Disrespect & Profanity

Nurses General Nursing

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I've got a couple of burrs under my saddle blanket and am requesting feedback from the allnurses community regarding professional behaviors:

I believe:

Someone should be referred to with their title of Ms, Mrs, Mr, Dr, etc. and their surname until permission is granted otherwise.

Profanity in professional situations is rarely acceptable and if so used, should be in consensual agreement, e.g. "May I speak frankly?"

It gets my goat how some believe they have the freedom to address another or use language that is not becoming to a professional relationship.

My wife, medical nurse Belinda, told me that at Anomaly Memorial Hospital the staff are encouraged to refer to the patients by their first names because it comes across as being more friendly.

In reading some articles on the internet, profanity is condoned and supported in some professional situations because it "releases tension".

"Bullhockey!" say I.

In my experiences, respect is received, even with Salt-of-the-Earth Psychotics, by giving them respect. And that respect, reinforced, has prevented escalating patients from experiencing total meltdowns: The statement, "I expect you to give me the same respect I give you" has caused many an angry patient to take pause.

I think of the multitude of smiles I've received, asking a patient, "May I call you...?" Or: "What would you like to be called?"

Profanity is rarely necessary in a professional situation. The use of profanity can be a sign of loss of control, or apathy. I hear profanity from an acquaintance as their way of saying, "I can say whatever I want with no regard to you".

I truly enjoy using euphemisms to say the vilest thing in the sweetest, most respectful way. Forms of the word "imprudent" has become one of my favs as of late: "You can't fix imprudence" sounds so much more respectful than the mainstream saying. Or: "How imprudent of administration to do that!"

Euphemisms help to take the focus of how something is said and puts the focus on what is said.

What do you think?

Specializes in Gerontology.
1 hour ago, mmc51264 said:

I work in the south but am from the north. I cringe when I hear others call patients "honey" "sweetie". I would never. I tend to call my patients by Mr/Mrs/Dr (if they want-I have had physicians or retired physicians that don't want to be called that).

Occasionally, I'll have a younger patient that I will call by their first name.

When I am not speaking to them, I tend to refer to them as Mr room 15 or Mrs room 3 because I am so bad at names LOL. I joke with my patients that they most likely don't ever have to worry about me violating their HIPAA rights as I barely remember names. I do recognize them if they come back, though.

The problem with calling someone Mr room 3 is that when he is moved to Room 15 and new person is in Room 3 suddenly no one knows what pt you Are referring to when you say Mr Room 3. Pts have names. They are not rooms.

Specializes in Psych (25 years), Medical (15 years).
23 hours ago, Davey Do said:

On another note, I was considering a breach of HIPAA regulations. Specifically, I don't know what Clark does- what his duties and responsibilities are, or to who he reports. And most importantly, what patient information to which he can be privy.

In perusing some examples of HIPAA violations, there were two breached cases I found based on employee's "legitimate need" to know patient information. Does Clark have a legitimate need to hear PHI which is discussed in shift report?

It's enough of a basis that I'm going to add "HIPAA violation" to the list of offenses when I type up my formal complaint.

2 hours ago, TriciaJ said:

I'm pretty sure the HIPAA statutes (statutes, right?) prohibit anyone being around a nursing unit or protected information without a legitimate reason. That includes hospital employees. So if Clark is going to be on your unit, and you're charge, then you need to know what he is doing there and to whom he reports. Minimum. So definitely play the HIPAA card.

HIPAA card played. I submitted a complaint to OCR just a few minutes ago, via their complaint porthole:

This email is to inform you of an employee's exposure and knowledge of PHI without a legitimate need to know.

An employee at Wrongway Regional Medical Center, in Eifel, Illinois, known only to me as Clark, has inappropriately made his presence known in at least three unit shift reports in January and February 2020.

It is believed Clark works in the capacity of recreational therapy aid and as a CPI instructor. I have personally known him to sit in shift reports on the Geriatric Psych Unit on January 8 and 26, and on Adult Men's Psych Unit on February 21, 2020.

I have been both the charge and staff nurse when Clark has been present in these shift reports and have no knowledge of his duties or responsibilities. Clark typically leaves the unit after shift report is completed. Attempts to deal with the inappropriate situations involving Clark with administration and HR have proven futile.

Should you require more information, please do not hesitate to contact me.

Sincerely

Davey Do RN

I initially emailed administration and HR on January 18, 2020 and have had no reply other than "I'll look into this". The HR director said the same thing, "I'll look into this", about grievance of March 2017 some months ago.

I'm tired of them dragging their feet and not addressing matters in a timely manner.

So be it.

Specializes in Psych (25 years), Medical (15 years).
2 hours ago, Davey Do said:

I initially emailed administration and HR on January 18, 2020 and have had no reply other than "I'll look into this". The HR director said the same thing, "I'll look into this", about grievance of March 2017 some months ago.

I'm tired of them dragging their feet and not addressing matters in a timely manner.

So be it.

I have since sent an email to my direct supervisor, the psych division director, HR manager, and corporate HR director.

The email to them consisted of a report of the shift report incident and a copy of the HIPAA violation email.

Since I was "tired of them dragging their feet" and have had no response, I believe administration and HR need to be informed of my actions.

Sic semper tyrannis.

All I have to say is “watch out, Davey, watch out”. I’ve been disposed of for a lot less. You know you are stirring a pot that could spill over on you and scald your job to a painful death.

Specializes in Travel, Home Health, Med-Surg.
3 hours ago, caliotter3 said:

All I have to say is “watch out, Davey, watch out”. I’ve been disposed of for a lot less. You know you are stirring a pot that could spill over on you and scald your job to a painful death.

