I have recently had a lot of positive UDS pts, and the excuses I hear as to why they are positive simply blow my mind! Anyone have any good stories? I'll start with my favorites.....
+ marijuana: I was trapped in a car with 10 other people smoking and the windows were broken
+methamphetamine: I don't use it, I just cook it, and usually not at my own house
+cocaine: I was asleep, and my boyfriend blew it up my nose. The 2 gay men that live next to me put cocaine in their air vents, and it must have got into my apartment.
**my all-time favorite: well, of course my wife is positive for cocaine, you have no idea how many cokes she drinks everyday**
all little girls 11 yrs and older get a pregnancy test if they need abdominal X-rays or if they have abdominal pain. No consent. Sad but it is reality. (I know, off topic but same general idea re consent to be tested. It's unfortunate but little girls are often abused by their caregivers who would not give consent)
How can you really think it is battery to take a test for the sake of an innocent baby who has no control over what the mother put into her system which could potentially affect her/him for the rest of their lives. Testing them allows the truth to be known and maybe maybe treatment... but thank GOD social work will be following that family. For reals? Battery? It is worse that a mother is abusing her unborn child imo.
Specializes in Nurse Leader specializing in Labor & Delivery.
Doing tests or procedures on a person against their will is battery. Just because a woman is currently incubating a fetus does not negate her basic human rights to autonomy.
Doing tests or procedures on a person against their will is battery. Just because a woman is currently incubating a fetus does not negate her basic human rights to autonomy.
as you can see klone, paternalism is alive and well, lol.
Well apparently the law thinks it is NOT battery and the needs of the baby are outweighed by the needs of a druggy mom. Some people should not be reproducing. If a mom wants to do drugs while pregnant it is NOT ok. period. Down the road same parents will be bringing the baby in because it is crying uncontrollably with a rapid heart beat and omg! how did he/she get into the meth?! Then the baby will be taken away… Zero sympathy.
The field of obstetrics is still so paternalistic, unfortunately.
A-freakin-men! Much of what happens to birthing women would qualify as sexual assault in any other venue. Doctors and nurses hide behind implied consent, but it seems to me that if a woman TELLS YOU NO she should be able to prosecute if you continue.
Well apparently the law thinks it is NOT battery and the needs of the baby are outweighed by the needs of a druggy mom. Some people should not be reproducing. If a mom wants to do drugs while pregnant it is NOT ok. period. Down the road same parents will be bringing the baby in because it is crying uncontrollably with a rapid heart beat and omg! how did he/she get into the meth?! Then the baby will be taken away... Zero sympathy.
There are lawmakers out there that think women should have to prove a miscarriage was, in fact, a miscarriage. I don't think we should think of the laws to be above misogyny.
I agree a drugged up newborn is one of the saddest things in the world. But I'd imagine that if L&D meant a guaranteed drug test and punishment, I'd imagine a lot of these women would avoid the hospital completely. At least the babies are where they can receive care, not in a dumpster somewhere...
Well apparently the law thinks it is NOT battery and the needs of the baby are outweighed by the needs of a druggy mom. Some people should not be reproducing. If a mom wants to do drugs while pregnant it is NOT ok. period. Down the road same parents will be bringing the baby in because it is crying uncontrollably with a rapid heart beat and omg! how did he/she get into the meth?! Then the baby will be taken away... Zero sympathy.
Or bringing the baby in dead, having "fallen off the couch".
Specializes in Nurse Leader specializing in Labor & Delivery.
A-freakin-men! Much of what happens to birthing women would qualify as sexual assault in any other venue. Doctors and nurses hide behind implied consent, but it seems to me that if a woman TELLS YOU NO she should be able to prosecute if you continue.
I've seen obstetricians stick their hands inside a woman's lady parts, after she has told him "No! Don't touch me!" I've seen doctors give episiotomies after the woman *specifically* told him she didn't want one.
I think someday I would like to be a CNM, but I know I'd have to get L&D experience, and I think I might attack some doctor, or beat the crap out of a fellow nurse when I see her sabotage a breastfeeder (don't deny it happens).......and get fired long before I could ever reach my goal.
Then I don't know I've never heard of that ever happening. Although my guess would be it would be covered under something since their is an infant involved. Or there's the possibility of just doing all the steps that would be followed after a positive uds which would just include a social work consult. They would take it from there too.
We don't need consent to do a UDS. But I had a patient refuse to provide a urine specimen in the ER because he figured we were going to do one when we asked for a urine specimen. He was right. There were questions about him being homeless, clearly high, and a child's care. Anyways, a police officer was there and basically told him you're considered positive for illegal drugs since you're refusing and called CPS.
Thimbalina
119 Posts
all little girls 11 yrs and older get a pregnancy test if they need abdominal X-rays or if they have abdominal pain. No consent. Sad but it is reality. (I know, off topic but same general idea re consent to be tested. It's unfortunate but little girls are often abused by their caregivers who would not give consent)