Scared Of Bullying

Nurses Relations

Published

OK... Here's the background:

I have a moderate history of my own medical care. Long-term medications and some minor surgery. I have a history of suspicion to doctors, but kindness to nurses.

At the time of a minor surgery, I had an attitude adjustment, as a person. And the nurses just seemed so incredibly cool, as with my ongoing view of them.

I am the lowest person at my local hospital - a "candystriper" volunteer. (They don't use the "candystriper" term, but I use it, as a joke.) Mostly I do the Emergency Department, for about the past year or so.

Yes, I will clean the staff room and waiting room. Yes, I will stock supplies and change bedsheets. Yes, I will serve the meals. And reassure the family members. Yes, I will be polite to drunks and psychs. Yes, I will empty the vomit cups. Yes, I will spoon-feed someone old enough to be my grandmother. Or listen to her dementia-repetition, while I say, "Yes, ma'am, there are some people who will come to drive you back home, and you need to wait here..." while she repeats her half-story from 1943. And I am nice to her.

I have been told that, I am the most "physical" candystriper here, with more interest in actual work, like moving beds (with or without people on them.)

Actually, I will be nice to anybody and everybody. No matter what I might think in some other compartment of my mind, some other time. I strive for neutrality. No matter what I see, or what I feel underneath. Granny broke her hip falling at home? Some guy crashed his car while drunk? Some random mystery that I don't have authorisation to ask... But can I distract from your pain and chat with you?

I can smile and act like a cheerful candystriper, offering you coffee, ignoring the screams from the next cubicle. And brushing off the annoying, "So do you ever see people from car crashes?" comments. Because I just want to be nice to the individual person with whom I am dealing. And I pride myself on my smell-stoicism (you know what I mean.)

And I think that the ambulance staff are are so cool. Perhaps that would be a better job path.

So... Here's the problem...

I am a member of a minority. Which is particularly hated. In a way that would make me very vulnerable in a mostly female environment. With the standard bullying, including appearance-based abuse.

Despite the fact that, I am nonsexual, and would never view another person (student coworker, etc) as either a target or competitor.

I was born male, and used medical means to make my body look more female. It has nothing to do with sex, because I am committed to celibacy. I am generally perceived as female (i.e. automatically called, "she") by random people. But, I figure that, experienced medical professionals will "read" me (as I wipe the crud from the staff-room microwave, without pay...)

I just want my own medical history to be glossed-over. And, the vast majority of the time, it is.

So, I am scared about applying to nursing school. I have already see what they do, and how hard the job is.

My fear is about being "read" as transsexual by other students, and by instructors (informed persons.) And then singled out for bullying and discrimination.

Yes, I know about the concern of people doing sexual misconduct. Because nursing is such an intimate position. Personally, I find it frightening, just as any other decent person would.

"Uh, yes-ma'am, we just need to get this cup down there, because the nurse wants a urine sample... (non-verbal: I just want the nurse to think I'm a good candystriper for doing this...) "

No, I didn't find anything sexy about that.

I am so afraid that, my medical history as a transsexual person will be twisted into something bad. And that, my compassion will be twisted into predation.

Even if I weren't transsexual, I would still fear a female-biased workplace. They are so fixated on gossip, and passive-aggression, so forth. And it is worse if they read me, which is much more likely be people in a medical field.

I am NOT interested in "feel-good" encouragements from people without experience. And, I know about having a "thick skin." But, I also know that, a "thick skin" isn't going to stand up to some bigoted nursing instructor who views me as some kind of evil pervert.

I just want to make a difference, in a positive way. If any readers here know the Buddhist "Story Of The Four Visions", that is my underlying motivation in this. I think about that story every time I am at the hospital. And I feel that, my contact with the medical profession relates strongly a spiritual path, which I won't go into here.

Comments on this, please? Not just feel-good?

Thank you....

Specializes in mental health, military nursing.

Think about finding an LGBT nursing support group!

You probably will face some discrimination and cruel words, mostly by people who aren't intending to be cruel, but just have deep-rooted fears. Happens to everyone. I cringe every time a demented elderly lady yells about "a big black man" coming in to her room and beating her up every night - almost all LTC workers can attest to those kinds of statements. My coworkers gossip about how one of our Muslim docs "looks like a terrorist" and how they'd be worried to sit next to him on a plane.

