My patient, a 60-year-old double amputee, had fallen face first from his wheelchair on his way to the dialysis clinic. He needed to be taken to the hospital right away, and it was my duty as his nurse, to let his daughter know her dad needed emergency care. Instead, the supervisor of our clinic, who had no medical experience, insisted we needed to dialyze him.
Speaking up about what is right has always been important to me. I knew the risks of putting my patient on dialysis. Dialysis patients’ blood pressure typically drop during treatment, and he was at unusual risk because of his accident.