Hi Xena:
With regard to
normal patient confidentiality
all a patient has to say to a nurse when there are friends in the room visiting/spying is "I'd really like to be alone for a while" and if that nurse were me, I'd shoo everyone out of that room SO FAST and not give it a second thought. Often I can discern when a patient has something on their mind that they require a few minutes to speak to me privately, and I have NO problem with vacating a room by telling visitors that a patient needs their rest. (Also, asking them to assist me by holding the receiving end of an enema bag or barf basin clears a room of visitors like nothing else! ) As a matter of fact, there are plenty of opportunities for patients to have private time with a nurse. In a case where blood might become an issue, it's not uncommon for a nurse to have to assess a patient every 1-2 hours. Unless the patient gives their expressed permission for visitors to stay, I am legally obliged to ask visitors to step out of the room while that part of the patient's medical care is carried out. It doesn't matter if the visitors are family members, friends, "ministers" or whatever. If I ask them to leave and they put up a fuss, I can most certainly have security escort them off the premises, and I have had to resort to that measure before, but most people would find that kind of thing very embarrassing, and would like to avoid it if possible.
If I ever had a JW patient who needed blood, I would - as a former JW myself - find a way to speak to them privately (without them knowing my former affiliation) to ascertain their true wishes, without the pressure or judgement of family / congregation members looming over them.
I'd really like to see something from AJWRB that really helps hospital staff understand the kind of pressure and coercion that goes on among JWs when the blood issue arises.
Love, Scully