You sound like you will make an excellent nurse. It's silly for me to tell you not to let fear of discrimination keep you down, since as a white female in nursing I really can't say how hard you'll have it... And, while it's true that the more "different" people join nursing, the better the field becomes and the more you can change people's prejudices, you shouldn't have to be a walking cause! You probably just want to be able to comfortably blend in...

Specializes in Health Information Management.

OP, what you're asking about has some general overall themes that apply in a lot of settings. Anything that might mark you out as "different," may occasion a bit of comment initially. For instance, I am severely physically disabled, and it's one of the first things people notice about me. I can't change that. What I can change is how quickly people see the person instead of the disability. That simply comes with being me; confident, intelligent, curious, klutzy, usually helpful me. Obviously being transgendered isn't a disability, but it may be something some people will notice about you. If you are confident and accept it as a natural part of you, rather than letting it define you, other people will usually end up following your lead.

It sounds as though maybe you aren't all that comfortable inside your own skin and you're letting your fears about what other people will think or do take over part of your mind. That would be a shame, because you sound like you'd make an excellent nurse. You have to do the work of facing down those fears and worries; it can take a long time and no one else can do it for you, though others can certainly help. It took me a very long time to face down the fear of being a worthless burden to my family and a freak to the rest of the world. I am stronger for having done so. Whatever helps you really accept yourself, be it counseling, journaling, talking to other transgendered individuals about their experiences, or just thinking a lot over an extended period of time, is the most important thing you can do for yourself. That's just my opinion, and I may be totally off, but I hope it helps a little. Good luck to you.

Specializes in pulm/cardiology pcu, surgical onc.

I just wanted to add that there are several people in my hospital, including a physician who are trans gender,( please accept my apology if I'm reading this wrong), but they are treated with the same respect as anyone else. No one cares either way about their gender as they are genuinely nice people and that can be tough to come by. Dont create obstacles for yourself that really may not be there but just in your mind.

Specializes in Mostly geri :).

I think it's such a shame that there are still such close minded people in the world. I am fortunate enough to live in a city known as the San Francisco of the midwest (many transgendered, openly gay, and not sure of their orientation people). Those that live here tend to be very openminded, but I know that we are a minority as far as the general population. Some people may be cruel and rude, but please know that it's because of their own closed mindedness and insecurities. I wish you the best :)

Gaaaaaahhh... I was feeling distracted/stressed about something else when I wrote that. So it came out really poorly. I'd like to edit out a bunch of junk in the original post, but there doesn't seem to be a mechanism for that(?)

A consistent problem with writing online is that, I sound much more dramatic and grumpy than I really am. In person, I think I come across as kind of an airhead (sometimes as a self-defence mechanism.)

First, about the counseling idea. There are some rather nutty people who go around claiming to be transsexual. But I actually have official evaluations from three different psychiatrists and one psychologist, attesting to me being quite sane and in touch with reality. A couple of them seemed slightly frustrated that they couldn't find anything seriously wrong with me. (Do you have a sanity certificate?) And, honestly, the mental health field is almost literally, "the inmates running the asylum." I think they go into it because of their own problems. Plus, they are over-reliant on SSRIs, and don't grasp that people sometimes have legitimate reasons for feeling bad.

Second, about San Francisco. I've actually lived there in the past - it's a beautiful and fun city. However, I would rather avoid people who are highly aware of the existence of transsexual people. I have absolutely zero use for, or desire for, a gay ghetto.

On a related point, I find gays and lesbians are often at least as bigoted as straight people. Or even more so. It is complicated, but has some of that "horizontal aggression" thing.

Thirdly, I know how people like to focus on any difference they can find in someone. I have other "different" characteristics besides the transsexual thing. For example, I am an immigrant, and some people get intrusive about that (although I have the majority skin colour and language, so it isn't too bad.) Also, some people notice my lack of any family. There are other things, but more attitude/life-history stuff that isn't visible but I deliberately avoid discussing. Which makes a strange vibe with the way a lot of women like to ask about all kinds of personal things.

However, my medical history is a difference which is related to sexual matters. Which is highly exaggerated in many people's minds. There is a common belief that, the whole thing is about luring people into bed under false pretenses. Or people fixate on, "OMG, I would never have sex with a freak like that," and just cannot move on to, "Is she a decent human being?"

