twahls65

Why such hatred towards me all I was doing was asking for was simple advice but if I can't find that here I guess I will have to look elsewhere to further my training and look for friendship and fellowship where I won't be constantly judged. I thought this was a friendly forum where I could ask questions I guess not.

I am having trouble with my young patients both boys and girls open up to me about such sensitive subjects especially about there genital health if any fellow np have any tips or suggestions to get my patients to open up and feel comfortable talking to me about such subjects I would greatly appreciate it.

as part of the yearly well child checkup begining when the patient is 12 or 13 I try and set aside some time with just the patient without the parent in the room so If there is anything the patient wants to discuss without there parent there they can feel free to open up with me. Sometimes that is easier said than done. I find it more difficult for girls to open up and ask questions they feel embarrassed talking to me since I am a male nurse practioner but I try and calm there nerves and let them know whatever they tell me does not go beyond the exam room. If anybody has any other tips or suggestions for me to try and help me with talking with adolescent girls and how you approach talking about such sensitive topics with them I would appreciate it. Thank you

Sorry I am asking so many questions I am just comparing what we do at our pediatric practice to other pediatric offices with well child checkups. What i try and do is keep the patient as comfortable as possible during the checkup and just remove clothing as needed. I have found girls more shy to talk about there development with me even with a parent in the room during the exam when I do ask about puberty and there periods.

Do you have your patients undress for their yearly checkup or do you keep them dressed and just do the checkup over there clothes and just move clothes as needed?

Even though not necessarily part of a genital exam in older adolescent girls as they develope as part of the yearly checkup do you perform a breast exam on the female patient or just ask her about her development?

For older adolescent girls once they do reach puberty and get there periods do you do a little more compressive exam other than looking at there Tanner stage and just pulling out the waistban of the patients underwear? Do you try and counsel them and ask if they have any questions or concerns about there development or there periods? Do you actually look at there lady parts and pelvic area?

Please dont get me wrong i am very sympathetic towards any of my patients that i see being either male or female. I just find it hard being a male nurse working with children and giving them instructions ( i misworded my saying earlier when i said i give them directions ment to say instructions please forgive me?) I trully do watch how i word things to my patients when i am talking with them especially my female patients knowing i am a male nurse and they may take what i am saying to them the wrong way. I also realize i have to wait for responses to my posts and it wont be instant response back please forgive me in that aspect as well.

I am sorry if my topics are not interesting to comment on by fellow nurses i was hoping to connect with fellow nurses and start a conversation about these topics and see how othee nurses deal with difficult patients and the cloth vs paper gown issue in different parts of the country.

Thank you for your response it was appriciated i would also like to hear from other nurses experience with cloth vs paper gowns and how they handle that situation. I am also dealing with difficult patients especially with adolescent girls not wanting to follow my directions when i give them with me being a male nurse they dont want to have there weight andheight taken when i ask them to step onto the scale or when i ask them to give a urine sample and especially when i ask them to undress and put the gown on during there annual wellness checkup then i have to hear it from the physician as to why the patient isnt changed and ready for there checkup when the physician enters the exam room. How do you handle difficult patients like that any tips or suggestions are much appriciated thank you

I work in a pediatric office and want to find out from other nurses who work in pediatric offices if you have your patients change into a gown when they come into the office for their yearly checkup or they stay clothed for their checkup? If you do have them change do you use the disposable tissue gowns or cloth gowns for the patients? We use cloth gowns but its getting expensive to have to send them to get laundred and returned to us. We are trying to get the physicians to switch to the tissue disposable gowns. What are your experiences with cloth vs disposable tissue gowns for your patients?

Just a question does your hospital use mainly bedadine for lady partsl prep in a patient who is getting ready to deliver lady partslly or do you use soap and water to prep the patient. The hospital i work at uses mainly bedadine for the patient prep who is getting ready to deliver bedadine is widely used in our labor and delivery area's any feed back is greatly appriciated

I know its possible for them to get lumps but i didnt know if it was appropriate for a pediatrician to check there breasts during a routine physical.

I don't find it odd that the patients have to undress i know that is a nescescity so the dr's could do a physical what i do find strange is asking an adolescent female to undress and to also take her bra off so the dr could do a breast exam as part of there checkup. Is it really necesary for a dr to do a breast exam on an adolescent female during a routine physical?? I know how uncomfortable the patient could be with taking her bra off or am i really overracting to the whole thing???

I am a new RN working in a pediatricians office and i have noticed that the pediatricians here require all of our patients to discloth for all checkups and physicals and we give them gowns to put on to cover up. For our adolescent patients our Dr's also require our female patients to take there bra's off so they could do a breast exam on them. My questions are is it really required to have a child and adolescent discloth for physicals or can the Dr's do there physicals with the patient clothed? Is it also necessary to do a breast exam on a adolescent female during a routine physical? I don't know if i should say something to the Dr's about that or am i overracting about it. I love working with kids and at the office i am working at