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 A and E, Medicine, Surgery.

The main issue about disclosure is your legal position. If you have a certificate of gender recognition (or the US equivelant) then in the eyes of the law in every sense you are the gender you define yourself as and not your birth gender. If that is the case then you are under no obligation to disclose anything to your employer.

If you do not have this legal status then the situation is slightly different. Every major employer has a robust transgender policy which covers your safety and protection but also that of your colleagues, employer and patients. It looks at specifics like protected time off for surgery, practicalities like gender neutral toilets and changing facilities and things specific to your post. For example police officers in the UK are only allowed to do intimate searches on people of the same sex, so whilst transitioning, transgendered officers stop performing intimate searches on either gender. They procedures are there primarily to protect you. If you are not out to your employers then I wonder how they could protect you.

Regardless of your legal position then if you are not open about being transgender then you will nurse with the fear of being "found out" you also prevent your supervisors from supporting and protecting you. In terms of your patients then I would not expect you to disclose.

It seems like you fully understand the need for protection but the only way people can protect you is if they know.

Good luck

Specializes in mental health, military nursing.
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.

...

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.

Regarding asking for assistance - it's one hundred percent okay to ask for a witness! My husband is a nurse, too, and always makes sure he has a witness when doing catheters on women. Plus, once you've tried to catheterize a combative female patient, you'll realize it's a two-person job at minimum! As I previously mentioned, all nurses have found that we have to be very careful with our reputations, as there will always be someone, whether a patient or a colleague, who will make accusations. Sad, but a true risk. No one will look at you askance for asking for a witness - it should be common practice at most hospitals.

You should also never be even asked to do anything in nursing school which violates your privacy - if they do, I'd be reporting up a storm. You are under no obligation to disclose any personal history to a patient, or your instructors (beyond the initial admission process), and they shouldn't ask students to practice assessments which violate privacy. When I was in school a few years ago, we learned to do assessments on dummies, and then on our patients. We would practice blood pressures and lung assessments and such on each other, but nothing that required disrobing.

And a top-secret tip: it's okay to make stuff up for class assignments on personal assessments ;) We used to have to partner up and write health histories on each other, but there were things that I didn't want my classmates, or my instructor to know, so I made up plausible alternatives.

Specializes in psych, general, emerg, mash.

when everything else fail..you need councilling. BORING! GET on with life. YOu are what you are! Many people are male on the inside, female outside! Bullying is everywhere. Get used to it, it aint going away

If you a kid, develop your own thinking!

I wish I could tell you that everyone is accepting, nonjudgemental and open to people who are unique, but that is not true. Unfortunately, many nurses and physicians have areas of intolerance that they cover up in order to be a "true" caregiver. 2 nurses in my department are very openly religious, but narrow minded and nonaccepting of gays,medicaid moms,drug seekers, etc. They do not show this to the patient (although I am sure it comes thru at times), but are verbal about it in the office.Nurses, like everyone else ,carry their own set of life experiences and prejudices. We are all human,just maybe more aware of the many flaws.I think you are smart to face the many concerns that you have-and they ARE real. Talk to some nursing leadership-managers, educators, etc. You have the right to any career that you choose, and it sounds like you are compassionate and intelligent.I would love to work with you,but honestly, if you worked in my department, you would encounter much skepticism and misunderstanding. I am being honest-you probably need to go to school and work in a city that has alot of resources and support for transexuals and trangendered persons. You must face alot of misunderstandings and intolerance everyday. Consider going into a nursing area that gives you autonomy ,such as education,case management or psychology. Just a suggestion, but stay strong in your goals!

Be confident, professional and self assured. I can already tell that you are compassionate. If anyone asks you any personal questions--just look them in the eye and say "Why do you ask?" Gender should not have anything to do with your nursing skills.

Just an outstanding letter - and I wish you nothing but the absolute best!

You...will be the kind of nurse, or "candystriper", or aid or....friend...I'd want to work

with any time - and the kind of compassionate - "real" human being I'd have no trouble

with caring for me from the other side of the bed.

We are...at the end of most days...just humans - and thank god we all come in so many

different flavors. It's just life...

Wait til you have a known target/issue rather than all this scattershot "what-ifs?"

After you have a recognized problem...then, just put your big-person panties on and deal with it!:)

Nursing isn't for babies - any area of it - not always user friendly. But...is life?

Truly...warmest wishes...

Just....Nike it!

Specializes in Care Coordination, MDS, med-surg, Peds.

Seems to me that you are worrying about alot of situations that may never occur. Chill. Enjoy life! I am sure that your decisions as a transgender person were hard to aek and only came with much thought and refelection. Who care what someone else thinks?

Don't worry about being accused of inappropriate behvior related to nursing duties such as and older person thainking you are playing with her. You don't have to trans gender for them to say that.You just gotta be taking care of them, and they will say most anything.

Counseling would be good.

I was lucky enpugh to previously work with a kind, compassionate caring nurse who happened to also be male to female transgendered. She was slightly different to you in that she was open about her gender dysphoria, it was not a big area of discussion it was just generally known.

In terms of overt bullying I never saw any and in fact her colleagues never really saw it as a big deal. They were far more concerned about her nursing skills which were excellent and she was widely respected.

Being transgendered did make her vulnerable in some areas. She did not have a certificate of gender recognition so technically in the eyes of the law was still male, so she was always very aware (in the same way every male nurse is) of her vulnerability when performing intimate procedures and would have a chaperone present.

Secondly she was often defined by patients as "the transgendered nurse" I was in a different department and a patient was singing her praises and in order to describe her said "you know the lady nurse who is really a man". Her difference made her very well known and I am quite sure she would have preferred anonymity.

