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	<title>Comments on: focusing on the PATIENT</title>
	<link>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html</link>
	<description>a nurse blog.</description>
	<pubDate>Wed, 20 Aug 2008 23:20:49 +0000</pubDate>
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		<title>by: Young Underage Pussy</title>
		<link>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-61569</link>
		<pubDate>Sat, 13 Oct 2007 03:31:11 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-61569</guid>
					<description>&lt;strong&gt;Young Underage Pussy&lt;/strong&gt;

Sorry, it just sounds like a crazy idea for me :)</description>
		<content:encoded><![CDATA[<p><strong>Young Underage Pussy</strong></p>
<p>Sorry, it just sounds like a crazy idea for me <img src='http://www.aboutanurse.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' />
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		<title>by: arlene</title>
		<link>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-38200</link>
		<pubDate>Wed, 06 Jun 2007 23:13:53 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-38200</guid>
					<description>i hope your reflection will help insure that you all continue to bond with eachother which will only be beneficial for your patients....nurses telling on eachother and alienating eachother will only affect the patients negatively.

dealing with issues between yourselves can be a way to resolve them too</description>
		<content:encoded><![CDATA[<p>i hope your reflection will help insure that you all continue to bond with eachother which will only be beneficial for your patients&#8230;.nurses telling on eachother and alienating eachother will only affect the patients negatively.</p>
<p>dealing with issues between yourselves can be a way to resolve them too
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		<title>by: JaneMc</title>
		<link>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-36898</link>
		<pubDate>Mon, 04 Jun 2007 19:35:43 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-36898</guid>
					<description>You don't play with lives. You don't put jokes in patient charts. Gay or straight, black or white, male or female, christian or muslim you don't lie. Fire him? Hell NO, pull his liscence. Where was he the day they talked about medical records and respecting patients.
How about a joke about pedulous breasts? How about one on small penises? 
You know what it going to happen. Every doctor in your facility is going to hear about this and every nurse in your unit is going to wear this. Years from now someone will pull this out as an example of nursing professionalism.
I might save the second chance for the relief nurse who told you to wait until the charge nurse came back. That one should be on leave until he figures out that standing silent is being an accomplice.
Being hated and vilified by people who do such things or condone such things is a mark of honor.</description>
		<content:encoded><![CDATA[<p>You don&#8217;t play with lives. You don&#8217;t put jokes in patient charts. Gay or straight, black or white, male or female, christian or muslim you don&#8217;t lie. Fire him? Hell NO, pull his liscence. Where was he the day they talked about medical records and respecting patients.<br />
How about a joke about pedulous breasts? How about one on small penises?<br />
You know what it going to happen. Every doctor in your facility is going to hear about this and every nurse in your unit is going to wear this. Years from now someone will pull this out as an example of nursing professionalism.<br />
I might save the second chance for the relief nurse who told you to wait until the charge nurse came back. That one should be on leave until he figures out that standing silent is being an accomplice.<br />
Being hated and vilified by people who do such things or condone such things is a mark of honor.
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		<title>by: Jen</title>
		<link>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-36078</link>
		<pubDate>Sat, 02 Jun 2007 18:36:56 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-36078</guid>
					<description>OK - one more thought re ethics/prejudice etc.  A very close friend of mine has been battling brain tumours off and on her whole life.  The stress of this caused her to start smoking occasionally.  Her cancer Dr left town, and she ended up with a new one.  When her tumour came back and she went to him for a consult, he found out she was a smoker and refused to treat her stating, "obviously you don't care whether you live or die, so why are you bothering even coming to me" and then he walked out of the office.  She was so upset she started smoking regularly, thinking she was going to die and there was nothing she could do about it.  So she went almost 2 months without treatment and finally went out of town to another cancer clinic and by then had 2 tumours and lost vision in one eye.  She successfully went through treatments out of town, is cancer free again, and has stopped smoking, on her own, and hasn't smoked for over a year now.  Her situation really opened my eyes to how so many Dr's/nurses can still get away with not only judging people, but acting on it too....  As stated by a previous commenter, I do believe that all of us have something we judge others on, but the important thing is not to act on it.