As I explained before, I keep my mouth shut about this issue in regular daily life. But, relevant to my question, there are couple of problems. (1.) Studying or working with medical professionals seems much higher risk in terms of people realising from normal interaction that I'm not really just a female with a slightly odd voice, large hands, and small boobs. (2.) Nursing school requires a physical exam ("Are you on any medications? When was your last period?") Also, I understand that students do blood draws, assessments and so forth on each other.

And this is a field with especially intimate interactions. I mean, if you are working retail, you might be suspected of stealing merchandise, but nobody will worry about you fondling it.

My medical history would make me vulnerable to suspicion in general. And especially in case of an accusation. Here is an example:

http://www.gender.org.uk/conf/1992/92whtle.htm

Imagine your name in the newspaper with the general message of, "Jane Schmoe, RN, who is a known sexual deviant, is being questioned regarding the molestation of intellectually disabled children." No evidence. No conviction. Apparently, the accusation was physically impossible. Reputation and career destroyed.

Personally, I would never even consider any job working with children. I don't even want to talk to kids unless they have a parent right there in the room. Although that includes non-sexual concerns, like if the child has an unexplained bruise on his arm, I don't want to be a suspect. Fortunately, I prefer dealing with elderly people, anyway.

Another risk scenario could be some "confused" elderly female who didn't understand a catheterisation, and only perceived that someone was poking around down there. And describes it as sexual assault.

Or some situation where the patient figures out that the nurse is transsexual, and simply makes a big deal about it.

I think that people who are born female cannot really grasp what it is like to be viewed as a potential sexual predator. But hopefully you can understand why I would have this concern.

The general bigotry thing is often denied or dismissed by people aren't the target. But people in my position often just come to expect and assume it. And it only takes one person with a bad attitude to fail you in school, or to cost you your job. And my own risks are on top of the universal ones in medical professions - stress, lawsuits, drug inventory discrepancies, errors resulting in injury, etc, etc.

Finally, I agree with the self-confidence comments. Sometimes I try to deal with it through self-deprecating humour. Also, I think maybe it is like when you are feeling grumpy. Or judgmental (e.g. about people whose medical problem is due to bad behaviour.) Or grossed out by something. And you try to stay calm on the surface, and put on the warm smile and friendly demeanor. And just pretend.

I know that I've internalised some of the negativity I've received from some people. And have experienced substantial boundary violations. I tend to keep my distance from people as a result. And, as I mentioned, I don't like being in all-women situations. There is tone of competition which I want to avoid, but some women don't seem to grasp that. I don't want anyone worried that I'm more attractive, or more intelligent, or more competent, because that draws attacks. The pettiness and grudges are amazing.

When I was younger, I tried to be altruistic, generous, tolerant. And thought that I could somehow redeem myself through kindness to others. (The redemption issue relates to my interest in spiritual matters, which have been more "fire and brimstone" rather than "peace and love.") And I attracted needy people, whose demands were limitless, and the interactions were very damaging for me. The recurring theme was, "No good deed goes unpunished."

What I like about the candystriper gig is that I can be nice and compassionate, with built-in limits. It is much better than trying to be friends with people. Because patients don't try to run my life. Or compete over how I'm the uglier, dumber one. Or demand money. They generally keep their nose out of my business. Then, at the end of the shift, I walk out, and their neediness gets turned off like a switch until next time. And while it's going on, a uniform is like a protective shield. I think that is the only viable way for me to care for my fellow human beings.

There. Still rambling, but much better than the cringe-worthy original post.

Wow... gay ghetto? Really? Ouch... that's a really hurtful statement. I'm not gay, but I'm very proud of the acceptance in my favorite city. Many transgendered folks find sanctuary here.

Don't even think about putting down the Giants, or I will go BALLISTIC!!

Specializes in Psych.

I felt sad reading your second post because it sounds as if the world is this rather terrifying place for you, as well as the people in it.

I don't really know what to say with regard to the concerns of having the chromosomes of one sex and the physical characteristics of another and having to perform 'delicate' tasks on clients. I understand why you're concerned about that because there are people who might prefer not to have a nurse of a certain sex for religious/cultural reasons, abuse histories, feelings of modesty, homophobia, and a full gamut of other things (occasionally silly) as well. Yet you shouldn't have to greet all your clients with, "Hello. I'm Pat. I'm a transsexual and I'll be taking care of you today. Do you have any concerns about that?"

