Quote from greentea
I don't at all intend to spark an argument by saying this but who are we to judge if it is or is not in the nurse's best interests? I think it's a wonderful thing for one person to do for another person, and the fact that she is nurse donating a kidney to a patient makes it no less of a compassionate act. I really don't think the whole boundary crossing thing applies here. Let's look at the situation a different way. What if instead of facing end-stage renal disease, this patient was in the way of an oncoming car and within arms-length of his nurse who was also crossing street but off duty. Before pulling her patient out of harm's way, do really think the nurse would think to herself, "Well I have to take into account that I need to respect my own mental needs and not be concerned about my patients while I'm off duty, so I'm not going to do anything." If someone definitely has the power to save a person's life and chooses not to for whatever reason, that is surely the bigger ethical slip-up than "crossing the boundary". I realize that making the decision to donate an organ is a very personal and not right for some people, but I feel that what this woman did should not be lumped into the same category as health care professionals who do things like sleeping with their patients.
I think your comparrison is to generic for the giving of a kidney. If she were so moved to donate her kidneys to the general public, she would have done so already just as she, you or I would pull someone out of the path of an oncomming vehicle.
Donating a kidney is much more than just pulling someone out of the path of an oncoming vehicle.
Wow! I missed the post about sleeping with a pt, that is way out of line in this conversation! One has ABSOLUTELY nothing to do with the other!
As nurses we have to set a limit on what we will do for our pts, we should not make it routine to disrupt our personal lives for an individual pt. That is not to say a LTC nurse, for example, should not pick up a hershey bar for a pt, that is not what DISRUPTING personal life means.
So, you think just because I, for example, would be a perfect match for some pt on dyalisis I am not fullfilling my ethical responsibilities if I do not donate one of mine?
Examples to think about
- Who will pay my wage while I am recovering?
- Who will care for my family while I am recovering?
- Who will care for me and cover the costs if, down the road, when I have kidney damage from taking Celebrex with only 1 kidney to handle everything? What? not take the Celebrex? Stop working?
- Who will cover my lost wages, etc etc etc.
There's a lot more to think about than just handing a kidney over today. Donating an organ is a life-long commitment! And doing it for a pt, or anyone you really don't know on a personal level is not appropriate, it can too easily come back to bite you in the butt and make you very sorry. Then, not just you but your whole family must pay for it!