Shocked At Nurses Actions Tonight

Nurses General Nursing

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I work part time at a local SNF / rehab faciliety. On PM and NOC shift it is staffed with 3 or 4 LPNs and one RN charge nurse (tonight it was me). One of our LPNs is a sweet young girl from a very small town near by. She is in a BSN program to become an RN as well. She was late to work and I assinged her to care for a new admit who is recovering from a serious MVA. She took report and went to meet her patient. She came back out of the room about 5 min later very upset. She demanded to know why I hadn't told her the patient was a muslim in report. I asked her why it mattered. She said that "those people are all trying to kill us!" and she couldn't understand why the patient was even admited or even given medical care in America! She flatly refused to provide care for this person. Nothing I said to her had any affect on her. She actually got angry at me for trying to explain why this person needs and deserves nurses care.

I ended up sending her home without pay and doing to work myself. I am only part time at this place and while I supervise LPNs and CNAs I am not their boss with the power to hire and fire. I did write a letter to the DON explaining the stuation and recomending that the LPN be fired. I also intend to inform our state board of nursing of her actions. I had another LPN who heard the whole thing write down what she had heard and submit it to the DON as well.

I consider her to have abandoned a patient that she had taken report and accepted responsibiliety for.

I understand that she is from a small, all white town and know from previous conversations with her that she has never so much as had a conversation with an african america person or any other minority except the Amish (many in this area). She aslo claims to be a very devout christian and is very involved in her church but I think her attitude is not compatable with nursing.

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.

And saying Muslims are killing us is the same as saying all blacks belong to gangs, all whites live in suburbs, etc. It's stereotyping and people need to quit it.

Really, this nurse is off the chain assuming so much based on a person's religion. He probably is a hardworking, tax paying, terrorist hating American like the rest of us.

He just happens to be Muslim. Now if this nurse was over in Iraq and picked this guy up from a terrorist group maybe I'd give her some cred.

Specializes in Tele, Infectious Disease, OHN.

As usual, TriageRN34 is correct. :cheers:

Why wasn't she able to tell that this pt was muslim during report? Didn't she notice the name?

Is every Hartheim a Jew? Is every Kim or Chung or Yamamoto a Buddhist? Is every Smith a Christian?

Every Muslim is certainly not a terrorist.The terrorists are the extreme faction, much like KKK or NeoNazis. They do not represent the majority in this country, and terrorists do not represent the majority of Muslims.

OP, I agree with your actions, including reporting her to the BON. Refusing a pt under certain few circumstances is acceptable, but not in the manner in which she did it, and certainly religious intolerance is not on that list. It's the same as caring for HIV/AIDS pts........25 years ago nurses were allowed to do that, but not anymore. The "sweet young thing" is entitled to her opinions about people but she is not entitled to refuse care like that.

As for caring for the enemy in war, Americans have always, in this century, cared for the injured regardless of the uniform they wear. Maybe that should be pointed out to Young Thing.

Specializes in med/surg, telemetry, IV therapy, mgmt.

wow! i've never had that situation happen. i think i would have handled it differently though depending on how badly i needed her body to do work. i would have re-organized the assignments and given someone else that patient. i probably would have made sure she got some really scut work to do as well just to be a bit nasty and put pressure on her. i would have written her up, as well as discussed with her that her refusal was inappropriate and told her she was being written up. the truth is that you can't make someone do something they are absolutely refusing to do. as a supervisor i always tried to get the person to walk off the job by their own choice rather then send them home as my choice since it makes a better case for them getting fired later. walking off the job is abandonment and is reportable to the state board. in any case, i'm hanging on to my subscription to this thread because i'm interested to see how this all turns out. please keep us informed on the outcome of this, won't you?

Specializes in Critical Care, Cardiothoracics, VADs.
Why wasn't she able to tell that this pt was muslim during report? Didn't she notice the name?

Um... how can you tell a patient is Muslim by his or her name?

Specializes in Critical Care.

This is not simply an employment issue; it's a board issue.

Patient Abandonment should also be reported to the board. I would point out to your employer that you have a legal obligation to report this to the board so that they can do so as well so as not to look bad by getting YOUR report and not a similar one from them.

And then, report it to the board.