I think someone had mentioned finding a support group and I think it would really help yfor you to talk to others who have had to handle similar challenging situations. Perhaps one online?

I also think you should keep the door open to friendships by finding an outside interest of some sort like a book club or toastmasters, or theatre group...something perhaps where you can express your unique thoughts and ideas...something that will allow you to connect with other human beings and they with you that isn't based on you providing for their needs.

Specializes in mental health, military nursing.

(Do you have a sanity certificate?)

To the OP:

Your last post cracked me up :D You really hit the nail on the head regarding mental health nursing, and the whole post was spot-on!

For the school physical, I wouldn't sweat it. They are required to assess for very basic things, like the ability to lift >50lbs, urine drug test, and titers - your instructors should never know anything beyond that very basic information. If you're really concerned, and want to just get it out of the way, I'd request a meeting with the head of the nursing department just to clarify the situation and express your preferences for treatment - many people just don't know how to respond to different people, and can end up making everyone uncomfortable by trying to be politically correct. Clarifying any gender discrepancies on your ID would probably be necessary anyway...

I understand your fears of being a target for blame - many of the gay nurses and ancillary staff with whom I work fear the same thing. Some people persist in equating differences in sexuality with predatory behavior, and it's neither accurate nor fair.

Some of your fears are realistic- like elderly ladies thinking catheterization is sexual assault, but they feel that way about everyone. It's why teamwork is so important. As a nurse, you will be able to call on your peers to witness situations that have the potential for misinterpretation. Protecting your reputation is crucial (for everyone, not just LGBT staff). At my hospital (pediatric psych), we are never, ever allowed to be alone with a patient with the door closed.

You seem to be an insightful person with a keen sense of self (and a great writer to boot!)... Best of luck to you :D

Specializes in Psych.

"You seem to be an insightful person with a keen sense of self (and a great writer to boot!)..."

I thought so too...very self aware. Seriously think about toastmasters...go share those humorous insights with some live people. :)

Specializes in student; help!.

I think maybe you're borrowing trouble (and as I hold an advanced degree in trouble studies, I feel qualified to say so. I do not, however, have a sanity certificate. WANT.).

Yes. There are bigots. Yes, coworkers and fellow students can be horrible. But that's what HR and deans of students are for.

Would it not be preferable to put yourself out there and see if people can't rise to the occasion, rather than assuming they will sink? Perhaps you are in the wrong city. Just about any state has at least one good-sized city that's more tolerant than the surrounding area.

If you're waiting for the world to accept you for yourself, you need to get into the back of a very long line. EVERYONE has something, a belief, skin color, sexual preference, religious preference, something, that puts them squarely in the crosshairs of a group that hates that particular thing, whatever it is. I have ovaries. Some people think that makes me a lesser being. I think that I'm pretty cool because I have made three people. Some people dislike me for *that* Can't win. Screw them. Some people hate my mom because she's gay. She sat by the bedside of dozens of AIDS patients during the height of the AIDS crisis.

Neither of us is waiting for the haters to change their minds.

I don't know. I guess if you're going to wait for people to accept you without a qualm, you may have to be more comfortable in your own skin. I get the feeling that you aren't, somehow, and people respond to that. We are animals, after all, and try as we might, we can't escape that.

I'm rambling. I'm sorry. I hope that you find a way to get what you want. Hoser.*

*please tell me you're Canadian and I didn't just totally insult you in an unforgiveable manner.**

**please tell me hoser isn't the worst thing I could ever call a Canadian (other than American, ha).

Specializes in student; help!.

I forgot re school physical: are they EVER conducted by the school? Mine has to be by a doc. Either way, HIPPA would apply to the physical. Legally, at least, discussing the findings of the exam is illegal. I don't think LMP is anything they'd address, either. Hasn't been in mine.

Doing a draw shouldn't alert anyone to anything unless you hide your sanity certificate up your sleeve. I've never seen a vein twig anyone to a pt's gender. Don't believe the stories that you'll do Foleys on each other.

