I don't know if the ILCA has or not, but as a nurse the state nurse practice
act comes into play in the US.

Personally as a professional, I am paid and paid very well to do what I do
for people. The satisfaction is gift and thanks enough for me and that is
how I have put it to patients and families who have wanted to show their
gratitude in some way. I tell them a card expressing their thanks to me and
a note to my supervisors are worth far more than anything of monetary value
even if I was allowed to accept those sorts of things. I just tell them I am
not allowed to take such things. I will NEVER turn down home baked goodies
to be shared with the rest of the staff however!!!! I have a little box I
tuck such cards and notes into and when I am having a "doubt myself day", I
read them and remember that I DO make a difference!


Michelle Meeks, RN



-----Original Message-----
From: Naomi Bar-Yam [mailto:[log in to unmask]]
Sent: Monday, March 03, 2003 10:35 AM
To: Susan Reulbach Wirtjes RN IBCLC; Krainz, Mary Ann; Michelle; lactnet
Subject: question Re: Gratuities


Is there a difference between accepting gifts from a vendor
and from a client/patient? Sometimes patients are very grateful
and would like to express their gratitude. How can we let them
do that and still be within ethical bounds?
Clearly, limiting the monetray worth of the gift is one way to
do this. If Susan's hospital has such a policy, then it is
easy to write to the woman to thank her for her thoughtfullness
and let her know of the policy. Has ILCA addressed this issue
in its policy and ethics guidelines?

Naomi Bar-Yam

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