What would you do?

Gosh Lorriane...think I would tell someone. You can't have the patient going to surgery and then be less in control and have that other nurse come back. I don't really think you have any other options...do you? Don't really know what I would say to the patient about it...but she could ask for that nurse not to care for her any more. Sorry I couldn't come up with any better advice. Good luck...and let us know what you decided to do.

If you know that this nurse has done this before, then as a nurse, who's job it is to protect your patient, you must tell someone ASAP. What if his actions don't stop here? What if he decided since he's gotten away with this, maybe a little sex would be fun too. This is a terrible thought but we all know there are very sick people in this world that prey on the helpless and I cannot think of a more helpless person than someone hospitlaized. Talk to her and tell her how strongly you feel in her need to tell this to someone in authority that can stop this behavior before someone gets hurt. Offer to be there with her when she speaks up, not only for herself but others as well. His behavior is not to be tolerated and must be stopped. It makes me sick to my stomach to think that this person could do this and I for one would like to see him loose his license, he is not a nurse, HE IS A SNAKE!!!!

LORRAINE

It is your responsibility to report this to your administration. The ramifications of not reporting this are tremendous.

Your patients will suffer (if it is true)and it will happen again.

Your facility will be in legal jeopardy as well as you if this is not investigated.

Please do not waste another moment reporting this to the proper authorities.

Don't forget, it may turn out to be not quite as it appears.

Be strong and advocate for your patients.

------------------

Sheryl

If you enjoy word puzzles come visit me at www.CrosswordsForNurses.com

[This message has been edited by puzzler (edited February 05, 2001).]

You must report this immediately!! You are bound by your nurse practice act as well as hospital policy to report this. If your immediate manager does not think it important, than your security and risk management personnel would think it important! If the patient felt strongly enough about it to tell you, it may be a way for someone else to help her. Do it now!! Sexual predators are everywhere, I know becoause we had one in our area that showed up on crimewatchers and was reported two years later as the worst offender in healthcare arenas. Don't waste another minute

You must report what you have been told. However, the assumption here seems to be that the nurse in question is guilty. I am not familiar with the drug pethadine. But I am familiar with "zonked out" patients and the dreams that they believe are real. I have been accused of holding patients hostage and of stealing from them as well as all manner of other things. Report the patient's accusations, but do not assume they are true.

Hi Lorraine. Whew! What a situation. Whether this nurse is a predator or not, the situation, as other posters have written, needs to be reported immediately. I hope you have accurate documentation of this encounter. I agree with the posters who indicate that it is a legal matter. If for some reason, you are part of a deposition, you want to make sure you are on the right side of the law. In fact, in addition to reporting this incident, you may want to get some legal counsel. Best wishes.

I agree with the others you must report for the following 4 reasons:

a) Nursing standards of practice

b) Your employeer's p/p must outline your need to report any suspected abuse/neglect of patients;

c) your oblilagation to protect this patient or others from harm

d) your obligation to the male rn . We should not assume he is guilty - he should not be put in the situation of caring for this person again for his own protection.

Originally posted by km rn:

I agree with the others you must report for the following 4 reasons:

a) Nursing standards of practice

b) Your employeer's p/p must outline your need to report any suspected abuse/neglect of patients;

c) your oblilagation to protect this patient or others from harm

d) your obligation to the male rn . We should not assume he is guilty - he should not be put in the situation of caring for this person again for his own protection.

kmrn

What a thoughtful point you make with "d".

If true, he must never come in contact with patients again.

If false, he and any other nurse for that matter should not care for this patient alone.

For the protection of rights of all involved and in consideration of what I believe to be an ethical duty that supercedes any standard or policy you must report this with the facts as near as can be established.

Sorry it's taken a while to reply but I only have computer access when i'm on nights. Thank you all for your advice. The pt in question told the ward manager on the Monday everything that she told me, I phoned him earlier and told him so when he went to speak to her he did not let on he knew. He did not let on I broke her confidence. He gave her the chance to tell him herself. The nurse in question has been suspended on full pay while inquiries are carried out. He has attended a hearing already and he was advised to say by his union rep " no comment " which he did. I have had to write a statement about what was said to me and at some point I will be asked to attend a hearing myself. The pt went to theatre and has now been discharged. She was very greatful for my help she has told the same thing to the ward manager and has documented everything in a letter. The male nurses job in ITU has been put on hold, however I don't know if they know about this as yet. I sure they will as the ward manager was to write a reference for him before this happened. I will let you know the outcome. Personally I believe the pt. As I said it's not the first incident of this nature. He was also very touchy feely with all the nurses on the ward even after being told not to by the ward manager because we had complained. Any way thanks again I will keep you informed.

Lorraine, you did the right thing!!! You only reported what was said to you by a patient and that is always your priority. Now the facts will be studied and a decision will be made, based on the findings. Even when we aren't sure what to do, we must always put our patients first. God Bless you!!!