Everyone is different and people come with their own rucksacks of prejudices BUT generally nurses tend to be very open minded. I would give nurses and clinical instructors a bit of credit and you might find that your gender dysphoria and experience of being a patient is seen as a positive rather than a stick to beat you with.

In order to get to the point you are at now you must have gone through huge personal reflection and demonstrated immense bravery so nursing school should be a walk in the park.

Good luck and always remember the transexualism is just a part of you - it doesn't always define you and how you are seen. I am sure there is far more to you and who you are than that. :)

I couldn't have said it better. As nurses, we are taught and learn compassion for people; mostly, that is who we are. We may not like the person we are caring for, or may not like their lifestyle choices, but generally, our compassion is there. I believe the same will go for you. It's how you want to identify yourself to your classmates and co-workers which will probably be the decisivie factor in how you are treated. Good luck.

:redbeathe If you couldn't be a nurse what else would you like to be? Well pick that. I actually agree with you. Nurses can be so judgemental to work with. Not all of them, but enough that it may or may not be a problem for you. So search your heart and choose another profession. You mentioned being a EMS that might work...or a writer. You'll figure it out. Love & Light to you...........

Specializes in med-surg, med-psych, psych.

:cool:Listen to Mama, Babee...

Nursing on just too many units is an emotional war zone for a plethora of targets: looks better, looks bad, extremely talented, total incompetents, extremely competent, fun-loving & creative, male nurses (gay or hetero), old nurses, new grads...PLA-EASE!

:no:Forget counseling (psych version)... you already got a heads-up: your fear. Now work it! Like the fear of public speaking when your chosen job and passion is going to involve public speaking. You work it! Be, look, and act the competent part with a I-don't-give-a-damn-about-you-bully attitude , and you will eventually be the confident person who will not give a damn about what others think 'cause you know you're good!. Kind and respectful professionals will gravitate towards your secure inner circle. Pull them in close. People "will learn" to respect you and the gossip will work to your favor. It takes knowing when to go if the environment is so hostile it is carried in your off-duty time, red eyes from crying, to nightmares. It is isn't "nursing" really it's just too many jerks on that particular unit that will be anywhere and in anyplace you might chose. The key is picking your home unit with the least number of them who are "all up in your Kool-Aide".

Fear? Fear is great!... as long as you respect it as a heads-up on changing how "you accept" things. Be extremely good at what you do, have a passion for it. Starting out, pick the most nurturing environment to hone that feeling of confidence (per diem nursing, units that treat cancer, hospice, AIDS, infants, ICU, travel nursing, research nursing, informatics...on & on forever). Stay away from large general acute units, the staffing is always short and so is co-worker kindness. The beauty of nursing is where it can take you!!! Find that niche that makes you shine!! :devil:Bullies like vampires can't stand that sun. Make friends with the chemistry of kindness you feel in select folks (I know you know what I mean).

I can tell from your writing you are grounded, just young. Get a mentor not a "counselor" per se. Find that person that is already where you want to be who had similar challenges, select a nurturing inner circle of "true" friends, and you will do great!!! Bullies be damned!

:smokin:don't smoke, just respect the look

Frankly, from my point of view, there is no relevance to me what your gender is. If you are an RN, trained, and licensed, and you are orienting, feel comfortable doing the job, and know what you are doing. That would be it.

Your personal issues/concerns/etc., should be addressed by counseling, but honestly, is no one's business--just your own.

If you're a good nurse, for me...that's enough....

Truer words have never been written. But then, that's all they are...words. (Not to digress but as I typed this, I sort of envisioned the president saying,"Just words...words matter). But I digress.

What I'm trying to point across is this...yes we wish it so, but it is not always so. There WILL be judgmental people, who some through no fault of theirs may seem hesitant in dealing with the writer. What matters now is how you carry yourself.

Confidence is so key and being not so sensitive when people sometimes make insensitive comments.

To the OP, I am wondering if you have ever experience prejudice of sorts. Have you?

Specializes in OB, HH, ADMIN, IC, ED, QI.

After reading your "about me" and your posts, in your profile, I see many reasons for looking around at all your prospects, "prospect" - not only in nursing. It's very frequently that people who have been patients with a positive experience with nurses, want to emulate them. That can be done in many occupations where caring and consideration of others is necessary.

Please be clear that I'm not suggesting that you turn away from nursing as a career. Rather, I want you to be very sure it's going to provide you with a meaningful life experience that you can look back on, in your old age (like me), and say, "I'm so glad I did that!"

You have essentially been reborn into another gender, which is a challenge few people have in life. Wanting to be female is something others didn't have to experience, it just happened to be what they are. Be wary of overdoing the femininity, as some women in your situation do.

I was glad to see that you were proud (I think) to write that someone gave you feedback about "being physical" in your work as a volunteer/candy striper. Some of the duties you describe you've done haven't been given volunteers in my experience, so be sure that everything you do is permitted, for volunteers..... For heavens sake, drop the long suffering attitude (if I read that correctly).

As you may know, everyone has "anima" and "animus" characteristics, and the extent to which either one is accentuated makes you who you are. It's very important to be real about that, as bullies tend to sniff out wannabes. They have been in the news lately as having devistating results in their desire to make others less than they are. However misery dogs each step a bully makes, which becomes more evident to them each time it happens, and promotes more hostility. Anger is a weapon.

Whenever anyone approaches me in that way, rather than imagining them undressed as some have been told minimizes their effect, I imagine them as 2 year old tykes, and react in a caring, solicitous way after the tantrum is over. If they put me in physical or emotional danger, I walk away until that has blown off, which could be years. Don't reveal the vulnerable aspect of yourself to a bully!

Be alert for external signs and make yourself pro and con lists to see where your decisions are coming from, as well as which side of any issue becomes larger. Best wishes to you in nursing or whatever color your parachute may be (as the book by that name describes various appitudes for careers).

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