicitly asking for permission first. But that could possibly cause issues too. Most patients just walk into the exam room with SO - so it could be awkward to ask the patient in front of the SO - I could just see hubby saying, oh you have something to hide from me? So then I'd have to ask the SO to step out to ask the patient in privacy, if it was ok to talk in front of others? Gets kind of convoluted!

Thanks again for all the supportive comments!

Specializes in family practice.

I like the idea some suggested, of explicitly asking for permission first. But that could possibly cause issues too. Most patients just walk into the exam room with SO - so it could be awkward to ask the patient in front of the SO - I could just see hubby saying, oh you have something to hide from me? So then I'd have to ask the SO to step out to ask the patient in privacy, if it was ok to talk in front of others? Gets kind of convoluted!!

My thoughts exactly. I guess we cant win whichever way we see it

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