Transcript for:
LGBT+ Inclusive Care Tips

Hi, everyone, and Happy Pride. My name is Meris,  and I am a proudly bisexual nurse. I work in ER,   trauma, and education. And I'm here to share  with you a couple of tips on how to provide   more inclusive care for your LGBT+ patients. Now,  these are just basic tips. This is not an in-depth   discussion. This is just a primer glossing the  surface. If you want some more information,   I would really encourage you to check out  the webinar that I did, which is posted   on our website, LevelUpRN.com. And that was an  hour-long discussion about LGBT+ inclusive care   basics. This is just going to be a quick couple  of tips I hope can help in your daily practice,   but I would absolutely encourage you to take  an interest in this and do some more research,   watch that webinar, and see how you can become  a more competent provider for this community.  So to start, I want to say it's really important  that you know the terminology. You've got to   know the vocabulary so that you can have a  conversation with your patient. For instance,   you need to know what the difference is  between sex, gender, and sexual orientation.   And you need to know what it means when a  patient tells you that they fall under a   certain umbrella. So you need to know sex, gender,  and sexual orientation, but you also need to know   what the terms mean underneath those definitions.  So, for instance, you need to know what   a patient who's a cisgender, what that means,  a transgender patient, nonbinary, pansexual,   asexual, demisexual. All of those words you  need to know in order to be able to have   a conversation with your patient about this. So  do the work. Figure out what kinds of words you   already know and which ones are you struggling  with. See if you can get those down pat so   that you can have that conversation with your  patient in a well-informed and respectful manner.  Now, the second thing I want to say is don't  assume anything. Never assume that when somebody   says that their partner is coming, that it's  going to be somebody of the opposite gender.   Don't assume that the person in the room with the  patient is their romantic partner. Ask what the   relationship is, right? Don't assume that your  patient is straight or gay or lesbian based on   their presentation, their outward expression of  who they are. There is no way to tell who is and   is not a member of the LGBT+ community without  knowing for a fact that they are. There's no   way to tell from someone's outward appearance, the  way they talk, their haircut, anything like that.   So don't make these assumptions about your  patients because when you make those assumptions,   inevitably, you're going to end up putting your  foot in your mouth and possibly disrespecting   your patient at the same time. We don't want that.  So don't make assumptions. Instead, just ask. Ask   the questions, right? Ask the question, "Who is  this here with you?" Ask the question, not just,   "Are you sexually active?" if that is an important  question for you to know for medical purposes,   but then, "With men, women, or both," right? Don't  make an assumption that they are sexually active   and it's with someone of the opposite gender. You  need to ask these questions in a respectful manner   when it is appropriate. You're not always going  to need to know those sorts of things, but   I'm hoping that you will use your clinical  judgment to know when you should be asking   about things like sexual activity. The third tip I want to share with   you is reflecting the patient's language. So if a  patient says something to you like that they are a   transfeminine lesbian. Okay. Use that terminology  then when you are discussing them with other   healthcare providers when you're giving shift  change-- when you're giving a report at shift   change, when you're talking to the physician. If  it's appropriate, use that language to describe   your patient. When you are talking to them, and  they say, "Oh, my partner is coming to visit me.   She'll be here in about an hour," mirror that  language back. "Oh. Well, when your partner   gets here, have her check in at the front desk.  They'll call me, and I'll bring her back." That   mirroring of their language, first of all, allows  you to not make those assumptions and not overstep   and put your foot in your mouth, but additionally,  it shows your patient that you are listening,   you are taking in the information that they are  giving you, and that you are respectful of who   they are, their identity, their family, whatever  the situation may be. So mirroring that language   can really help you out and show your patient  that you care about respecting their identity.  There are lots of other things that you can  do. I personally would really encourage you   to get a pronoun pin or some other way that you  can show your pronouns at work. This doesn't   have to be a really big flashy in-your-face thing  and something that you talk about all the time.   My badge for work, I have little tabs that stick  up over the top, just a very small profile, little   tabs that stick up, and they say she/her/hers.  And that's it. And it's just a little thing   right there. First of all, anybody who sees me  can automatically see my pronouns if they're   looking at my badge. And it also subtly signals  to your patients in the LGBT+ community that,   "Hey, I'm a safe person. I'm telling you about  my pronouns. You can tell me your pronouns. We   can have this conversation." I would encourage you  to start introducing yourself with your pronouns   to ask your patients for their pronouns. But if  you're working up to that, having a pronoun pin   or some other way of displaying your pronouns is  a really great way to sort of test the waters,   get comfortable with it, and people are going to  ask you about it. People ask me about my pronouns   at work all the time. They want to know, "What is  that? Why do you have that there?" And then that   gives me an opportunity to say, "Oh, this is so  that my patients know that I use she/her pronouns.   That way, nobody has to ask. It's right there.  And that's what that's about." It's very easy.   And people are going to ask you,  but that's okay. That's good,   right? If there's anything that you can do to  signal to your patients that you are a kind,   respectful nurse healthcare provider of  any variety, that is always a good thing.  So just to briefly recap, I highly encourage  you to get familiar with the vocabulary,   to know the terms that you need to have to have  a competent conversation about sex and gender and   sexual orientation. I would encourage you not  to make any assumptions about your patients,   whether that be about their sexual  activity, their sexual orientation,   their gender, their partnerships, their family,  anything like that. Don't make those assumptions.   Instead, just ask respectfully and when  appropriate. And of course, mirror their language.   Say the words that they say to describe themselves  and the people that are important to them.   If you want to check out pronoun pins, see about  getting something to add, like a sticker to your   badge, something along those lines. It does not  have to be over the top. But I guarantee you,   as a person in the LGBT+ community, when  I see somebody who's wearing a pronoun pin   or who has a, "You're safe with me," sticker or  anything along those lines, I automatically feel   like I can breathe a little bit easier, that I  know that I can have an honest discussion with   them without feeling like I need to hide anything  about who I am because I have a good feeling that   they're going to be respectful, they will  be kind, and they will not be judgmental.   There's so much more to learn about how to be  an inclusive healthcare provider for the LGBT+   community. I would again encourage you to check  out the webinar that I did, which is available on   our website, and seek out additional resources.  There are lots of organizations out there doing   incredible work for the community and trying to  educate healthcare providers as well. I hope this   helps, and I hope you have a great rest of your  pride month. Thanks so much and happy studying. I invite you to subscribe to our channel  and share a link with your classmates and   friends in nursing school. If you found value  in this video, be sure and hit the like button,   and leave a comment and let us know  what you found particularly helpful