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He has multiple abrasions, lacerations, fractured ribs, and a fractured femur that required open reduction with internal fixation.

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The patient has a significant history of alcohol use and also says he smokes a pack and a half of cigarettes per day. It sounds as if you have a standoff related to control issues.

Suppose the standoff continues and your patient wants to pursue the matter. I practice in Nebraska, where the state legislature is considering a law banning discrimination on the basis of sexual orientation.

Unfortunately, my nurse-manager saw us together on television, marching hand-in-hand in support of the.

She called me into her office the next day and gave me a stern lecture on why my lifestyle was morally wrong and unacceptable to God. Then she said I have only two options: Onn do you think? Your manager is allowing her personal beliefs to infringe on her managerial responsibilities.

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How can she afford to force a knowledgeable, skilled employee to quit smack in the middle of an intense national nursing shortage? I work in Nebraska and I know how desperately hospitals in our state need good nurses.

Please come to our hospital to work! I realize that this has become an extremely painful personal situation for you, although you never intended it to happen.

Until all states have legislation banning repationship on the basis of sexual preference, your legal rights may not be the same as your moral rights.

But this is exactly why you chose to march in support of this. Your manager was wrong in saying that you have only two options.

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Actually, you have. Here are several you may wish to consider:.

Request an immediate transfer to a unit and a manager you feel more comfortable working. I predict other managers will be lining up to recruit you!

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Only you can decide which approach feels right.