SPIT AT....AGAIN!

  1. 2
    I am so tired of being spit on by patients! We all know the aggressive, out of control patients that spit. You're attempting four point restraints, they're growling snarling, someone holds their head so you won't get bit as 10 people try to restrain the maniac then comes the sound.....hawk! That I-am-collecting-a-large-loogey-in-the-back-of-my-throat-to-hit-you-in-the-face-with-sound. Anybody have a solution. Clearly regular masks don't work because they thrash around, get them dislodged, plus you risk being bitten while placing it. I was thinking bipap but it's pretty hard to get an order for bipap because someone is violent. Anyone come up with a solution for spitters? They're pretty hard to control. Our psych population has been unusually high lately for the summer and my fuse is wearing short.
    ProfilRN0313 and Spritenurse1210 like this.
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  3. 53 Comments so far...

  4. 14
    Haldol and a tazer
    AngelfireRN, MAISY, RN-ER, MikeyBSN, and 11 others like this.
  5. 1
    Bipap would be contraindicated for restrained patients.

    Our ED has what they call "spit nets" available. They look similar to the mesh hoods that a beekeeper would wear sorta.
    nickos likes this.
  6. 3
    I don't know that BiPAP would be contraindicated for restrained patients -- don't understand that statement. BiPAP would be contraindicated for someone without respiratory compromise, however....it's non-invasive ventilation. Why would a spitter need that?

    I personally like brandon's response. Why can't nurses have tazers? It would make life so much easier....
  7. 3
    I second the spit hood.
    MAISY, RN-ER, nickos, and mamamerlee like this.
  8. 2
    Spit hood, restraints, then Haldol/Ativan...sometimes security throws in some tazer action. Plus remember you can press charges when you've been spit on...is assault and in my state assaulting a licensed caregiver is a class C felony :-)
    nursein2012 and Altra like this.
  9. 2
    Spit hood. If no spit hood, towel over the face.
    MassED and canoehead like this.
  10. 1
    So sorry, ThrowED. For you ... hugs, and your favorite adult beverage.

    For the perp ... a surgical mask, 4-pt. restraints, & Vitamins H & A. And yes, a police report -- spitting is assault.
    MAISY, RN-ER likes this.
  11. 7
    Not seen it personally, but I'm told our ED uses the disposable mesh panties we have for holding peripads in place.
    MassED, canoehead, nursel56, and 4 others like this.
  12. 0
    Quote from grandmawrinkle
    I don't know that BiPAP would be contraindicated for restrained patients -- don't understand that statement. BiPAP would be contraindicated for someone without respiratory compromise, however....it's non-invasive ventilation. Why would a spitter need that?

    I personally like brandon's response. Why can't nurses have tazers? It would make life so much easier....
    BiPAP can result in the swallowing of air and can induce vomiting, so the person has to be able to remove the mask themselves if they vomit, which wouldn't be possible if their limbs are restrained.


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