Wife wants all-female personnel in OR. Is this reasonable?

Nurses General Nursing

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Greetings folks.

My wife was recently diagnosed with a perianal abscess that is going to require surgery in the OR.

As you can imagine, this is about as embarrassing and compromising a surgery as one can have. My wife is an extremely modest and private individual (she refuses to see a male internist or a male OBGYN, and the general surgeon who will be removing the fistula is a female doctor). My wife is immensely uncomfortable about having this procedure done. Not just because of the compromising nature of the procedure itself, but because she is also concerned that there will be male personnel in the room. And honestly, I can't blame her. If I were in her shoes, I'd have some serious qualms about having staff of the opposite gender witnessing me bent over in the jacknife position and having my orifice operated on. I know we are all professionals, but still.....people have different levels of trust for medical personnel, and different modesty needs.

I know she wants an all-female staff in the operating room (with the exception of the anesthesiologist, which she doesn't care about). Quite frankly, I've never run into this situation before - neither as a patient, nor as a resident, nor as an attending doc. Patients have asked me once or twice in the past, but none have actually requested this. But again, it's my wife...and what's important to her is important to me. And unfortunately, I'm not on staff at the hospital where the procedure is scheduled to go, so needless to say I can't pull any strings for her.

What are the prospects of her surgeon and the OR staff making this accommodation for her? If any of you have had any experience with this scenario, I'd certainly appreciate it if you'd relate them to me.

Specializes in ED, CTSurg, IVTeam, Oncology.

I remember years ago, we had an eastern religious bigwig that could only be attended to by men; women were not even allowed into his room for any reason and he had personal guards posted at his door to ensure that. Apparently, the hospital had been negotiated with, and had already agreed to abide by his wishes even before he had been admitted. An all male surgical team, along with recovery in the OR (without having to go through the PACU at all) and then straight into a private room in the ICU. I don't know what political or monetary benefits (if any) were derived from that, but my institution apparently bent over backwards for that one patient.

Insofar as for the OP, I don't know how much he brings to the negotiating table, but hospitals can and will offer special considerations if they feel its in their best interests to do so.

But to the OP, if it's any consolation, you can tell your missus that most OR people probably won't even recognize her if they bumped into her in the street a week after the procedure. Like others have stated, she going to be draped, face is covered, etc. Also, given the number of cases ongoing in any busy surgical suite, the number of personnel present may easily accommodate such a request; so I wouldn't hesitate to ask. Since it would be up to the surgeon who she wants to work with, I would ask her and make the request through her. The OR staff would likely then provide the surgeon with what she requests.

Good luck, and hopefully a speedy recovery for your wife ;)

I would just think they would tell me one thing and do another I would'nt care just give me the all star team all I can think of is what if you have a male surgical tech thats been doing it for years and then theres the only female thats new that would be all I could think of

Specializes in Med/Surg, Ortho, ASC.
I'm very sorry about your wifes condition.

However, unless she is personally paying their salaries, why would she demand this?

No one said that she's "demanding" anthing. The wife (the patient) made a request, which in this consumer-driven age is very likely to be honored.

Specializes in FNP.
I remember years ago, we had an eastern religious bigwig that could only be attended to by men; women were not even allowed into his room for any reason and he had personal guards posted at his door to ensure that. Apparently, the hospital had been negotiated with, and had already agreed to abide by his wishes even before he had been admitted. An all male surgical team, along with recovery in the OR (without having to go through the PACU at all) and then straight into a private room in the ICU. I don't know what political or monetary benefits (if any) were derived from that, but my institution apparently bent over backwards for that one patient.

Insofar as for the OP, I don't know how much he brings to the negotiating table, but hospitals can and will offer special considerations if they feel its in their best interests to do so.

This echos my experience. I saw this kind of care at a small, elite, private community hospital. I have never seen it in a public, not-for-profit institution. My gut feeling is that such a request would be given the nod, and then ignored with the idea that what she didn't know wouldn't hurt her. I get that the OP doesn't like that attitude, and empathize, but I think it is just pragmatism and business as usual, not personal. Nowadays hospitals are about the bottom line: what is easiest, most convenient for them with the greatest fiscal reward. The end.

