Please don't judge me and my daughter

The night my daughter told me she wanted to kill herself was not an easy night. I drove her to the Emergency room that I used to work in, thinking they would care for her best. What I found was not true, and as a nurse and Nurse Practitioner I'm going to tell my story in hopes of making a change to the world I thought I loved, the world of nursing. Nurses Announcements Archive Article

The night my daughter told me she wanted to kill herself was not an easy night. I drove her to the Emergency room that I used to work in, thinking they would care for her best. What I found was not true, and as a nurse and Nurse Practitioner, I'm going to tell my story in hopes of making a change to the world I thought I loved, the world of nursing.

I now want to leave the only thing I've ever known because I don't want to be associated with cold, judgmental nursing with cold punishing eyes. I didn't ask for my daughter to be so depressed that she couldn't find another solution. The cold look in your eyes at me and my daughter spoke volumes.

I hope you never are faced with this fear or with the overwhelming feeling of failure that I felt as a mother that night. Your job wasn't to pass judgement or to be so cold-hearted that my skin crawled. Your job, my sister, was to look at me and feel empathy and understanding. Your job, my fellow nurse, was to accept that I was in crisis and going through my routine was the glue holding me together. That included bringing my meals with me because, besides nursing, my life in fitness was the only thing that made sense to me and filled me with the same passion nursing used to.

Your cursing under your breath at the TV showed that you didn't see nursing as an art. To you, it was just a job that paid the bills. Your lack of compassion and not introducing yourself before you drew my daughter's blood showed me you thought my daughter was weak; while in my eyes, she is very strong because she reached out to me so she was able to get the help she needed.

And to you the nurse who said it looked like we were camping out. Did you consider not everyone lives the same lifestyle and some of us may need food because of our way of life? Did you notice I kept everything neat and then cleaned up before we left? Did you consider that I needed that food and water to keep me from falling apart? How do you know that it wasn't for my daughter who has food allergies? As far as my daughter's belongings we had hoped she was coming home with me and she did. But you made us put them in my car and she walked out in the lovely paper scrubs provided for her.

You didn't touch a life that night. Your lasting impression left me cold and disheartened for nursing. You left me embarrassed to tell others of the profession that I so dearly loved for so many years. If it's true nurses eat their young, it's also true that the nurse of today is not doing what the nurses of yesterday set out to do.

Yes, I realize that my daughter may have been your tenth suicidal patient of that particular shift or week. I also realize she may have been your first. Either way, she deserved understanding and gentleness in your care, not detachment and cursing and rude comments passed. I deserved professional courtesy and maybe a distracting conversation.

Again I pray that no one in your families suffers from such depression that they see no other way out. I hope that they go on to live beautiful productive lives. As my daughter will not because a nurse in the Emergency Department touched her life and changed it for the better but because her mother, also a nurse, never stopped looking at nursing as an art.

I am sad to say, you are correct

My heart breaks for you and your daughter. Though, unfortunately I know your story is true. I worked in the ER of a large, very busy hospital. Many of the nurses were hateful to patients, particularly Behavioral Health, homeless and anyone who asked for pain medication. I hope that we are able to change this culture of judgmental, uncompassionate nurses. I am really glad you have spoken out about this. I hope your daughter is well.

Specializes in CIC, Geriatrics.

Working in a nursing home, we are taught that complaints are a gift our residents, families and other customers provide us with, to assist us to make our care the best it can be. Any profession (or any other system) that only receives positive feedback will implode. It's time we as a profession start taking in these complaints and fixing what we can about ourselves. Attacking the very people we work for is hardly professional, when a mother is with a child, yes, her judgment may be clouded. However when handled correctly, can leave both mother and child feeling cared for. I am really hoping I never run into a nurse with your attitude when I or my family need care, by reading your post, I can see making widgets on an assembly line is more your passion, not caring. It's not a "romanticized sappy calling", it's one human caring for another, seeing pain and fear and dealing with it to provide the patient with the tools to deal with their current situation. It's not up to you to decide, it's the most important part of your profession, LEARN IT!!!!

i also work in a small ER, and know that the ER is not equipped to handle psych pts...to the outside world, that seems absurd. to those of us who work in an ER, we know it to be true. ER's are designed to save lives in acute emergencies. they were never designed to house disturbed, psychotic, homicidal or suicidal pts..at the best of times, we have very little to offer. at the worst of times, i'm sure we are perceived as cold, uncaring, etc..we cannot make a suicidal pt's many needs a priority over medical emergencies. we can only do our best to ensure safety. we are constantly met with pts/family attempting to bully us, persuade us, or threaten us into circumventing policies put in place by the hospital. i am not willing to risk a pt's life or my job by refusing to follow policy. i learned this the hard way by seeing the aftermath of a new nurse giving a psych pt a can of soda. she worked at that can for an hour, twisting it back and forth til it broke in two, then slashed her wrists with it. nor am i going to take a pt outside to smoke, even though other rn's do it, which leaves those of us who won't as a target for being hateful and uncaring. again, i am not risking my pt's well-being or my job. what happens when that pt runs off? i am now open to lawsuits and firing. as a health care professional, i am a little taken aback that you thought things were going to be different when you took your daughter there..did you believe you should be able to flout the rules because you work there? quite possibly, you put the nurse in a bad position by attempting to go around what you knew to be policy. that was not fair of you. again, i agree that the ER is probably one of the worst places to take a psych pt. our system of psych care is horrible. with that said, safety is about all we can offer. there is no way an ER nurse can spend hours with a psych pt. not when there are mi's and strokes and surgicals coming in the door...that isn't pretty, but it is the truth.

