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Nurse Pays For Her Good Deed
Donn Esmonde / The Buffalo News
October 31, 2008
They ought to give her a medal. Instead, she got misused. If this is how they run the show at the Erie County Home in Alden, somebody ought to be shown the door.
Joyce Diasparra was driving home two weeks ago after a tough shift. Diasparra is head nurse of Unit S, a wing with about 50 patients. She had worked until 8 p.m. — five hours after her regular shift ended. She had just left when, through the darkness, she saw him, walking on Walden Avenue: a patient who was brought to the County Home after trying to kill his wife. He had sneaked out and climbed a fence.
Diasparra did not have a cell phone to call for help. She did not want to deal alone with a potentially violent man. Concerned about the safety of the patient and for anyone he encountered, she drove back to the nursing home to get help. She found a security guard, who jumped in her vehicle. They drove back, got the man into her SUV and brought him back safely.
Diasparra is 56, with a full, friendly face and a nurse’s bedside manner. She got pats on the back from co-workers the next day for handling a tough situation.
The glow lasted until she was called in Oct. 22 by the County Home’s director of nursing. Diasparra was reprimanded and suspended for a day without pay. According to the Disciplinary Action Report, she made a mistake by leaving the man on the road to go back for help. She should have, according to the nursing director, put him in the vehicle and brought him back on her own.
Diasparra was dumbfounded. “With [the patient] being possibly unstable, I didn’t trust that I would be able to get him in my truck and back safely,” she said this week in the dining room of her tidy home in Lancaster. “I didn’t want to endanger his life, or mine.”
It is more than a week since the suspension. Diasparra still is upset.
“I feel like I was treated unfairly,” she said. “I don’t know how else I could have handled it.”
It sounds to me as if she did the right thing. Backing her up is the security guard, Dave Bubar. “It would not have been wise for her to deal with [the patient] on her own,” he said. “I had trouble getting the guy into the car, and I’m a big boy.”
Diasparra has worked at the County Home for 15 years. She is a former Employee of the Year. The incident, in fact, underlines her dedication. She was off duty. She could have seen the patient on the road and ignored him. She could have gone back to the County Home and sounded the alarm, but stayed behind and let security deal with him. Instead, she went back with the guard and helped secure a potentially dangerous patient. For that, she was punished.
County Home spokesman Tom Quatroche said that there is more to the story but that he “could not provide further details” on a personnel matter. The suspension report notes that the patient was “upset” during the day and blames Diasparra for not dealing with him in a better way. Yet she alerted the nurses on the incoming shift and noted his agitation in the log book.
There are by-the-book regulations that might not have been followed to the letter. But in the big picture, Diasparra went above and beyond. For her trouble, she lost a day’s pay and got chewed out by her boss. She will likely retire rather than go back to work for the same supervisor who suspended her.
Diasparra learned a lesson: No good deed goes unpunished.
I hope it is a lesson that, the next time something like this comes up, she remembers to forget.
© YellowBrix 2008
pheebes6255
11 months ago
8 comments
Many moons ago I had taken over some patients from another home health nurse, as her caseload was too large. I met a man named John, and he did not like me one bit (he wanted the former nurse.) Not long after this, I got a call from the home health director, and (honest to God) this is what she said, "We got a report about John, he is paranoid and has a gun, and we need someone to go out and check on him." I began to roar with laughter. I told them I was not going to see about John, as he didn't like me anyway. I also told them the police would be the appropriate ones to call. So, I said the former to say this. Administrators are not concerned with the safety of a nurse! They are only concerned about saving their own asses, and will go to no end to place the blame on the nurse working for them, even if they are in a dangerous situation. I concur when others have said no wonder the profession is critically short of nurses. It will remain so until administrators, and CEO's, bean counters, and others remain so critically stupid.
ccburkejm
11 months ago
148 comments
I think the nurse did the right thing. She might not live to tell the story had she been silly enough to try to get this patient into her car, and drive him back to the nursing home he just tried to escape from. She should be rewarded, since she could have left him to escape - after all her shift was over and who would know that she actually saw him. It is so sad when people are reprimanded for doing what's right. In the future other nurses will think hard and long before risking their jobs to help patients. Makes me wonder what would be the outcome if she had forced him in her car against his will, she might have been imprisoned. In this case, she would still have done the right thing by picking the lesser of the two evils.
