I work on a telemtry unit and just worked this past weekend and as luck would have it I was charge nurse. (we have one charge nurse Mon. through Fri. but take turns being in charge on the weekend). My dilemma was this... I had a nurse who btw has been a nurse for over 30 years, who refused to take care of a patient because she said he was the heaviest patient on the floor and that she felt like she was always assigned to him and that she was getting "dumped on" in her words. The assignment is already made out when I come on at 7a so it wasnt even my decision to give her this patient. What we usually do is see who has had the patients on previous shifts and try to give that nurse the same patiernts that he or she knows also for continuity of care for the patient as well.
I am all for giving a nurse a break from a very heavy assignment but this nurse hadnt had this particular patient in 2 days... and the pt was given to her probably because no one else had taken care of him. On our floor especially the weekend that I work we all help each other and we never let anyone "drown" so to speak so its not like she would be left on her own. I was really offended that this nurse would put me in this situation , but being the sucker that I am and trying to please everyone I told her I would take the patient myself even thought the charge nurse shouldnt have to take the heaviest patient on the floor. (btw he wasnt even that bad). Luckily I had an excellent nurse (and friend) who offered to take the patient herself and we worked together and was out on time even
. Needless to say I was a little annoyed by the whole incident and just wondered if I did the right thing...and is it really ok for a nurse to refuse to take a particular patient for this reason?
Mar 29, '04
You know I thought of something else. It is not right but on rare occasion there is the nurse who object to taking care of certain types of patients based on the nurse's disaproval of life style etc. Gays, abortion (yes I know this one is a bit different), Aids etc.
As I said it may or may not be right depending on your personal view point. We can debate the morality or inmorality of it that is another issue.
Right or wrong depending on how you view it I would not want such a nurse careing for that patient. I would not want her careing for me if I was that patient.
I do not think your disaproval of me is a good reason to refuse to care for me, but if you feel that way, I don't want you to care for me, as the relationship can only be toxic.
This is one of those cases where the issue needs to be addressed on an administrative level with the nurse.
I understand the nurse has a right to participate in abourtion. I respect that right. But to refuse to care for me because of your disaproval is another thing.
Last edit by Agnus on Mar 29, '04