I'm sad that you're so scared. I feel like you're trying to talk yourself out of this path when you would probably make a fantastic nurse. Don't forget that many of the first medically transgendered people are now of an age to be entering LTC. You might just have a patient who *would* realize you were transgendered, and be happy for you.

OK, I'll put a few replies together. And with a practical type focus:

whodatnurse says:

>I felt sad reading your second post because it sounds

>as if the world is this rather terrifying place for you,

>as well as the people in it.

It is just a risk issue.

In a job driving commercial vehicles, I would think about accidents where the other party lied to avoid responsibility. In a job at a convenience store, I would think about robberies. In a job with customer service, I would think about stupid complaints from snobs. Etc, etc.

In my home, I look for risks of fire, or burglary, or slipping on the bathroom floor. Or if my neighbour may be selling drugs.

In my personal life, I look for risks of someone trying to use me, or getting a grudge over me rejecting them (including platonicly.)

I certainly hope that you use seatbelts in the car, which is insured, and that you locked the door before leaving the house? And that you are careful about when and where you drink alcohol?

It isn't about the 99 people whom I meet who are OK. The ONE person who is abusive is more important, and can have a severe impact.

Relevant to nursing, you could think of a Pyxis machine. It doesn't just thwart the one addict from stealing drugs. It also protects many more co-workers from accusations or a cloud of suspicion. (As a side note, I noticed that, the little one-use packets of "K-Y" lubricant are in the locked dispensary room with the drugs, instead of in the regular supply room with the bandages and stuff...)

>I don't really know what to say with regard to the

>concerns of having the chromosomes of one sex and

>the physical characteristics of another and having

>to perform 'delicate' tasks on clients. I understand

>why you're concerned about that because there are

>people who might prefer not to have a nurse of a

>certain sex for religious/cultural reasons, abuse

>histories, feelings of modesty, homophobia, and a

>full gamut of other things (occasionally silly) as

>well. Yet you shouldn't have to greet all your

>clients with, "Hello. I'm Pat. I'm a transsexual

>and I'll be taking care of you today. Do you have

>any concerns about that?"

Yes, that is a big, big issue for me. I typed the thread title with "bullying," but part of my worry is disclosure.

I want to be very clear about something. I feel zero "right" to a degree or a job. And zero "right" to serve a patient. I feel a very low level of "rights." And feel that I should take rejection gracefully. I would not be the employer, supervisor or patient in this scenario.

It is a bit like romantic situations. The rights of the person saying "no" have more weight than the person asking. 100% more.

Also - and this is the main point - I understand that many people have totally different feelings compared to me. About what is right, and what is fair, and about "should."

I have equal-opportunity anxiety, and don't like anybody examining me, or even talking about my transsexual issues. So I don't place any restrictions on who can treat me when I am the patient, as long as they act decent and professional. I just hate the whole experience, while trying to be really nice to the human beings involved. I sincerely hope that certain nurses walked away from me thinking, "Hmmm, that transsexual girl was really cooperative and polite and respectful..."

However, I cannot control how other people feel. That would include school instructors, employers, co-workers, and patients. Because all of those people would outrank me - especially the patient.

The field of nursing has sex-oriented boundaries for many people.

One of my big questions in pursuing this field, is about that patient consent issue. Let's say that, the school or employer is aware of my medical history. There would inevitably be the moment of:

"Hi, Mrs Jones. Congratulations on your 90th birthday today. My name is Sally, and I'm a student. As part of my training, I'm doing a clinical placement here at the hospital. And I've been assigned to change your diaper and give you a bath. Do you feel OK with that?"

My worry is that, a school or employer would expect me to say, "Oh, by the way, before you consent, let's talk about my medical history, including my genitalia..."

To me, that would be as stupid as a nurse telling you about the abortion that she had ten years ago. Or asking if her lunch violated your religion. Actually, it is worse, and could constitute sexual misconduct in itself. More specifically, the visibility of transsexual people in the past decade or so, can be a bad thing - "I one of those weirdos like you saw on Jerry Springer..." Gaaaaahhhh...

But, there are other people in the world, who think that I "should" be required to disclose. In fact, there are people who think that I have a "moral obligation" to tell anyone and everyone that I meet. I have encountered people who who thought that, random strangers on the street were entitled to this kind of information. Which is one reason why I avoid friendships, and learned long ago to compartmentalise this part of my life history.