You did the right thing, but you haven't gone far enough yet. The NPA in most states require you, as a co-professional and protector of our license, to report serious issues with the board.

THIS is a serious issue. Don't frame it in terms of religious bias, which is bad enough. Frame it in terms of the actual board reportable offense: pt abandonment.

Many posters are correct: if the action here is limited to employment decisions, then this person is free to take her biases elsewhere. However, the scope and impact of this imprudent nurse's actions are board reportable and her accountability for this action extends far past one employer.

You sent her home for her refusal to care for the patient. The refusal itself is patient abandonment, being sent home: disciplinary action for an abandonment that already occurred.

~faith,

Timothy.

Really, this nurse is off the chain assuming so much based on a person's religion. He probably is a hardworking, tax paying, terrorist hating American like the rest of us.

He just happens to be Muslim. Now if this nurse was over in Iraq and picked this guy up from a terrorist group maybe I'd give her some cred.

You're exactly right Tweety. For all we know he's a third generation American who just happens to be Muslim.

There are other terrorists besides Muslims. Anyone can be a terrorist. Think about white supremecy groups and KKK. IMO, I consider them terrorists.

Wow.... I haven't even been able to respond because this just made me sick. :scrying: I can't blieve that any nurse would choose to classify a human being becuase of race, regigion, sex, etc. I don't think I even know how to put into words the disgust that I'm feeling about what this nurse did. :confused:

I'm also a bit confused about "patient swapping". Is this something that is "normal" to go on in a facility? I even have concerns about Witness nurses not hanging blood products. I know that they can refuse to accept blood products for themselves, but to not do part of their job and hand products on another person? :confused: I know the issues with blood after it's left the body and such, but I'm not sure why they would refuse to hang it on someone else? If it's fear of coming in contact with the products wouldn't the same go for IV starts or blood draws?

Okay... I'm thoroughly confused about all of it now. :jester:

Thanks for any info.

Specializes in Public Health, DEI.
I do not think she should be fired for her opinions. I think she should be fired for abandoning her pt.

She took report on the pt then refused to care for him.

Agreed. I'd go farther than just firing her, I think she should lose her license. I don't care if she grew up under a rock, there is no way she got her license without understanding her legal obligations.

I'm also a bit confused about "patient swapping". Is this something that is "normal" to go on in a facility? I even have concerns about Witness nurses not hanging blood products. I know that they can refuse to accept blood products for themselves, but to not do part of their job and hand products on another person? :confused: I know the issues with blood after it's left the body and such, but I'm not sure why they would refuse to hang it on someone else? If it's fear of coming in contact with the products wouldn't the same go for IV starts or blood draws?

Okay... I'm thoroughly confused about all of it now. :jester:

Thanks for any info.

I don't know about others, but where I work patient swapping only occurs if it's a family member, an ex, etc. Once a pt was swapped because he only spoke Spanish and the nurse spoke fluent Spanish.

With Jehovah's Witnesses (to my knowledge)it's not the fear of coming in contact with blood products. This is a quote taken from the Jehovah's witnesses website:

Those who respect life as a gift from the Creator do not try to sustain life by taking in blood.

I don't know the legalities of a Jehovah's Witness nurse giving blood. I'm not a nurse, so am not aware of the legal aspects of that.

Agreed. I'd go farther than just firing her, I think she should lose her license. I don't care if she grew up under a rock, there is no way she got her license without understanding her legal obligations.

Agreed. The OP stated that this nurse grew up in a small, white town. I grew up (and still live in) a small, 99% white town. I was raised that you treat everyone the same and that racism is not an option.

I will tell someone off if they say the "n" word or say the "f" word. I do not associate with racists or bigots. I don't hate them, just pity them.

I'm grateful to my parents for instilling those beliefs in me.

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.

Some JW's nurses hang blood others do not. It's a personal decision, not one ditacted by their religion, but I'm not an authority. I work with a JW nurse who doesn't hang blood and we just hang the blood for her, or swap patients. It's just the right thing to do.

This is entirely different than swapping because a nurse is prejudiced. Most organizations worth a flip have a zero tolerance for prejudices and it's a fireable offense to be make prejudice statements against coworkers and patients, never mind refuse to care for them based on prejudices.

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