Is it ever ok?

[brycross33]

I am a ccma and I work at a doctors office. Is it ever ok to tell the doctor that you are working for you don't want to know certain information about your patients?

[CanadianAbroad]

It's actually not the patient it's the doctor himself who was telling this please DO NOT say I am not suited for this position. I don't know if you read my other comments but I have never ever ever been triggered like this before. I was getting mad that the doctor was telling me this and not the patient. It should be confidential between the doctor and the patient. If the patient had told me that would be a different story. I have been involved with SANE as a CNA and worked on labor and delivery.

I never said you weren't suited. I said maybe that is why people are saying you are not suited. The way I read it, it was the patient telling you this, hence my answer. If it is the doctor telling you this, that is another story. That Doctor needs to stop, especially if you have asked them to. It is one thing if a patient tells you directly, and another when it is coming from the doctor. Unless the abuse is part of their care plan, you do not need to know at all. Sorry if I read what you wrote wrong. It came off the other way. More than likely others took it the way I did, when you posted in the other group and was attacked. Looking over your responses, it really does come off as the patient disclosing this and not the doctor.

[OrganizedChaos, LVN]

I never said you weren't suited. I said maybe that is why people are saying you are not suited. The way I read it, it was the patient telling you this, hence my answer. If it is the doctor telling you this, that is another story. That Doctor needs to stop, especially if you have asked them to. It is one thing if a patient tells you directly, and another when it is coming from the doctor. Unless the abuse is part of their care plan, you do not need to know at all. Sorry if I read what you wrote wrong. It came off the other way. More than likely others took it the way I did, when you posted in the other group and was attacked. Looking over your responses, it really does come off as the patient disclosing this and not the doctor.

No, it was pretty black & white to me. The doctor was telling her the information, not the patient. Hence my answer.

[bugya90, ASN, BSN, LVN, RN]

If the patient is telling you about the abuse then you have to report it. If the doctor is telling you about the abuse of a patient then that falls under the "need to know" category. Sometimes our providers will share personal things about patients with us that have an upcoming appointment so we know how to approach the patient (example: patient is mentally retarded, abuse survivor, former military with PTSD, recent suicide attempt, etc). This lets us as nurses and our medical assistants know to avoid triggers and for our suicidal patients allows us to ensure safety (closest room to the nurses station, not left alone, remove certain items from exam room prior to patient arrival). However we don't go into details about it unless it is needed. I would let the provider know you don't want to know any details about this type of thing and if he/she feels you need to know then just to tell you the patient is an absurd survivor and move on.