I work in the emergency department in a small rural community. Recently, I was part of the emergency team providing care to an individual I am in a romantic relationship with. Can I provide nursing care in this situation? What should I consider?

Nurses are responsible for maintaining professional boundaries in all care relationships. Providing care to family members, friends, or romantic partners can compromise objectivity and therapeutic effectiveness and should generally be avoided.

In limited circumstances—such as in smaller or rural communities where transferring care is not possible—nurses may need to provide care to someone they know personally. Should this occur, here are some steps for you to consider:

• Acknowledge the dual roles of personal and professional.
• Establish and communicate clear boundaries to maintain professionalism.
• Ensure transparency with the client and the health care team.
• Transfer care to another qualified provider as soon as feasible.
• Document all actions and consult with your supervisor as needed.

This guidance does not apply when:

• Care is provided in an emergency.
• Care is minor, necessary, and provided on a one-time basis.
• There is no reasonable opportunity to transfer care to another qualified provider.

Professional boundaries protect both the nurse and the client. Personal relationships can compromise objectivity, even with the best intentions. When in doubt, consult a supervisor for guidance.