# Medical Ethics: who can and cannot sleep with patients?

**URL:** <https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549>\
**Category:** In My Humble Opinion\
**Created:** [September 5, 2006, 8:09pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549 "2006-09-05T20:09:11Z")\
**Posts on this page:** 20\
**Page:** 1

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**Author:** ![Emilio\_Lizardo](https://avatars.discourse-cdn.com/v4/letter/e/898d66/32.png) [@Emilio\_Lizardo](https://boards.straightdope.com/u/Emilio_Lizardo)\
**Post date:** [September 5, 2006, 8:09pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/1 "2006-09-05T20:09:11Z")

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I understand why it is wrong for doctors to sleep with their patients. Position of trust, responsibility, vulnerability, etc. But what about other hospital / clinic staff? Are there any ethical or professional prohibitions preventing say, orderlies, technicians, maintenence staff, among others, from having a relationship with a patient?

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**Author:** ![Misnomer](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/misnomer/32/14897_2.png) [@Misnomer](https://boards.straightdope.com/u/Misnomer)\
**Post date:** [September 5, 2006, 10:42pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/2 "2006-09-05T22:42:21Z")

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Does your wife know that you have a crush on your x-ray tech? 😉

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**Author:** ![picunurse](https://avatars.discourse-cdn.com/v4/letter/p/7bcc69/32.png) [@picunurse](https://boards.straightdope.com/u/picunurse)\
**Post date:** [September 5, 2006, 11:06pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/3 "2006-09-05T23:06:15Z")

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Yes. There are ethical restrictions placed on hospital personnel at hiring. Of course, after a patient is discharged, they are no longer a patient, now are they? 😉  
Seriously, I’ve know nurses who have married patients. I think it’s more than a little strange, but, that’s just me.

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**Author:** ![Contrapuntal](https://avatars.discourse-cdn.com/v4/letter/c/e274bd/32.png) [@Contrapuntal](https://boards.straightdope.com/u/Contrapuntal)\
**Post date:** [September 5, 2006, 11:52pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/4 "2006-09-05T23:52:21Z")

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Are you talking about people who began a sexual relationship while one was a hospital employee and the other was a patient? How would that work, exactly? Are they doing it in the hospital room?

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**Author:** ![Foldup\_Rabbit](https://avatars.discourse-cdn.com/v4/letter/f/df788c/32.png) [@Foldup\_Rabbit](https://boards.straightdope.com/u/Foldup_Rabbit)\
**Post date:** [September 6, 2006, 4:41am UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/5 "2006-09-06T04:41:01Z")

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Actually boinking while one person is still _in_ the hospital is sort of weird. But once they leave? Nearly everyone goes to the hospital for something at some point.

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**Author:** ![Revenant\_Threshold](https://avatars.discourse-cdn.com/v4/letter/r/f1d935/32.png) [@Revenant\_Threshold](https://boards.straightdope.com/u/Revenant_Threshold)\
**Post date:** [September 6, 2006, 4:53am UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/6 "2006-09-06T04:53:40Z")

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I would imagine psychiatrists boinking even ex-patients would be something of a no-no.

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**Author:** ![Contrapuntal](https://avatars.discourse-cdn.com/v4/letter/c/e274bd/32.png) [@Contrapuntal](https://boards.straightdope.com/u/Contrapuntal)\
**Post date:** [September 6, 2006, 10:52am UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/7 "2006-09-06T10:52:22Z")

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[QUOTE=Foldup Rabbit]  
Actually boinking while one person is still _in_ the hospital is sort of weird. But once they leave? Nearly everyone goes to the hospital for something at some point.  
[/QUOTE]  
Hence my confusion. After they leave they are no longer a patient. Why would ethical considerations apply then?

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**Author:** ![Emilio\_Lizardo](https://avatars.discourse-cdn.com/v4/letter/e/898d66/32.png) [@Emilio\_Lizardo](https://boards.straightdope.com/u/Emilio_Lizardo)\
**Post date:** [September 6, 2006, 12:20pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/8 "2006-09-06T12:20:42Z")

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> [@](#):
>
> Are they doing it in the hospital room?

This is the scenario I had envisioned. And before you object, let me point out that it happened to a friend of mine.

