Yeah, being that focused on the shirt in this situation is so weird! Why on earth couldn’t the nurse offer her something to cover the shirt, like say the patient gowns that there are a zillion of everywhere, if covering the expletives was so My Patients Are My Valentine Medical Assistant Tshirts? Separating a young child (who is probably feeling awful and frightened) from his guardian makes less than no sense, especially since that guardian needs to make decisions and be kept up to date.
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Definitely had no business being on the My Patients Are My Valentine Medical Assistant Tshirts, and this incident was probably just the final straw. Any nurse fired after a single incident obviously had something else in her HR file. OP is not only NTA but he also likely prevented a worse incident from happening. My son has a rare genetic condition that required hospitalization at 6 days of life and numerous other stays in his 17yrs on earth. I have become very aware of how important being with a scared kid is. For words on a shirt?!?! Sooo NTA and good looking out for you patient OP!