OP, since you are a physician, your best bet is to ask colleagues to make these arrangements for you. I wouldn't take hospital administration at their word if it is really important to you.

seriously, i too, am a bit dismayed at the "what's the big deal" attitudes.

wow.

op, i would think as a dr yourself, that you should ask the surgeon, and am betting s/he would accommodate your request...likely as a professional courtesy, first and foremost.

any dr. worth his/her salt, would recognize the delicacy of such a procedure, and address the pt's concerns, by honoring their (reasonable) request.

wishing your wife the best.

leslie

SuperSix,

It can't hurt for you and your wife to ask if this can be accomodated. At the hospital campus I currently work at they would not be able to fufill that request since their OR resources are somewhat limited. Larger hospitals would be able to accomdate that request. I've seen it happen a few times and the people involved were not rich, famous or medically connected.

Specializes in OR Hearts 10.

Just ask/tell them what she wants. Don't even tell them anything about yourself unless they already know you.(You don't want/need any of the "they think they are special treatment") There would be NO PROBLEM with this in my OR!!! Good luck with the upcoming surgery.

It shouldn't be a problem I have worked in the OR many years. Mostly female workers as it is. All you have to do is ask.

Every patient that enters the hospital pays the staff salary unless its a non-insure non-paying pt. Otherwise without patients no need for staff.

Yes they are awake when roll into the OR suite however most are given a cocktail in preop and do not even remember rolling in getting on the table or being put to sleep.

It is not uncommon for towels to be put up to cover windows to insure privacy. We now have shades on our windows. One butt looks about the same as the other I do not remember names or faces from the patients past. I do remember a few from my years in the ICU had a patient yesterday in PACU remembered that one right off the bat but only because of the days were in SICU.

Tell your wife it shouldn't be a problem, the staff will take extra care to insure her privacy. Just need to make your needs and wishes known.

I find this pretty interesting, sometime back there was a similar post asking about an all male OR staff, while we all understand issues by gender dispairity, the response to the poster was much more mixed with the opinion as to whether it was reasonable to ask for an all male team or not, with more postings challenging the issue of professionalism of the team. Please I am not intending to criticise, just an observation. Each of us are different, and while I under stand the OP's anger at squatmunkie's response, I have to tell you I understand, I am a very modest person, but I have had several procedures, and while my preference would have been an all male team, I don't remember leaving the prep room, nothing embaressing happened while I was awake, and it was very tolerable. Every single nurse was very respectful, obviously understood how embaressing and uncomfortable it could be and did everything they could to make it as tolerable as possible. We are all different so I am not judging your wife, all I can tell her is from the experience of a modest guy, what I dreaded, the trauma and humiliation I antcipated, was no where close to what I experienced beacause the nurses that took care of me understood and did everything they could to make it better. From now on, i will ask that if anything embaressing, exposure, etc be done after I am out etc. but I have a lot more trust that the people taking care of me understand and will do what it takes to make it as tolerable as possible. I understand her, I used to be her, but I have a new found trust, and that really makes a difference

Specializes in Emergency & Trauma/Adult ICU.

Agree - an anesthesiologist doesn't know how to get this done and decides instead to ask an internet nurses' forum? This raises my BS Alert System .... ;)

Specializes in Peri-Op.

I am a male nurse in surgery and have been in a manager/director roll for 3 years in a busy hospital, recently moved to another busy hospital too..... I have never had a request nor heard of a request for all women or men. I have had requests for specific staff members to be in the room by people who work with us or in the hospital. I also would have no problem puting an all female or male staff together for the case. This is a perfectly acceptable request. I can tell you from my personal experience of being in the OR for 13 years now, I have no clue who or what patients I looked at in the OR today. I certainly try to block out the memory of any perirectal abcess cases that go down. I do lots of GYN and none of my patients has ever even thought twice.

If you are an MDA I am shocked that you would come on this forum to ask this question. Given your lack of drive and ability to make a phone call to this hospitals front desk to talk to the OR manager I doubt you are worth your salt in the OR. I mean really, is it really that hard? I know at least 15 directors/OR managers around my city and would have no problem as a RN making a call to talk to any of them about a request like this for my own wife. (Figured I would toss a jab back at the MD since he is jabbing at some nurses.)

Specializes in OB, ER.
I'm very sorry about your wifes condition.

However, unless she is personally paying their salaries, why would she demand this?

ummmm....she is!

I think it's a reasonable request that should be accomadated as long as the staff is available.

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