How to create an inclusive environment for transgender patients

How perioperative nurses can create an inclusive environment for transgender and gender diverse patients

Providing compassionate and respectful care to all patients is a cornerstone of perioperative nursing. Creating an inclusive environment for transgender and gender-diverse (TGD) patients is essential for delivering optimal care. 

Respecting Patient Identity: Names and Pronouns

• Consistent Usage: Ensure that the patient's pronouns and chosen name are used consistently throughout the perioperative journey, from pre-operative assessment to post-operative care.
• Documentation: Document the patient's pronouns and preferred name in the electronic medical record (EMR) and on identification bands.
• Communication: Encourage open communication among staff members to ensure everyone is using the correct name and pronouns.

Addressing Patient Concerns and Anxiety

• Active Listening: Create a safe space for patients to express their concerns and fears.
• Empathy and Support: Offer emotional support and reassurance throughout the perioperative process.
• Education: Provide information about the surgical procedure and post-operative care in a clear and understandable manner.

Understanding Physiological Differences

• Organ Inventory: Conduct a thorough organ inventory to accurately assess patient needs and avoid unnecessary procedures.
• Pain Management: Consider the patient's pain management preferences and any previous experiences with pain medication.

Creating a Welcoming Environment

• Staff Education: Provide ongoing education and training on transgender and gender-diverse health to create a knowledgeable and supportive staff.
• Inclusive Language: Use inclusive language and avoid making assumptions about a patient's gender identity.
• Privacy and Dignity: Respect patient privacy and dignity during all aspects of care, including examination, gowning, positioning, and exposure of the body.

Collaboration and Advocacy

• Multidisciplinary Teams: Work closely with surgeons, anesthesiologists, and other specialists to coordinate care for TGD patients.
• Advocacy: Advocate for policies and procedures that support the needs of TGD patients within your organization.

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