tariqblaze

Thanks for the info but at this point, there is nothing anyone in the world could tell me that could change my mind from my beliefs. I fully believe the flu shot is apart of a larger conspiracy to harm our population. Am I a conspiracy theorist? You bet I am. However unlike many conspiracy theorist, I dont spend all day trying to warn the world of the upcoming conspiracy. It usually waste more time and loses more lives than it saves. So because of that, I simply choose not to partake in certain deadly and evil acts that I believe them out to be. But when someone forces me to do just the opposite of that, then I am forced to share my beliefs and make others aware if that can save myself and others. The TV is a tool for mass mind control. College is a breeding ground for propaganda. But no one is forcing anyone to go attend either of those choices. Now your telling me I cant get into healthcare? So be it, there has to be other occupations out there that exist. I fully intend to find them.

My facility doesnt mandate any other vaccine except the flu shot.. Thats why..Its almost too obvious why the flu. And yes there are parts of the job you are against like giving certain medications for certain reasons. Not all parts of healthcare is 100% factual. I find it equally odd as you do that some providers follow completely everything their employers say without ever questioning as if their employers are supreme knowledgeable beings. Last I checked, we are all humans, we all make mistakes, so no policy for any facility will be 100% flaw-free. It is your duty that if you see something wrong with the procedures, you speak up or fight against. I mean, that is why you were hired right? To be more than just some yes-man/ma'am?

Besides the medical and religious reasons which are clearly only for a rare few, is there really no hope for the healthcare occupation and those who refuse under all circumstances to get a flu shot? I was looking online to find some solutions on how to opt out, but unusually I was not able to find any type of viable solution that I could particularly use except for possibly lying which may or may still not even work. Gestapo at its finest. Lets just hope another vocation is hiring. Clearly this isnt the field for me, or at least the particular facility.

Reading that boucheur from the ncsbn it says, This is kind of what my last point was. Every situation needs to be evaluated individually. A patient who is misdiagnosed even and doesnt even need treatment and will probably be gone by tomorrow is a much different situation than a patient who is terminally ill for years. It would seem excessive to tell a caregiver interaction with this patient is not valid until 2 years later. I dont think there are any real guidelines. Except for maybe when it is clear a real violation has occurred like the intimate relationships. Other than that, according to those fancy words you speak of, every situation is different.

Who makes the universal laws on the issue though? Whos word do we follow? For example the General Media Council actually did the opposite and stated it is up to the caregivers discretion and no real time limit is imposed. Green light for doctors to date former patients so long as they use their 'professional judgement' to decide if it is appropriate | Mail Online

I know there are a few threads on dating patients. I have a few questions that go a little deeper than just dating but all relationships, whether they are intimate or non-intimate. What are the boundaries? In many of the threads I have read, most of the replies are personal opinions of the posters but few actually tell what the law says or what most facilities codes are on these issues. Some facilities have policies on this but are limited to a few issues but there are other issues to consider. I know it is probably safer to avoid any form of personal relationship with a patient, but just for reference, what are the official codes to these relationships? And when answering, please give the answer from both the official policy or code perspective, and from also what is just generally socially accepted or what the unwritten rules are about said practice. Sometimes one is there but the other isnt and vice versa. On duty friendships with patients ==================================== ---Personal conversations while giving care--- I think everyone is taught that this is not recommended. Telling too much information about yourself to patients or getting too personal or talking about religion etc is not recommended. However I have never read anything about this being company policy. Socially it may not be accepted but could situations vary? ---Flirting--- I guess this is to be judged individually. What some consider flirting, others consider friendly nature. Another tricky line. Off duty friendships with patients =================================== --Visiting patients--- Making personal relationships with patients which include visiting on duty but when not giving direct care of the patient or off duty, on breaks, etc. What are the guidelines to this? Is patient/caregiver only restricted to the care they are receiving directly and after care is given, all other interactions are prohibited? Facility policy or social standard? ---Communication with patients-- This includes getting or giving/exchanging personal numbers, emails etc. If taking a patients room number is not accepted, what about their cell, or their emails. If none is allowed, what about giving the patient your number, email, business card, social networking site name, etc and letting them contact you? Friendships with ex-patients ================================ ---Personal relationship with ex-patient--- If the care relationship is terminated, when is it acceptable to pursue personal relationships/friendships? How long/what setting/what course of action can be taken? Intimate relationships with ex-patients ===================================== An intimate relationship should obviously never be pursued with a patient. But how much time should pass after a care relationship is terminated before an intimate relationship is established? Do situations/types of patients vary? ======================================== If there are no strict guidelines to all of this do situations vary? Not every patient is the same. Some come in for only minor issues, are there for a few days and never return. Others are terminally ill. Obviously both situations vary so professional discretion should be used for both. If sound professional judgement is used what is the issue? ---What if the patient is the one that initiates all personal boundaries? ---What if you are sure both you and the patient know you two were made for each other, the love of each others lives for eternity. Still you gotta walk away forever? Professional discretion can be applied no? Some situations have to vary right? I know policies and social standards differ from facility to state. Just wanted a general idea of what is accepted for most places. Like I said, it is probably best to avoid all of the above just for safety issues, but for sake of discussion, action without comprehension never brings complete understanding. Learning complete truth about actions brings knowledge, which plants the seeds to complete understanding as to why certain things are the way they are.

