I am SO nervous. Can you please Help?

Nurses General Nursing

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Hi All

I am desperate for some help!

My Senior Nurse approached me today with a request or shall I say "development opportunity, that I must take on!"

I have been requested to present an ethical dilema to our Directorate. I suggested at the time that the problem I could pose is-

Can a practioner, whether nurse or member of the multi-disciplinary team refuse to provide care for a patient?

Two years ago I wrote about this for an assignment as a part of my degree, after a member of our team refused to care for someone who was of a different religion/ culture and found it difficult. I could apreciate how she felt and at the time took on the patient BUT felt that due to our code of conduct that professionally we have an obligation to respect patients as individuals. SO was the dilema mine or hers.

But as an avid member of this BRILLIANT site, thought that I would ask you all first before actually committing myself

CAN WE REFUSE TO CARE FOR A PATIENT? Even a difficult patient

Hopeful for some feedback j

:kiss :kiss

Specializes in LTC,Hospice/palliative care,acute care.

and our personal safety is paramount-if we feel we may be in danger either physically from a pt or through some kind of false accusations(what's to stop a KKK pt from accusing an african american nurse for administering the wrong med?) we must protect ourself-not by refusing to care for the pt but by approaching the pt in pairs at all times.......I have worked with many nurses and cna's that abused the right to refuse to care for particular pts..It is not fair to the rest of the staff.....

Jackie,

Thank you for an thought provoking question. My first response was the only time I would refuse to take care of a patient was during an abortion. But then I remembered my home health days when occassionally a pregnant nurse would be excused from seeing a patient who was MRSA+. And I know the home health agency has "fired" patients if the nurses were not safe making the home visits.

We do have a right to refuse care only in those two instances...an act would violate our own moral code...and personal safety issues...

Let us know how the presentation goes.

Keep the Faith,

Eileen

I will, thanks Eileen

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