They were in bed together. - page 2

I'm currently completing my med surg clinicals and yesterday was my last day. While going in to check if my client needed anything, I walked in on him and his girlfriend(I'm assuming because I hadn't... Read More

  1. by   Insperation
    Sounds like he had everything he needed.
  2. by   delawaremalenurse
    Quote from ~Mi Vida Loca~RN
    I think you only get in trouble if you join in.
    ...
  3. by   hherrn
    Quote from TrashPanda
    Wait...this happened to you during clinical rotation and you DIDN'T discuss this in post-conference? When your clinical instructor asked you, "Well, did anything exciting happen with your patient today?" what was your answer? "Not much. Just morning meds and therapeutic communication."
    You are assuming this actually happened, and that the poster is real.

    First and only post, no response to responding posts.....

    Also, I would assume anybody smart enough to turn on a computer would have the intelligence to ask her supervising nurse or instructor, rather then The World Wide Web.
  4. by   Yaadie
    Quote from Jedrnurse
    Well, you checked in to see if he needed anything- looks like that was a "no". Seriously, I don't think you're in any trouble...
    I'm not. I emailed my instructor.
  5. by   Yaadie
    Quote from hherrn
    You are assuming this actually happened, and that the poster is real.

    First and only post, no response to responding posts.....

    Also, I would assume anybody smart enough to turn on a computer would have the intelligence to ask her supervising nurse or instructor, rather then The World Wide Web.
    This is a forum to ask questions. There are various threads from posters with only 1 post because they only wanted one question answered.
  6. by   saskrn
    Quote from Yaadie
    I'm currently completing my med surg clinicals and yesterday was my last day. While going in to check if my client needed anything, I walked in on him and his girlfriend(I'm assuming because I hadn't met her) having full blown intercourse. Once they noticed i was in the room they stopped but didn't move so I immediately left but I didn't report it. Will I get in trouble? We never went over any guidelines for such a situation. By the way, he was 63 with some dementia.
    Since he had some dementia and you didn't actually know who the woman was, I would have reported it for safety reasons. When it comes to nursing I never assume, especially where safety is involved.

    I've (unfortunately) found many patients in sexual situations. Some were completely appropriate, some were not. The inappropriate instances included a minor and her boyfriend, a drug seeker who was looking for "some Valium and a really good time", and a 30 year old masturbating cancer patient. The cancer patient wouldn't have been a problem, but he used to masturbate only when specific nursing students were doing clinical, and he used to try and lure them into his room.

    I really can't imagine why anyone would want to have sex in a hospital.
  7. by   Anonymous865
    Quote from hherrn
    You are assuming this actually happened, and that the poster is real.

    First and only post, no response to responding posts.....

    Also, I would assume anybody smart enough to turn on a computer would have the intelligence to ask her supervising nurse or instructor, rather then The World Wide Web.
    My first thought was a question for a class, since this is the scenario discussed in the current issue of AMA's Journal of Ethics.

    Ethics and Intimate Sexual Activity in Long-Term Care, July 17 - AMA Journal of Ethics
  8. by   RNGummy40
    Well in the acute care setting, IN EPIC, there is required documentation for how nursing is allowing the patient to maintain their intimacy. Nursing staff allows privacy, anything else needed requires discharge papers! I wonder why you did not ask you instructor or the floor nurse you were working with.
    The concern I have is the assumptions you listed in your post. You "Assumed," it was his girl friend, and the patient has "Some," dementia. If any patient has dementia you need to know who is visiting them, because if someone entered their room, they did not know it would be a safety/privacy concern. We have had substance misuse patient enter other patient rooms, attempting to steal or have physical altercations with other patients. There are terrible situations of abuse where abuse has occurred behind curtains, and the wrong assumptions were initially made.
    There is a twisted irony, that staff are uncomfortable about knowing if a patient is being intimate, but its normal to place a foley or provided pericare.
    If I see a couple trying to be close, "sitting on the bed," as long as it's not an isolation room, I do say, "If you want me to come back at a specific time so you are not disturbed just let me know." Document time for intimacy provided. I have laughed when my coworkers think it is pointless to chart on intimacy. They can't believe that every patient who asks for lotion has dry skin. For patients who are on hospice, or are stuck in the hospital for long length of stays, they are human and they need to be respected.
  9. by   Aristillus
    This whole scene might have been avoided if you'd simply knocked on the door and asked if you could come in.
  10. by   JKL33
    Who says the door was closed?! Although not the situation here, some patients definitely do not require there to even BE a door. Curtain situations suit some just fine.

    But yes...perhaps knocking on the door jamb, rustling the curtain, saying "knock knock?"...
  11. by   SouthpawRN
    Quote from JKL33
    Who says the door was closed?! Although not the situation here, some patients definitely do not require there to even BE a door. Curtain situations suit some just fine.

    But yes...perhaps knocking on the door jamb, rustling the curtain, saying "knock knock?"...
    Maybe they are exhibitionists and wanted to be seen!
  12. by   Kooky Korky
    Quote from NurseSpeedy
    I can't see how you would get in any trouble.

    This did remind me of a patient of mine that was fully aware that he was on video feed for safety and even this didn't stop him...the monitor tech must of gotten an unexpected shock that shift as these are used to decrease patient falls...
    If anyone was really even watching the monitor. My loved one was in a so-called monitored bed. The monitoring, best I could tell, was a "Hello" by speaker and we could see the person at the monitoring console at 0800. And that was it.

    I know no one was monitoring my LO's thrashing and nearly falling out of bed for a good 1/2 hour until I just couldn't take it any more and called the NM's office myself, as LO's nurse was busy, some staff were at lunch. At least, if anyone was monitoring and did nothing, the assigned monitor should have been reprimanded, educated, etc.
  13. by   tyvin
    Quote from ProperlySeasoned
    Agree - this is post conference GOLD!
    Also agree that the ethics of this are fascinating - how does informed consent work in a population with impaired cognition? We do talk about how a SNF is a patient's "home." I don't know about you, but I like to have sex in my home too!
    SNFs are considered patient homes now...I though that was LTC, AFCHs, and AL. When I first started out I was a charge in a SNF (Blank on earth) and it wasn't their home. The patients that transferred to the SNF I worked in (exclusively SNF) were not ready to go home and still needing 24 hour nursing intervention but had overstayed their welcome at the hosptial ortho floor, whatever floor in the hospital so Voila; SNFs were born as opposed to having some beds in LTC deemed skilled beds (which they still do). Hips, hearts, psych patients they were trying to figure out where to put because med-surg wouldn't take them and the psych ward was filled, the whole gamut of post operative patients, wounds, anyone with anything where more teaching was in order, PT, OT, etc...; the whole ball of wax. Could you enlighten me about a SNF now becoming a patient's home. Is this like "While you are here; consider this your home...(give me a bag).

    I have found people in all kinds of compromised positions (no pun intended). One of the places it's an absolute no, no is the inpatient psych wards. The law for a person to not have capacity is very high level of proof per state. I've seen full blown cat ladies with dementia change their wills at the end right before they pass and though challenged in court; it is still legal unless you can prove the person did not have capacity (very high benchmark).

    As long as that man understood where he was, what he was doing, who he was doing it with, along with the consequenes of his actions...like the final outcome (come is not a pun) than he's legal; unless your facility has a policy in place that addresses this issue and basically says patients can't have sex in their rooms. If that is the case, patients need to be informed. Now there's another bunch of paper work and careplanning. Or: you could just slip it in (I can't help myself) the patient's rights and responsiblities.

    There's also undue influence and insane delusion; did he appear in distress, or the women for that matter?

    Later

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