Published Mar 31, 2009
mrscoozy
68 Posts
so i was working last night when i got a new post-op surgical patient. a male in his thirties who was in a lot of pain and could not urinate. he needed to be straight cathed as soon as he got to the floor. at this time there were many family members in the room and just asked everyone to step out. no problem. a few hours later he needed to urinate again and still could not go, so he needed to be cathed again. this time i called the doc first to get an order for a foley so we didn't have to keep straight cathing this poor guy. so i got the ok and went in the room to put the foley in. the wife was the only one in the room at the time and make no attempt to excuse herself. so i asked her if she wanted to go get some fresh air and she declined. so she stayed in the room watching me put a foley in her husband...i was soooooo uncomfortable. should i have told her to step out or should i have not been uncomfortable?? i am a new nurse and this was the first time i had to put a foley in someone around my age.
Sonjailana
172 Posts
Sometimes I have the wife stay and hold his hand. I find that they can talk to their s.o. and often keep them calm. Hold your head high, you can do it.
madwife2002, BSN, RN
26 Articles; 4,777 Posts
Doesnt bother me either way I prefer the wife to stay as above they sometimes make the pt feel more comfortable
GilaRRT
1,905 Posts
No worries at all if both parties are comfortable. My wife was in the room the entire time I was having a urological procedure some years back. Did not bug either of us.
Sillynicunurse
164 Posts
As long as the patient is ok with her staying it doesn't bother me in the least.
leslie :-D
11,191 Posts
whether it's a foley or a dsg change, i always ask pt if s/he would prefer presence of spouse/so.
leslie
cruisin_woodward
329 Posts
however, if YOU were uncomfortable, I think I'd is acceptable to ask family to step out. Just make sure you do it professionally!
Batman24
1,975 Posts
As long as the patient is okay with it it's all good. Sometimes the patients want someone there for something intimate and sometimes they don't. Most of the time they hold their hand and it makes them more relaxed and less scared.
lpnjoe60
28 Posts
I fell it's inappropiate for anyone to observe a private nursing procedure except with the expressed consent of the patient. That said not all patient's will speak up for their rights, and the nurse should advocate for those patients.
I disagree. This is about patient comfort not that of the nurse. As long as the spouse wasn't being disruptive they should be allowed to stay if the patient wishes they do so.
dnp2004
106 Posts
Don't let the age of the patient influence/prejudice you. If the patient and spouse are in their 80's or 30's treat them the same.
Did you get the impression that the husband was uncomfortable having the wife present but was afraid to speak up?
sicushells, RN
216 Posts
I have a different point of view for the OP.
If you felt the wife staying was hampering your ability to give the patient the best care possible it's absolutely okay to ask her (politely and professionally, or course!) to wait in the waiting room until you were finished. If it just made you feel a little uncomfortable and nervous that's one thing, but if you were so uncomfortable you couldn't concentrate on the patient, then the wife's presense would be decreasing the quality of care you're giving the patient. My response would depend too on the vibe I was getting from the husband and wife. Sometimes everyone's normal and well adjusted and the wife just wants to help her husband, sometimes there's a weird power-play thing going on.
Bottom-line: I think it's completely acceptable to ask the family members to step out, even a spouse, during a procedure, especially one where there's nudity invloved. Just check to see what you're feeling and try to figure out where that awkward/uncomfortable feeling is coming from. Are you nervous you'll screw up and the family member will get angry? Are you just feeling really grouchy and untherapeutic? Or is the family member a weirdo with a savior complex who doesn't trust the healthcare system and is sure everything you're doing is wrong wrong wrong and is looking for ways to screw you up to make you look bad and make themselves feel better?