How is it a pretty broad brush? I simply said some dont care. This is the truth. That is not a broad generalization but merely the truth. It could happen and it does and if it does, you are still back at square 1. What then?

Exactly. Different settings require different circumstances. In long term care facilities, relationships are already much more personal. In short term facilities where some patients are only there for a matter of days and small errands/gifts are done or given in a discrete manner, especially if needed, I dont really see the issues. Referring a patient to a social worker because they really desired a meal outside the facility, or just wanted a book from the store next door they couldnt go get by themselves could be a bit much. The social worker may even think the same as I know many social workers dont really do their job right or care so much either. Then it is really left to you either way.

Patient B is the patient I am talking about. The patient that needs a phone card to call loved ones but cant leave said facility. Or the patient who cant stand the facility food and has the money for a takeout meal but needs someone to get it. I honestly dont see any harm in doing any of these actions. Of course patient A's situation can be quite manipulative. Even patient B's situation if those guidelines are not followed. I think what is most important is that things are judged case by case and unnecessary blanket rules arent established for everyone that causes more harm than good.

What do you think about a personal relationship after the patient is no longer under care services? How long should be allowed before a relationship is pursued?

I understand. That makes sense actually. Social worker is fine I just wanted to know what to do in a facility where no one cares but you. I have seen patients with genuine urgent needs and literally nobody does anything about it. There is no reference to a social worker or nothing. Actually this is my first time hearing about referring anything to a social worker. It is not that I need a personal relationship with the patient however when I see patients needs go neglected, it gets to me and makes me want to do something. I just want to know what can be done in legal limits. Referring to a social worker is a fine alternative, especially when no one, not even the charge nurse, will do anything about these needs. As long as it gets done, I dont care who does it. It just puts you in a bad position when you are the only one the patient trust and you dont know what to do because the administration didnt instruct you on what to do in these situations and you know something should be done. It is a very bad position to be in. Great advice.

Former patients? So lets say for instance you live in a foreign country and you rarely if ever see any people of your kind. One year after many years of working you come across someone you finally make a connection with on a deeper level. Two responsible adults. The patient gets discharged but you know you may not meet anyone like that patient for many months, possibly years to come. What do you do. Let them walk and do not decide to keep in contact, even if you are genuinely interested in following up with them after treatment? It sounds like a case of workplace rule extremity. Every case cannot be the same. Sometimes truly timeless connections are made and great friendships can occur, but because of a workplace rule, two people who can benefit society together must not be because of some forbidden rule a few men made in suits. Allot of this doesnt sound logical. At least not all of it. Maybe not...

In my faculty, we were told not to have personal relationships with patients, nor run outside errands for them such as food runs and such. However nothing was said about inside runs such as vending machine runs nor was anything said about giving gifts, nor running errands on off duty. This is where the gray area lays.

Thats where it gets tricky. What is the difference with giving them food from the cafeteria and food from your lunchbox, vending machine, or outside of the facility? If you are on break/off duty and you come back to assist them I see no difference. You bought gifts for the wedding for some patients, why not give gifts to others on a regular basis, if you wish of course. The same with lending a phone for a phone call especially if the operator tells you that patients are not allowed long distance phone calls. Running errands outside of the facility for them. I dont see where the line is drawn here using this one specific example you used. If it is allowed to bring in gifts from outside the facility for a couples wedding, what makes one occasion the exception over the second? Contact outside work doesnt have to be made but when it comes to gifts/favors/errands, where are the lines drawn?

Exactly. I know in many facilities that it is very common for workers to give gifts/do favors for patients especially those who are limited in mobility. It is almost commonplace but the rules will suggest otherwise with regards to some favors such as running outside errands. Even though it is the rules, in most places I know of it is not a strictly enforced rule but just a relaxed rule set up for legal purposes. As they say rules are made to be broken but I think some rules in the workforce are unnecessary and each case needs to be evaluated individually.