An emergency nurse is caring for a patient who presents as male and states their name is 'Leo' and their pronouns are he/him. The patient's government-issued identification lists a female name and gender marker. What is the most appropriate action for the nurse to take in all verbal interactions?
Exclusively use the legal name on the identification to ensure charting accuracy.
Alternate between the legal and affirmed names to avoid documentation errors.
Consistently use the patient's affirmed name ('Leo') and pronouns.
Ask the patient for legal documentation of a name change before using 'Leo'.
The correct action is to consistently use the patient's affirmed name ('Leo') and pronouns (he/him). This approach aligns with best practices for providing patient-centered, culturally competent, and gender-affirming care. Using a patient's affirmed name and pronouns builds trust, promotes a safe care environment, and respects the patient's identity. While the legal name must be documented for administrative and billing purposes, it should not be used in verbal communication with the patient once their preference is known. Insisting on using the legal name or requiring proof of a name change can cause distress, create barriers to care, and is considered discriminatory.
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