Quote from SubSippi
Ok. So if someone is being combative,
annoying? urg okay. needy? hey aren't we all? combative, though? not cool, wont be tolerated.
firstly, since you seem concerned, let me say that the majority of my days do not include having to set these boundaries, etc. i dont look for conflict. it also helps to laugh about it with your coworkers/complain to your husband at night lol
butttt that said, COMBATIVE is different. someone who is having dementia and "attempting" to kick me i wont call a "code grey" (aka secuirty) to the room. i will call another person into the room and usually the confused will be temp. distracted by the new face, new voice, new smiles and stop.
if not, i stay with another staff member in the room while i call the dr for a stat 1x dose or stat/prn IM/IV antipsychotic/sedative, etc. and have them stay in a Geri-chair at the nurses station.
if a family member (aka not the patient and someone i have no actual patient responsibility to) starts doing this, my charge, my fellow nurses and the security team will be called. its a cold day in Texas when i tolerate that nonsense.
if you reallllllllly want to be informed, look into your policy handbook. some facilities, believe it or not, do not allow their staff to press criminal charges on a patient or visitor.
mine thankfully does, and God forbid that i am ever physically threatened or serious verbal abuse, i will call 911 right after i call security. our security guys are off duty cops. we also take a class in "defensive maneuvers" and non violent crisis intervention
you will find a lot of cops, fire and ems workers have a kinship towards nurses.
nurses, you are professionals and at your place of employment. no different than when my husband wears his suit to the office. if his client did that, they would be "escorted" out in a heartbeat and no one would feel guilty.