Agree, watch you back DaveyDo, same here.

Keep us updated.

Specializes in Geriatrics, Dialysis.
6 hours ago, caliotter3 said:

All I have to say is “watch out, Davey, watch out”. I’ve been disposed of for a lot less. You know you are stirring a pot that could spill over on you and scald your job to a painful death.

I'm sure DaveyDo is aware of that risk. Maybe he's willing to go out with a bang if it comes to that? Even if it doesn't come to that though, be prepared to spend the rest of your working days there under a microscope!

Specializes in orthopedic/trauma, Informatics, diabetes.
20 hours ago, Pepper The Cat said:

The problem with calling someone Mr room 3 is that when he is moved to Room 15 and new person is in Room 3 suddenly no one knows what pt you Are referring to when you say Mr Room 3. Pts have names. They are not rooms.

This is per shift. Like "Can you go give Mr 15 his Miralax for me?" We don't move people from one room to another. It's "in the moment conversation" When they scan the pt's armband and ask them their name and date of birth, they figure it out.

Never had an issue with it.

I ask people if they want the PC version or real talk because it's guaranteed to be some cussing with the real talk, especially if it's one of those days.

Specializes in Emergency Department.
20 hours ago, Davey Do said:

HIPAA card played. I submitted a complaint to OCR just a few minutes ago, via their complaint porthole:

This email is to inform you of an employee's exposure and knowledge of PHI without a legitimate need to know.

An employee at Wrongway Regional Medical Center, in Eifel, Illinois, known only to me as Clark, has inappropriately made his presence known in at least three unit shift reports in January and February 2020.

It is believed Clark works in the capacity of recreational therapy aid and as a CPI instructor. I have personally known him to sit in shift reports on the Geriatric Psych Unit on January 8 and 26, and on Adult Men's Psych Unit on February 21, 2020.

I have been both the charge and staff nurse when Clark has been present in these shift reports and have no knowledge of his duties or responsibilities. Clark typically leaves the unit after shift report is completed. Attempts to deal with the inappropriate situations involving Clark with administration and HR have proven futile.

Should you require more information, please do not hesitate to contact me.

Sincerely

Davey Do RN

I initially emailed administration and HR on January 18, 2020 and have had no reply other than "I'll look into this". The HR director said the same thing, "I'll look into this", about grievance of March 2017 some months ago.

I'm tired of them dragging their feet and not addressing matters in a timely manner.

So be it.

18 hours ago, Davey Do said:

I have since sent an email to my direct supervisor, the psych division director, HR manager, and corporate HR director.

The email to them consisted of a report of the shift report incident and a copy of the HIPAA violation email.

Since I was "tired of them dragging their feet" and have had no response, I believe administration and HR need to be informed of my actions.

Sic semper tyrannis.

For what it is worth I think you have done the right thing but something at the back of my mind is saying, "Now that's a novel way to hand in your resignation."

Take care Davey, I sincerely hope my feelings are wrong because I do believe that you are right in this matter.

Keep us informed.

Specializes in Psych (25 years), Medical (15 years).
12 hours ago, caliotter3 said:

All I have to say is “watch out, Davey, watch out”.

That sounds almost like my first grade primer, caliotter;

HIPAA violation, Davey, HIPAA violation!

See Davey report Wrongway to OSR. See Davey report Wrongway to the IDPH. See Davey report Wrongway to JC.

Watch out, Davey, watch out!

6 hours ago, kbrn2002 said:

I'm sure DaveyDo is aware of that risk. Maybe he's willing to go out with a bang if it comes to that? Even if it doesn't come to that though, be prepared to spend the rest of your working days there under a microscope!

I truly appreciate the concerns voiced. I am aware of the possible outcomes. However, there are forces in my favor.

As I've said before, I attempt to live my life according to a quote by Richard Bach:

"Live never to be ashamed if anything you do or say is published around the world. Even if what is published is not true."

57 minutes ago, GrumpyRN said:

"Now that's a novel way to hand in your resignation."

Heh heh!

Specializes in Psych (25 years), Medical (15 years).
On 2/27/2020 at 5:25 PM, GrumpyRN said:

For what it is worth

Keep us informed.

Usually, I'll see Clark down in the lobby before I clock in, chatting with staff members and/or up on the units, around shift report, making his presence known.

I've not seen Clark. I checked the emails that I'd sent to administration and HR re: Clark's HIPAA violation/inappropriate behavior and found no responses.

When I asked, "So, what's going on?", the big story was that Dr. Banjo was hit in the face by an adolescent patient this past week and had Ranger Rodd, the house sup, call the police.

The police came and took the patient away in handcuffs. Administration, so I hear, is upset with Dr. Banjo. However, on the men's psych unit, two RNs and a Tech were physically accosted by a patient. That patient is still here.

So, I am still at Wrongway with knowledge of Clark's whereabouts.

5 hours ago, Davey Do said:

When I asked, "So, what's going on?", the big story was that Dr. Banjo was hit in the face by an adolescent patient this past week and had Ranger Rodd, the house sup, call the police.

The police came and took the patient away in handcuffs. Administration, so I hear, is upset with Dr. Banjo. However, on the men's psych unit, two RNs and a Tech were physically accosted by a patient. That patient is still here.

So it's OK to assault the nurses and techs but don't think about touching the doc or you'll be arrested? That's what's wrong with healthcare. Nurses are always being attacked and management does nothing. They're upset with the doc but he won't receive the harassment and discipline the nurses or techs would had they called the police. Matter of fact, the house sup wouldn't have called for them. They more than likely would have been told some bunk as though that's part of their job descriptions.

Back on subject, Clark ain't going anywhere either. SMH

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