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They were in bed together.

Nurses   (3,697 Views | 33 Replies)
by Yaadie Yaadie (New) New

245 Profile Views; 3 Posts

I'm currently completing my med surg clinicals and yesterday was my last day. While going in to check if my client needed anything, I walked in on him and his girlfriend(I'm assuming because I hadn't met her) having full blown intercourse. Once they noticed i was in the room they stopped but didn't move so I immediately left but I didn't report it. Will I get in trouble? We never went over any guidelines for such a situation. By the way, he was 63 with some dementia.

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Jedrnurse has 25 years experience as a BSN, RN and specializes in school nurse.

1,476 Posts; 14,048 Profile Views

Well, you checked in to see if he needed anything- looks like that was a "no". Seriously, I don't think you're in any trouble...

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12 Followers; 3,805 Posts; 28,642 Profile Views

That's a great question/scenario for nursing students to ponder. No, you won't get in trouble, but it's too bad you didn't speak with your instructor about it because it's a great topic for post-conference - how do we respect patients' privacy and autonomy while being aware of any background factors that may conflict.

You don't say your setting (LTC vs acute, etc) but there are different ethics/legalities that tend to pop up more in certain settings. The situation itself isn't something that would need to get reported just because it is a bit awkward/uncomfortable, though.

In my setting: Wonderful - Let me go get your discharge papers! :up:

Long-term care where the patient is in his home setting is obviously different.

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NurseSpeedy has 18 years experience as a ADN, LPN, RN.

1,363 Posts; 18,389 Profile Views

I can't see how you would get in any trouble.

This did remind me of a patient of mine that was fully aware that he was on video feed for safety and even this didn't stop him...the monitor tech must of gotten an unexpected shock that shift as these are used to decrease patient falls...

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1,978 Posts; 26,197 Profile Views

I'm just a student, but based on the information given, I'd mention it to someone. My reasoning on that is that you've never seen this woman before and he's got some dementia. I would make sure it wasn't an assault situation because consent might be an issue depending on his mental status.

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Here.I.Stand has 16 years experience as a BSN, RN and specializes in SICU, trauma, neuro.

1 Follower; 4,961 Posts; 42,751 Profile Views

my first job was on a neuro floor, and we had a fair amount of relatively healthy pts come in for 24-hr EEGs. I remember the charge nurse sticking a piece of paper over the lower half of the video monitor at the desk, so that we (or any visitors walking past the station) didn't have to see the BJs. :barf02:

Agree that it would have been a good topic for post conference.

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CardiacDork has 5 years experience as a ADN, RN and specializes in ICU.

1 Follower; 3 Articles; 577 Posts; 17,951 Profile Views

my first job was on a neuro floor, and we had a fair amount of relatively healthy pts come in for 24-hr EEGs. I remember the charge nurse sticking a piece of paper over the lower half of the video monitor at the desk, so that we (or any visitors walking past the station) didn't have to see the BJs. :barf02:

Agree that it would have been a good topic for post conference.

I'm rolling around the floor laughing over here.

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32 Posts; 1,308 Profile Views

Wait...this happened to you during clinical rotation and you DIDN'T discuss this in post-conference? When your clinical instructor asked you, "Well, did anything exciting happen with your patient today?" what was your answer? "Not much. Just morning meds and therapeutic communication."

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ProperlySeasoned has 15+ years experience.

235 Posts; 3,030 Profile Views

Agree - this is post conference GOLD!

Also agree that the ethics of this are fascinating - how does informed consent work in a population with impaired cognition? We do talk about how a SNF is a patient's "home." I don't know about you, but I like to have sex in my home too!

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337 Posts; 4,004 Profile Views

your nursing diagnosis could have be: Readiness for enhanced knowledge RT safe sex practices AEB observed pt having sex with a female visitor in his room during shift. One of our professors told us that some of the highest rates of STD's are in various LTC and retirement settings.

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catsmeow1972 has 15 years experience as a BSN, RN and specializes in OR.

2 Followers; 1,212 Posts; 14,152 Profile Views

Well, OP did say, med-surg clinicals, so I would presume this to not have been long term care of any sort. "Some dementia" can also mean many things. I would would probably be of the angle of "okay then, I'll give you a bit to get changed and be right back for your discharge teaching." I guess I wouldn't really need to give examples of "activity as tolerated" then, would i?

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~Mi Vida Loca~RN has 6 years experience as a ASN, RN and specializes in Emergency Dept. Trauma. Pediatrics.

5,259 Posts; 31,219 Profile Views

I think you only get in trouble if you join in.

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