(Sorry May, I just seem to ramble on!)</description>
		<content:encoded><![CDATA[<p>OK - one more thought re ethics/prejudice etc.  A very close friend of mine has been battling brain tumours off and on her whole life.  The stress of this caused her to start smoking occasionally.  Her cancer Dr left town, and she ended up with a new one.  When her tumour came back and she went to him for a consult, he found out she was a smoker and refused to treat her stating, &#8220;obviously you don&#8217;t care whether you live or die, so why are you bothering even coming to me&#8221; and then he walked out of the office.  She was so upset she started smoking regularly, thinking she was going to die and there was nothing she could do about it.  So she went almost 2 months without treatment and finally went out of town to another cancer clinic and by then had 2 tumours and lost vision in one eye.  She successfully went through treatments out of town, is cancer free again, and has stopped smoking, on her own, and hasn&#8217;t smoked for over a year now.  Her situation really opened my eyes to how so many Dr&#8217;s/nurses can still get away with not only judging people, but acting on it too&#8230;.  As stated by a previous commenter, I do believe that all of us have something we judge others on, but the important thing is not to act on it.</p>
<p>(Sorry May, I just seem to ramble on!)
</p>
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		<title>by: Jen</title>
		<link>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-36074</link>
		<pubDate>Sat, 02 Jun 2007 18:28:04 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-36074</guid>
					<description>Now that you have added more background to the story, I cannot believe how much this incident reminds me of a personal situation I was in a few years ago.  

I was just in a car accident, had a crack in my neck and didn't know it.  Was in a lot of pain, on pain pills and very irritible.  I came back to work about 3 days after the accident (stupid!) and when a manager barked an unreasonable order at me, I snarled a very insubordinate comment back at her, something our office has zero tolerance for.  This was totally out of character for me, and was the pain talking.  I was written up, kicked off the team, was made to stuff envelopes for 6 months, and was avoided like the plague, but wasn't fired thankfully.