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**Author:** ![Contrapuntal](https://avatars.discourse-cdn.com/v4/letter/c/e274bd/32.png) [@Contrapuntal](https://boards.straightdope.com/u/Contrapuntal)\
**Post date:** [September 6, 2006, 12:48pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/9 "2006-09-06T12:48:19Z")

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[QUOTE=Emilio Lizardo]  
This is the scenario I had envisioned. And before you object, let me point out that it happened to a friend of mine.  
[/QUOTE]  
No objection. To me this is clearly unethical.

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**Author:** ![RealityChuck](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/realitychuck/32/195_2.png) [@RealityChuck](https://boards.straightdope.com/u/RealityChuck)\
**Post date:** [September 6, 2006, 1:20pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/10 "2006-09-06T13:20:13Z")

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[QUOTE=Contrapuntal]  
No objection. To me this is clearly unethical.  
[/QUOTE]  
What? You mean porn films show unethical behavior? I’m shocked. Shocked!

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**Author:** ![Emilio\_Lizardo](https://avatars.discourse-cdn.com/v4/letter/e/898d66/32.png) [@Emilio\_Lizardo](https://boards.straightdope.com/u/Emilio_Lizardo)\
**Post date:** [September 6, 2006, 1:43pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/11 "2006-09-06T13:43:46Z")

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> [@](#):
>
> To me this is clearly unethical.

Now we’re getting somewhere. Why is this unethical? What duty does, say, the X-ray tech have, that would make it wrong for her to bonk me if she were so inclined?

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**Author:** ![Contrapuntal](https://avatars.discourse-cdn.com/v4/letter/c/e274bd/32.png) [@Contrapuntal](https://boards.straightdope.com/u/Contrapuntal)\
**Post date:** [September 6, 2006, 2:06pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/12 "2006-09-06T14:06:03Z")

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[QUOTE=Emilio Lizardo]  
Now we’re getting somewhere. Why is this unethical? What duty does, say, the X-ray tech have, that would make it wrong for her to bonk me if she were so inclined?  
[/QUOTE]  
For starters, I am assuming that your treatment protocol excludes sex with anyone. It would certainly be against medical advice.

Here is the Radiologist Code of Ethics  
[http://www.asrt.org/content/RTs/CodeofEthics/Code\_Of\_Ethics.aspx](http://www.asrt.org/content/RTs/CodeofEthics/Code_Of_Ethics.aspx)

> [@](#):
>
> ```
> * The radiologic technologist conducts himself or herself in a professional manner, responds to patient needs and supports colleagues and associates in providing quality patient care. 
> 
> ```

Screwing someone while at work is unprofessional. She is getting paid to do a job. Banging the patients is not in the jub description.  
You can find similar codes of ethics for other medical professions using Google.

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**Author:** ![D\_Odds](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/d_odds/32/2882_2.png) [@D\_Odds](https://boards.straightdope.com/u/D_Odds)\
**Post date:** [September 6, 2006, 2:31pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/13 "2006-09-06T14:31:30Z")

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[QUOTE=Contrapuntal]  
Screwing someone while at work is unprofessional. She is getting paid to do a job. Banging the patients is not in the jub description.

[/QUOTE]  
That is why people get lunch hours. Nothing like a nooner at the office.

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**Author:** ![FatBaldGuy](https://avatars.discourse-cdn.com/v4/letter/f/ecd19e/32.png) [@FatBaldGuy](https://boards.straightdope.com/u/FatBaldGuy)\
**Post date:** [September 6, 2006, 3:09pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/14 "2006-09-06T15:09:44Z")

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[QUOTE=D\_Odds]  
That is why people get lunch hours. Nothing like a nooner at the office.  
[/QUOTE]  
I expect that if you were to survey 100 HR people and ask them why people get lunch hours, less than 1 would give this response.

