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Nurse Pays For Her Good Deed

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.

(c) YellowBrix 2008


+14
  • Photo_user_blank_big

    cynccrn

    about 13 hours ago

    2 comments

    I think that her DON must have suffered a head injury. This man was admitted for trying to kill his wife. Excuse me, but I would not have put this patient in my car period. I would have gone back to the facility and informed security, end of story. This DON unfortunately is setting the stage for employees to simply drive on by. If I were this nurse I would be looking for an attorney and another job!

  • Me_07_max50

    pgoonetilleke

    about 23 hours ago

    2 comments

    I'm not surprized! So typical of the beurocrats. I thought she was going to get reprimanded for putting him in her personal vehicle. I bet she gets a lot of job offers now!

  • Photo_user_blank_big

    72936

    1 day ago

    2 comments

    And maybe this will be a small reason why there is such a shortage of great nurses! Shame on the DON, good thinking Ms. Diasparra. Scene safe is 1st priority! Wake up America we are losing what is value.

  • Steve_s_pics_an_mom_s_288_max50

    cvillatoro

    1 day ago

    2 comments

    I will have ask the DON what will she had done if she was in the same place of ms Diasparra, maybe she will have ignore the patient or maybe she will have been in the news the next day. I believe people should see the big picture first before they make any decision on suspending somebody for a good deed.

  • Photo_user_blank_big

    Aschramm

    1 day ago

    2 comments

    She cannot be disciplined off duty. Now that IS the law!!

  • Dsc01660_max50

    evers77

    1 day ago

    2 comments

    I would take this to the state board of nursing. It is ridiculous for a DON to expect this nurse to apprehend a fleeing and potentially dangerous patient on her own. Also, I think I would get a lawyer. She has lost her source of income because of this incident.

  • Photo_user_blank_big

    TheNipper

    1 day ago

    6 comments

    (1) One Sunday morning several years ago I was having breakfast at a fast food restaurant several blocks from a hospital where I was a psych nurse manager (off duty.) Through the window I noted one of our patients drinking a quart or two of beer while sitting behind a gas station. I used the pay phone at the restaurant to speak with one of the unit's nurses, who restricted the patient to the unit when he returned on his own. There was no consideration of sending security after him (they do not go off campus; this patient was a voluntary patient.) I didn't hear a single thing about the actions taken by me or the staff nurse. It was a matter of "case closed" and our decisions were respected if and when the administration reviewed them.
    (2) I can't imagine circumstances in which any staff member would be __compelled__ to transport a patient in his/her personal vehicle, especially under the circumstances described (dangerous, agitated patient, RN off duty and away from facility, no immediate security back up.)
    (3) The administrator's behavior is one cause (among many) of the nursing shortage.
    (4) If you want to retain PROFESSIONALS, you have to treat them PROFESSIONALLY.

  • Luannaboa

    Luanna1Love

    1 day ago

    54 comments

    Incidents like this and many others happen all the time in nursing, from nursing management "seeking to do the right thing and look tough on nursing policies being enforced"
    And we wonder why nursing is experiencing such shortages???

    Did you know... that even if injured in the line of duty as a nurse.... you can not get a light duty job in a hospital or nursing home. A blanket policy is in effect that no light duty positions are to be hired for. .... With the experienced nurse population aging, the nursing profession and recruiters better take a second look at people who have good skills and experience, but are unable to do the heavy lifting and dont necessarily want to be in management, unless there was some hope of improving things. Like showing people gratitude for a job well done instead of always looking for what is wrong... important I know to strive for excellence but not at the cost of being fair and looking at the whole picture and hearing everyones story. Using good judgement in management is as important as good judgement in nursing.

    NURSING SHORTAGE>>>>> LOOK TO YOUR MANAGEMENT OF NURSES AND SEE WHY.
    Long hours, hard work and get treated like someone who doesnt matter in the slightest... and we wonder why we cannot fill shifts after incentives end??? Please. GROW UP .. the solution is right there... what you put out there comes back to you. Nursing management, Listen up. Look at the bigger picture. We know nursing itself is tough, we dont need our own stabbing us in the back as well.
    I

  • Stephanie_240_max50

    Slowry2107

    1 day ago

    12 comments

    That's rediculous, She acted as a better person than most. The average person would have ignored it, or called the cops when they got home. Even with the Security Guard, she was putting herself in danger. I don't know about you but that shows a great essence of character, which in turn makes her a great nurse

  • M_max50

    nursemonica

    1 day ago

    6 comments

    HOW UNBELIEVABLE that they thought putting yourself in danger was more important than you risking your life!!! I am incensed!!! You made the right call and should be commended for your "assessment skills," as all good nurses have. Your boss should be ousted for stupidity!

  • Photo_user_blank_big

    tbarbiero

    3 days ago

    2 comments

    you were 1000000000% right on!!!!!! You protected yourself and the patient. Your supervisors need to have disciplinary action taken against them for rediculous judgement. How long have they been behind that desk? Time for them to get some serious time in on the front line. Continue to practice using your good judgement regardless of the upper idiots. I'm sure your family is grateful you are safe...unlike your employers, They don't even deserve you. You can work anywhere, I'd tell them to go to..............the ungrateful*&%^$#@!#%%

  • Img_2873_max50

    NikkiSLC10

    3 days ago

    26 comments

    I definitely think the supervisor has a screw loose here - It is unimaginable that she could possibly find fault with this woman's actions! I agree with the others who have said it seems the DON was covering for someone...

  • Tarsier_max50

    TINA1TARSIER

    4 days ago

    22 comments

    I have noticed a lot of deficiencies in nursing supervisors over the years. They make strange decisions and inappropriat disciplinary actions. However, I have also run acrossed a few great supervisors! I think there should be standardized training for supervisors and directors. Some of them got their positions just by their number of years as a nurse or because they have an advanced nursing degree. There should be training in handling "incidents", pt and family complaints, respectful disciplining of their nurses and other employees. I have been treated very disrespectfully on occasions when the superviisor's choice of priority is different from mine. Since we can't control how many things "need to be done" all at once, this is an increasing problem because of the increased number of patients nurses are expected to handle and the decrease in availability of patient care help-like PCTs, transport, pharmacy staff, etc.... The hospitals and other pt care facilities are budgeting themselves and us into impossible situations and then second guessing nurse's decisions. I think I could go on and on!

  • Photo_user_blank_big

    dcruicks

    7 days ago

    2 comments

    It is lesson 101 that YOUR (the nurse's) safety must come first. I don't know where that Director of Nursing went to school, but that DON missed something. Your personal safety always comes first, then the patient's safety comes second. If this nurse would have helped him and then become a victim where would that facility have been? What would that DON have done if the nurse would have been killed? Right, NOTHING!!!!

  • Img_0010_max50

    dansangel

    7 days ago

    20 comments

    And people wonder why there aren't more Good Samaritans, why more people don't go above and beyond their duties. I wonder. I agree, she should have been awarded a medal , not punished. That is what is wrong with alot of employers today, and may likely relate to the nursing shortage. Damned if you do and damned if you don't.

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