Had I been fired, I definately wouldn't be where I am today. I guess my point is, although I by NO MEANS am justifying what he did, we all make stupid mistakes and say stupid inappropriate things - yes he crossed the line, but perhaps he does deserve a second chance.  If not, that one "joke" he made really could have steered his whole life (and his families) spiraling down.</description>
		<content:encoded><![CDATA[<p>Now that you have added more background to the story, I cannot believe how much this incident reminds me of a personal situation I was in a few years ago.  </p>
<p>I was just in a car accident, had a crack in my neck and didn&#8217;t know it.  Was in a lot of pain, on pain pills and very irritible.  I came back to work about 3 days after the accident (stupid!) and when a manager barked an unreasonable order at me, I snarled a very insubordinate comment back at her, something our office has zero tolerance for.  This was totally out of character for me, and was the pain talking.  I was written up, kicked off the team, was made to stuff envelopes for 6 months, and was avoided like the plague, but wasn&#8217;t fired thankfully.</p>
<p>Had I been fired, I definately wouldn&#8217;t be where I am today. I guess my point is, although I by NO MEANS am justifying what he did, we all make stupid mistakes and say stupid inappropriate things - yes he crossed the line, but perhaps he does deserve a second chance.  If not, that one &#8220;joke&#8221; he made really could have steered his whole life (and his families) spiraling down.
</p>
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		<title>by: Onehealthpro</title>
		<link>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-35731</link>
		<pubDate>Fri, 01 Jun 2007 20:55:30 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-35731</guid>
					<description>Your professionalism is to be admired.  It is important to coach employees so they can succeed, if after coaching the behavior continues...that's a different story.  You are so right that all of us participate in some form of discriminatory ideas if only in our heads and that is why our professional codes of ethics caution us about valuing all human beings equally...because unless we are advised to do so, we are tempted to put people in the boxes we've created for human beings.  Looks and acts like me.  Perfect!  Doesn't look an act like me.  What's wrong with them?!
Onehealthpro</description>
		<content:encoded><![CDATA[<p>Your professionalism is to be admired.  It is important to coach employees so they can succeed, if after coaching the behavior continues&#8230;that&#8217;s a different story.  You are so right that all of us participate in some form of discriminatory ideas if only in our heads and that is why our professional codes of ethics caution us about valuing all human beings equally&#8230;because unless we are advised to do so, we are tempted to put people in the boxes we&#8217;ve created for human beings.  Looks and acts like me.  Perfect!  Doesn&#8217;t look an act like me.  What&#8217;s wrong with them?!<br />
Onehealthpro
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		<title>by: The Bohemian Road Nurse</title>
		<link>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-35456</link>
		<pubDate>Fri, 01 Jun 2007 02:20:21 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-35456</guid>
					<description>You totally did the right thing.  What's even better is that you first gave the entire issue rational thought and evaluation about your decision-making--- and then you even had the decency to think about the consequences to his family if he got fired!  I think you are being very professional and understanding about the whole thing.  Bravo!  But I do think the guy should get some rather severe consequences, whatever the manager decides, because he is an adult and should have known that this was not a funny "joke"---it was actually something that could have seriously compromised the patient's care, physically and emotionally.  If he would do this, I wonder what else he would be capable of....</description>
		<content:encoded><![CDATA[<p>You totally did the right thing.  What&#8217;s even better is that you first gave the entire issue rational thought and evaluation about your decision-making&#8212; and then you even had the decency to think about the consequences to his family if he got fired!  I think you are being very professional and understanding about the whole thing.  Bravo!  But I do think the guy should get some rather severe consequences, whatever the manager decides, because he is an adult and should have known that this was not a funny &#8220;joke&#8221;&#8212;it was actually something that could have seriously compromised the patient&#8217;s care, physically and emotionally.  If he would do this, I wonder what else he would be capable of&#8230;.
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		<title>by: Lisa</title>
		<link>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-35447</link>
		<pubDate>Fri, 01 Jun 2007 01:46:09 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-35447</guid>
					<description>You did the right thing, to think it over and not act hastily, then go to the nurse manager. You are right about not wanting the person who did this or his family to suffer. I am currently trying to figure out how to deal with a similar dilemma. Like you, I don't want the person who has made a mistake to suffer, esp. if they have learned from these mistakes and are moving on past them (I'm hoping this is the case and that they are not currently still making the same mistakes, which are felonies).</description>
		<content:encoded><![CDATA[<p>You did the right thing, to think it over and not act hastily, then go to the nurse manager. You are right about not wanting the person who did this or his family to suffer. I am currently trying to figure out how to deal with a similar dilemma. Like you, I don&#8217;t want the person who has made a mistake to suffer, esp. if they have learned from these mistakes and are moving on past them (I&#8217;m hoping this is the case and that they are not currently still making the same mistakes, which are felonies).
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		<title>by: ipanema</title>
		<link>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-35066</link>
		<pubDate>Thu, 31 May 2007 02:18:17 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-35066</guid>
					<description>That's a very thoughtful post. Glad that you've weighed on everything.</description>
		<content:encoded><![CDATA[<p>That&#8217;s a very thoughtful post. Glad that you&#8217;ve weighed on everything.
</p>
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		<title>by: shrimplate</title>
		<link>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-35012</link>
		<pubDate>Wed, 30 May 2007 22:54:05 +0000</pubDate>
		<guid>http://www.aboutanurse.com/2007/05/focusing-on-the-patient.html#comment-35012</guid>
					<description>You did the right thing.

That's what counts. Good work, May. I am proud of you. Sometimes all you have to do is &lt;a href="http://vids.myspace.com/index.cfm?fuseaction=vids.individual&#38;videoid=1715848820" rel="nofollow"&gt;&lt;b&gt;act naturally.&lt;/b&gt;&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>You did the right thing.</p>
<p>That&#8217;s what counts. Good work, May. I am proud of you. Sometimes all you have to do is <a href="http://vids.myspace.com/index.cfm?fuseaction=vids.individual&amp;videoid=1715848820" rel="nofollow"><b>act naturally.</b></a>
</p>
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