Family videotaping patient care

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Hi there, I have to bring up an incident that happend last night on my shift. I have this patient who was newly diagnosed with stage 4 cancer w mets to brain. Patient went from being independent to complete care within a matter of days. Patient did not tell family about her cancer so the family was distraught when they heard. Anyways, right when I got on shift, daughter was screaming for help to help her mother because she was vomiting. I addressed her concern and called doc for new orders. Told daughter ill be right in when I receive complete report on patients. Gave pt meds and daughter apologized for being so out of hand. A few hours later she comes storming out of the room saying no one is helping her mother and she vomited. In my head im thinking ok she JUST vomited a second ago, second of all you did not ring the call bell so how are we supposed to know your mom is vomiting? Third off, if your mother is needing this much attention while your sitting in the chair next to her, completely capable of helping her then maybe you should help. So then she whipped out her camera phone and started to video record what was going on by putting the camera in her mothers face saying "this is how they left my mother! No one is helping her" she then points the video at me and the aides and says "look what they are doing, they arent even helping and this is what the nurse is doing". I had the aides clean her up right away. Explained to her we are working as fast as we can.

so One of my co workers called security and i did not know that there was such a policy regarding video recording or pictures being taken. Security came up and explained to her the reason behind the issues of privacy and security asked her to delete the video. She refused to delete it so security told me they need to call the police. So they arrived and in the end she cooperated and deleted the video. I told nurse supervisor and she spoke with daughter and told her she wanted a diff nurse (which shocked me cuz she was so nice to my face and so thankful for my actions early in my shift and i asked if she needed anything to call for me, so my conclusion is she is mad that it got taken to the point where police were involved and she probably didnt like someone young telling her what to do). I switched patient with another co worker.

I needed to vent because I kind of feel violated. I did my very best to reassure the daughter that if she needed me to let me know and the fact that everything i did do for her mother is now disregarded. It was so inappropriate for her to invade my privacy and act so irrational. Is there something I could have done better? How would you have handled it?

You did the right thing, it's hard not to take it personally when "fired" though, I know the feeling. I have had patients become angry at me when I told them pictures or video is against facility policy. It is never a good idea and you have no idea what they will do with that picture or video later on.

Specializes in LTC, Rehab.

No advice, but I certainly sympathize. I think my 'favorite' part is when she came storming out of the room complaining that her mom is vomiting again but no one is helping her, yet no one had pressed the call light. I've had my share of 'how come you're not a mind-reader?!?' too.

" Patient went from being independent to complete care within a matter of days. Patient did not tell family about her cancer "

Do you realize the family is in shock? The daughter was of course irrational, she is in shock regarding her mother's condition/ diagnosis.In this day and age, whipping out the cell phone to record events is par for the course.

Now her agitation is increase 10 fold by threats of police involvement.

You were not violated, this scenario is NOT about YOU.

" Patient went from being independent to complete care within a matter of days. Patient did not tell family about her cancer "

Do you realize the family is in shock? The daughter was of course irrational, she is in shock regarding her mother's condition/ diagnosis.In this day and age, whipping out the cell phone to record events is par for the course.

Now her agitation is increase 10 fold by threats of police involvement.

You were not violated, this scenario is NOT about YOU.

No one should have the right to film me at my place of work without my written consent. This is nothing short of a toxic work environment for staff.

Specializes in Pediatric Hematology/Oncology.
Thanks for the replies everyone. It just really took a quick hit to my ego when it all happend so just wanted to get it out.

I'm actually more of the idea that if they don't want me, that's 100% okay w/ me! I hate being the difficult families' 'favorite nurse.' :no:

That said, don't take it personally. I work in hemonc and we see a wide variety of responses, especially when brain mets or brain tumors are involved. One day their kid is fine and the next they are regressing and completely dependent. That's a major hit, especially for the people who were once just rejoicing in their kid making each milestone and now it's like they're an infant again. It's disorienting and terrifying. For adults, I'm sure it must feel even worse, especially because it seems that this pt has begun, or is very near, the active dying process. So, some people (thankfully, not all, not most) will take it out on the nurses in very sporadic, unpredictable ways. They may have a moment of shame where they realize how nuts they've been, apologize and then 5 minutes later you may breathe the wrong way near the pt and all hell breaks loose again. It has nothing to do w/ you -- it's their violent struggle in coping w/ the complete upset they've been dealt with.

And, yes, whipping out the cell phone is a violation of your privacy to do pt care and that is unacceptable. It's an act of aggression against your feeling of security to do your job w/o feeling like it's going to be used against you in some twisted way that is completely out of context.

Specializes in Pediatric Hematology/Oncology.
No advice, but I certainly sympathize. I think my 'favorite' part is when she came storming out of the room complaining that her mom is vomiting again but no one is helping her, yet no one had pressed the call light. I've had my share of 'how come you're not a mind-reader?!?' too.

Ugh, I hate it when people refuse to learn to press the call light and must venture out into the hallway to find someone and find no one at the nurses' stations at 2AM because we're all in other rooms doing pt care (or, we're ALL there doing change-of-shift report). They could have very easily contacted the unit assistant if they just pushed the dang button -- but, no, they're helpless because there was no one at the snap of their finger -- only, actually, there is! Use the call light!! :bored:

Hospital policy: no filming.

Call security.

Eject distruptive person . If non compliant, call police for trespass order.

Done.

Specializes in Pediatrics, Women’s Health.

You handled the situation just fine. You can't win them all! Think of it as a blessing that you don't have to work with this family again - she did you a favor by firing you. And like someone else said - this doesn't negate the good care that you provided the patient.

I have only been "fired" by a pt/family a couple times in my career, but each time it was like a huge weight had been lifted off my shoulders. As nurses we tend to want to make everyone happy, but it's not always possible. Sometimes you just have to cut your losses and move on to patients/families that WILL appreciate your care and expertise.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
Ugh, I hate it when people refuse to learn to press the call light and must venture out into the hallway to find someone and find no one at the nurses' stations at 2AM because we're all in other rooms doing pt care (or, we're ALL there doing change-of-shift report). They could have very easily contacted the unit assistant if they just pushed the dang button -- but, no, they're helpless because there was no one at the snap of their finger -- only, actually, there is! Use the call light!! :bored:
Or, instead of running around looking for the nurse because Mom is vomiting, pick up the emesis basin that is right there with the clean, damp washcloth beside it and USE THEM TO HELP Mom while waiting for the nurse to answer the call light you pushed while reaching across it for the emesis basin.

Whipping out a cell phone to record happenings in a hospital room means, "I want some money and I'm gonna use this to get it." It's just a litigious family member using their family member. You may want to document these things for use in the future although there are no damages here & attys are looking for damages so they can get $ as well.

freckles23, you did the right thing. Your feelings of guilt and and violation are normal, because you care about how you perform your duties. In my opinion, they lost the opportunity to have a compassionate and caring nurses at their side during what has to be the worst moment of their lives. Don't change a thing-keep on providing wonderful and compassionate care, and realize that anger is often misplaced when a loved one is ill or dying and unfortunately health care workers are in the line of fire. I have had families express anger towards caregivers that were with them for months or even years upon the death of their child, it helps to have someone to blame. More often than not, these parents would eventually reach back out to us and apologize, and thank the nurses for caring for their child. So stay the course!

We had a patient recently accuse staff of mistreatment. Nothing farther from the truth. Be glad you were pulled. We lost a nurse to their accusations and now three weeks later she's at it again. I work in an LTAC.

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