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**Author:** ![D\_Odds](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/d_odds/32/2882_2.png) [@D\_Odds](https://boards.straightdope.com/u/D_Odds)\
**Post date:** [September 6, 2006, 3:30pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/15 "2006-09-06T15:30:42Z")

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[QUOTE=FatBaldGuy]  
I expect that if you were to survey 100 HR people and ask them why people get lunch hours, less than 1 would give this response.  
[/QUOTE]

[Jim Carrey]So you mean there’s a chance![/Jim Carrey]

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**Author:** ![bobkitty](https://avatars.discourse-cdn.com/v4/letter/b/c67d28/32.png) [@bobkitty](https://boards.straightdope.com/u/bobkitty)\
**Post date:** [September 6, 2006, 4:10pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/16 "2006-09-06T16:10:17Z")

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[QUOTE=Revenant Threshold]  
I would imagine psychiatrists boinking even ex-patients would be something of a no-no.  
[/QUOTE]

And you would, unfortunately, be incorrect. We (and I extend this out to all folks in the mental health field who are subject to the rules of the American Counseling Association/American Psychiatric Association/Clinical Social Workers) have a two-year waiting period during which we’re not allowed to see clients socially (platonically or sexually), but after that all bets are off. I know of several colleagues who routinely cull their dating pool from their client list, including at least four marriages.

I personally stand by my iron-clad rule of “You don’t fuck crazy.” 😃

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**Author:** ![Freudian\_Slip\_1](https://avatars.discourse-cdn.com/v4/letter/f/f475e1/32.png) [@Freudian\_Slip\_1](https://boards.straightdope.com/u/Freudian_Slip_1)\
**Post date:** [September 6, 2006, 5:07pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/17 "2006-09-06T17:07:03Z")

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Actually, according to American Psychiatric Association Ethics, sexual activity between current or \*former \* patients is unethical. That’s what I was taught during training.

[Cite in section 2 (warning, PDF)](http://www.psych.org/psych_pract/ethics/ppaethics.pdf)

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**Author:** ![bobkitty](https://avatars.discourse-cdn.com/v4/letter/b/c67d28/32.png) [@bobkitty](https://boards.straightdope.com/u/bobkitty)\
**Post date:** [September 7, 2006, 2:21pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/18 "2006-09-07T14:21:22Z")

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[QUOTE=Freudian\_Slip]  
Actually, according to American Psychiatric Association Ethics, sexual activity between current or \*former \* patients is unethical. That’s what I was taught during training.

[Cite in section 2 (warning, PDF)](http://www.psych.org/psych_pract/ethics/ppaethics.pdf)  
[/QUOTE]

Hrm.. is that new? Because I can tick off at least four people who are violating that right now, and that’s just off the top of my head…

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**Author:** ![Dragwyr](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/dragwyr/32/2855_2.png) [@Dragwyr](https://boards.straightdope.com/u/Dragwyr)\
**Post date:** [September 7, 2006, 5:42pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/19 "2006-09-07T17:42:35Z")

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[QUOTE=Contrapuntal]  
Screwing someone while at work is unprofessional. She is getting paid to do a job. Banging the patients is not in the jub description.  
[/QUOTE]  
Sure they are. You quoted it yourself:

> [@](#):
>
> The radiologic technologist conducts himself or herself in a professional manner, **responds to patient needs** and supports colleagues and associates in providing quality patient care.

So when they are bonking them, they are just simply responding to a patient’s needs.

Granted, those needs are not necessarily related to their actual medical problem, but they ARE responding to their needs. 😃

What?

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<div class="post-metadata">

**Author:** ![Antinor01](https://avatars.discourse-cdn.com/v4/letter/a/ecae2f/32.png) [@Antinor01](https://boards.straightdope.com/u/Antinor01)\
**Post date:** [September 7, 2006, 5:47pm UTC](https://boards.straightdope.com/t/medical-ethics-who-can-and-cannot-sleep-with-patients/371549/20 "2006-09-07T17:47:20Z")

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[QUOTE=bobkitty]  
And you would, unfortunately, be incorrect. We (and I extend this out to all folks in the mental health field who are subject to the rules of the American Counseling Association/American Psychiatric Association/Clinical Social Workers) have a two-year waiting period during which we’re not allowed to see clients socially (platonically or sexually), but after that all bets are off. I know of several colleagues who routinely cull their dating pool from their client list, including at least four marriages.

I personally stand by my iron-clad rule of “You don’t fuck crazy.” 😃  
[/QUOTE]

It’s the crazy ones that have all the good pills. 😉

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