I would refuse to do any job that required me to disclose like this. But, as I said, I don't dictate other people's feelings or requirements. And my own experiences have made me hypersensitive about respect for the boundaries and rights and differences in other people.

aura_of_laura said... (Physical and ID stuff)

I live in a place with government health and central record-keeping. If I come in for a broken finger, they will know. Also, my immigration documents have a discrepancy. School or work is going to know.

>Some of your fears are realistic- like elderly ladies

>thinking catheterization is sexual assault, but they

>feel that way about everyone. It's why teamwork is so

>important. As a nurse, you will be able to call on your

>peers to witness situations that have the potential

>for misinterpretation. Protecting your reputation is

>crucial (for everyone, not just LGBT staff).

Well, can you do things like telling the assistant, "Hey, Mrs. Smith needs a catheter, and she's a little confused, so let's go over together, and you can calm her down for me..."(?) Translation: Witness that I didn't do anything bad.

>I understand your fears of being a target for

>blame - many of the gay nurses and ancillary

>staff with whom I work fear the same thing.

There are two nurses at the Emergency Dept whom I deal with like, "Can any of your people have food?" And I'm sure they are playing for the pink team (it's gaydar, OK?) But they don't verbally announce this when dealing with the patients, because it is irrelevant. But I don't know if they feel insecure.

cmonkey says:

>Yes. There are bigots. Yes, coworkers and fellow

>students can be horrible. But that's what HR and

>deans of students are for.

However, filing a discrimination claim with with a tribunal or court ensures that nobody else will hire you, due to the risk. And your name gets online, searchable to everyone.

>Would it not be preferable to put yourself out

>there and see if people can't rise to the occasion,

>rather than assuming they will sink?

The impetus for me considering nursing was having a procedure at my local hospital. An orchiectomy. I was in a very cynical and negative frame of mind, feeling generally bad about the government health system, and humanity, and all that. And, it was the nurses who were so cool. And it was also me who had to rise to the occasion to be nice to them. It was one of the most "real" experiences I've ever had.

>Perhaps you are in the wrong city. Just about

>any state has at least one good-sized city that's

>more tolerant than the surrounding area.

My version of being transsexual has something like a physics "uncertainty principle." Anytime the issue has been discussed with anyone, it distorted their measurement of me as a person. Also, my view of people is though the lens of past bad experiences.

My adult life has been in reletively tolerant cities. But, the main feeling is, "Geez, after 20+ years, I just want this issue to go away completely, forever..." And I know that it won't, but I still like to arrange my life to avoid it. The profession of nursing is frightening because of this. And also frightening because I keep trying to set it aside, but then keep thinking that it would be rewarding.

>EVERYONE has something, a belief, skin color,

>sexual preference, religious preference, something,

>that puts them squarely in the crosshairs of a

>group that hates that particular thing, whatever it is.

As I said, sex-as-in-male-or-female seems to be the one issue where school or work or patients have real authority to cause a problem.

cmonkey says:

>I forgot re school physical: are they EVER conducted

>by the school? Mine has to be by a doc. Either way,

>HIPPA would apply to the physical. Legally, at least,

>discussing the findings of the exam is illegal. I don't

>think LMP is anything they'd address, either. Hasn't

>been in mine.

I live in a place with central, government records. There is a privacy law, but I have also previously experienced a violation based on a personal grudge (never tell someone you don't want to be friends...)

I am also concerned about students practicing assessments on each other. Yes, they can take my blood pressure, temp, and blood. No, disrobing and excessive questions, aren't OK.

>Don't forget that many of the first medically

>transgendered people are now of an age to be

>entering LTC. You might just have a patient

>who *would* realize you were transgendered,

>and be happy for you.

Gaaaahhhh, something like that happened when serving meals at the hospital. A "wink, wink" type of comment that took me a moment to grasp. I found it quite jolting, and just gave my warm-but-airheaded smile - "OK!" I never give indications of reading any other transsexual person, and I don't expect any demographic togetherness.

Although, I will say that, it would be nice to be a positive example. Both to healthcare professionals, and to younger transsexual people who want to assimilate into society. But I value my privacy, and, assimilating is associated with keeping one's mouth shut.

Thanks to everyone who has responded so far.

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