I would like to hear about how various ED's handle violent patients (psychotic - not a patient you can reason with) in the ED? A patient who became so out of control that one of their family members was injured (by the patient) and a nurse was injured trying to get the family member away from the patient. A patient who was so out of control that after being tazed by the police 3 times they took the police's tazer away and finally went down after being wrestled to the ground by 8 or 9 people. It is such an unsafe situation for the patient, other patients, staff and the police!! I have never been so afraid at work until I saw this because I was afraid the patient was going to get a gun away from one of the officers.
So, how do other ED's handle this kind of situation? The patient will be with us for a while because the aggressive behavior makes it difficult to find placement.
One facility I was at as an agency CNA... call an agency "sitter". Then, totally forget about patient. If patient gets agitated and CNA is unable to "redirect", call agency and ask for another CNA. Do Not Return (DNR) that other lame, incompetent one. Later, when you have been through all CNAs on the call roster , update your standards to only CNAs who have been trained in CPI, of course only out of thier own pocket or have previously worked psych and had someone else pay for it
Last edit by ctmed on Jul 30, '12