Specializes in Geriatrics, Dialysis.

I am sorry you and your daughter went through this. I am glad she reached out for help and hopeful that she is getting the treatment she needs. I do think though that you should look at your ER experience from the other side a little bit. One paragraph in particular made me think that your impression might be a little off:

"And to you the nurse who said it looked like we were camping out. Did you consider not everyone lives the same lifestyle and some of us may need food because of our way of life? Did you notice I kept everything neat and then cleaned up before we left? Did you consider that I needed that food and water to keep me from falling apart? How do you know that it wasn't for my daughter who has food allergies? As far as my daughter's belongings we had hoped she was coming home with me and she did. But you made us put them in my car and she walked out in the lovely paper scrubs provided for her."

My impression was the ER is not the place to bring multiple meals and your own water. Taking the time to bring carefully packed supplies to an ER does not exactly scream "this is an emergency!" to me. As for the staff requesting that you take her personal belongings away and keep them in the car I 100% believe this is the correct thing to do when dealing with a suicidal patient. Isn't removing anything from the environment that could be used to carry out a suicide a standard procedure? How is the ER staff to know what type of weapons or things that could be improvised to make a weapon might be packed in those carefully prepared belongings? If you took the time to pack food, how would the ER staff know that your daughter didn't take the time to pack something she could use to kill herself with?

Just food for thought that maybe all the staff weren't really as uncaring as you perceived.

Specializes in Neonatal ICU.

Ok so a few things I'd like to point out here:

For an article titled "don't judge" she does an awful lot of judging based off very vague observations provided. We don't know this nurse, we don't know the **** she's gone through that night, and she certainly does not represent 3 million nurses in the United States. To me it sounds like the author, who clearly stated she was a nurse practitioner is trying to distance herself from nurses because she thinks the extra letter at the end of her title now makes her better. The emergency department is not a psych ward, and the nurses there are trained to keep patients alive until they receive the help they need. I'm sorry...bringing food into the ER? That's inappropriate and inconsiderate. If you're so concerned with your routine, go eat your meals in the caf. Concerned with fitness while your daughter is threatening to kill herself...but I'm not here to judge. The author didn't even go into detail about what exactly was said to make her assume the nurse hated her job. Her daughter is suicidal. She cannot have anything in her room, especially items from home. Utensils I'm sure she had with her meals. Her daughters clothes could be used to hang herself. As I see it, this nurse was trying to keep this judgemental woman's daughter alive. God forbid the mother walked away for a minute. Who knows what could have happened? And if you're so upset with the way this nurse is treating your daughter, why not have a chat with her or her supervisor? Im sure things would have cleared up then. I'm sorry but the author is the one here who lacks compassion and understanding.

Some Nurses lack compassion and in my opinion if that is the case you should not be a nurse. A nice smile and how can I help you can go a long way regardless of how their day is going! I hope you and your daughter are doing better. Tell your daughter to hang in there and surround herself with good people and positive vibes. God bless

This is very sad to hear. I have found many nurses who are judgmental and quick to find fault in others. I too have thought of giving up nursing. But there are many kind and caring nurses out there and if those of us who are kind leave the profession, then all that's left to represent us are those who are not.

Specializes in Psych, Addictions, SOL (Student of Life).

As a psych nurse I wonder why this daughter was not placed on a 72 hour hold and sent to a psych facility for a proper evaluation.

Hppy

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
As a psych nurse I wonder why this daughter was not placed on a 72 hour hold and sent to a psych facility for a proper evaluation.

Hppy

I'm also beginning to wonder if this was an isolated incident or a regular occurrence. The OP has not been back to clarify anything.

Specializes in cardiology, psychiatry, corrections.

Yes, spunkymoo, you're absolutely right about nurses being judgemental about patients...I used to do home care, and when I discharged a patient, the family thanked me for caring for their mother, and said that the experience exceeded their expectations. They had admitted to me that before a nurse had even visited the home, they were afraid that they were going to be judged because they lived in a lower middle class neighborhood, and their mother grew up dirt poor and had some hoarding-like tendencies.

As a psych nurse I wonder why this daughter was not placed on a 72 hour hold and sent to a psych facility for a proper evaluation.

Hppy

Many patients who present to the ED for evaluation r/t SI-related concerns are not found to be in need of inpatient hospitalization. The ED performs a medical screening and basic process of r/o medical cause for presentation after which the patient is evaluated by MH professional (MSW usually) - which can basically be described as an additional screening for need for psychiatric hospitalization. It's not uncommon at all to be screened out during this second part of the process. If there is disagreement, the physician usually has the final say in my experience. I will not attempt to speak about this particular case, but generally-speaking, just as with medical concerns, the fact that someone presents to the ED for evaluation is not in and of itself an indication that hospitalization is necessary or even what's best for the situation at hand. Feel free to PM.

Specializes in Pediatric Critical Care.
However when handled correctly, can leave both mother and child feeling cared for. I am really hoping I never run into a nurse with your attitude when I or my family need care, by reading your post, I can see making widgets on an assembly line is more your passion, not caring. It's not a "romanticized sappy calling", it's one human caring for another, seeing pain and fear and dealing with it to provide the patient with the tools to deal with their current situation. It's not up to you to decide, it's the most important part of your profession, LEARN IT!!!!

I really disagree with this sentiment. Making people 'feel' cared for is very good, but it is NOT "the most important part" of my profession. Actually doing what needs to be done to care for my patients will always take precedence over making them feel warm fuzzies.

Now, if I can do both - so much the better. :up:

Any profession (or any other system) that only receives positive feedback will implode.

This, I can get behind, in theory.

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