Chatterbox52
11 months ago
2 comments
Seems to me the Nursing home wanted the nurse to use poor judgement. Since when is a nurse suppose to do the job of security at the risk of her own life? All I can say is I agree with the nurse in this case. And the nursing home who suspended her? FOUL! SHAME ON YOU!.
Rredds
11 months ago
6 comments
Welcome to nursing. The Director of Nursing should have been terminated for #1, being responsible for the patients at this facility and not knowing that one had left without permission, and #2, for using this nurse as a scapecoat for her own incompetence. I don't know of any nurse put in a similar situation that would actually pick up a violent patient and then transport them in a private vehicle!! How ridiculous is this Director? Had this nurse been involved in an accident or if she had been fatally attacked or even injured, she would most certainly had she lived, lost her job just for being irresponsible enough to put the facility in a liable position. It is no wonder that there is a shortage of nurses willing to work in the profession. Oh, we are out there, but we are tired of being used, abused and ignored by administrators who are in those positions so they don't have patient contact and hurt the patients!!!! Merry Christmas to all and to Diasparra, please know that there are quite a few irate nurses out here who would love to join ranks with you and your decision and who would gladly fight the battle of Adminsistration's talent for knowing little and saying too much!!!!
jeannie1956
11 months ago
20 comments
12/20/2008 Saturday 1206PM
This is why there is a shortage of dedicated nurses.
Ms Eugenia Michelle Brown,LPN/LVN
lawlisrn
11 months ago
22 comments
She recieved the wrong!!! answer. I wouldn't have placed a violent man in my vehicle either. What about the good samaritan law! She didn't have to do anything for that matter. I salute her for her actions! RN,CNOR former EMTand police dispatcher.
dereshperez
11 months ago
10 comments
This situation saddens me. It is so hard to believe that such a dedicated nurse would be disiciplined for going above the call of duty. Nursing is tough. When we have nurses like Diasparra who rise to the challenge, they should be celebrated. I think she used excellent judgement in the situation that she was presented with. We need more nurses like her.
evarunnr
11 months ago
10 comments
resignation of the administrator should be in order for not keeping staff safe. the threat of the pateint harming staff was higher than the single-handed retrieval of the patient. any rescue policy knows this and adheres to it for all staff safety involved.
donna6149
11 months ago
6 comments
Where is the regulation written that an off duty nurse has an obligation to stay with a patient that has an aggressive background--I'll bet if she had tried to get him into her car and he had attacked her (and one or both of them been injured) they would have said she should have gone for help. Since she was off duty the Good Samaritan Law should have covered it--If I were her I would get a lawyer and get the day's pay back and an apology from the supervisor and from the owners of the nursing home
hockeylvn
11 months ago
16 comments
goes along with teachers being yelled at for reporting student problems to parents.. if we as a nation and a people cannot move beyond this idiocy we are destined to become the next "fall of Rome". no respect for nurses... that is the definitive answer for why we have a shortage
Nannaslove43
11 months ago
80 comments
This is were a lot of people will begin to think, "Well why is it my problem-I'm not going to risk anything to help anyone." They are going to start double guessing themselves and thinking differently in situations such as this. It is pathetic that she was punished. I mean how did he get out of the facility anyway? Was someone not watching him?
Account Removed
11 months ago
humm, i think next time she will just keep driving home...
leng
11 months ago
9516 comments
being punished for doing the right thing?! where's the logic?!
easy for them say to get the man inside the car- we just don't deal with the man's safety here- what about the nurse? isn't she entitled of her own safety?! she just did the right thing and being punished for it, is just plain nuts!
cdschu
11 months ago
92 comments
It's sad to hear that the field will lose a caring nurse to retirement (too early!) because of this. It's hard to find enough good people without punishing them for going above & beyond the call of duty!!
I would think she should contact an attorney to get her back-pay for wrongful suspension, and to make a point that no employee should be expected to endanger their own life or safety because of a "rule".
olisemichae
11 months ago
4 comments
is better to be good than be bad,Diasparra story was sympathetic type,she displayed professional maturity by going back to invite somebody that may help if the patient happen to be aggressive.Her punishment should not discourage nurses in rendering humanity service,rather should be a bench mark on how to deal with an ethical issue when arise.olise m