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How do you handle that "crazy" patient?



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  #11  
Old Dec 14, 2004, 12:32 PM
Senior Member
Join Date: Dec 2004

I've had a pt call 911, I've had a severly paranoid delusional guy railing on all night about a government conspiracy and the bible code, I've had a nacsisistic anorexic gal who comes in and is obsessed with taking baths many times a day.

Last night I had a 25 yr old ETOH-er with pancratitis and other psyche problems who started getting paranoid and hallucenating on days. At 0100 I got a call from his mother (quite an enabler in our estimation) who said that he had called reporting that there were tarantulas all over the ceiling and walls of his room. I went and brought him up to the nurses station and called her back. She sounded very stressed so I invited her to come on in, which she did most gratefully. It sure was a Godsend for me!

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  #12  
Old Dec 14, 2004, 06:27 PM
Registered User
Join Date: Oct 2003
Family or patient? You decide!

Sometimes, I swear, I'm going to invent an Ativan dart gun and just aim it at the people (staff, docs, patients, families, myself) who are driving me nuts.

Sometimes all I can think with one of those screaming/drunk/ lunatic ER patients is "there but for the grace of God go I" and then I wish I had my trusty Ativan aiming device.

But wouldn't work be boring without the nuts?

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  #13  
Old Dec 14, 2004, 06:33 PM
Marie_LPN, RN's Avatar
Marie_LPN, RN (Female)
The Black Sheep
Join Date: Jun 2003

Delusions of grandeur, that's my suggestion.

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  #14  
Old Dec 16, 2004, 11:01 AM
talaxandra's Avatar
Eternal student
Join Date: May 2002

Forget the dart gun - I like the idea of aerosol Valium!

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  #15  
Old Dec 16, 2004, 11:12 AM
Angie O'Plasty, RN's Avatar
Moderator
Join Date: Aug 2004

Sometimes, I swear, I'm going to invent an Ativan dart gun and just aim it at the people (staff, docs, patients, families, myself) who are driving me nuts.


I'm sure that when you do, nurses won't be allowed to have them. Such a shame!

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  #16  
Old Dec 16, 2004, 01:12 PM
Blackcat99's Avatar
Senior Member
Join Date: Jan 2004

One of the LTC residents recently called the state on us because he said "a nurse spilled ice water on him." Now no one is allowed to enter his room alone. He has a history of this kind of nonsense so everyone has to bring someone with them whenever they enter his room. Therefore, the nurse or caregiver will now have a "witness" as to what actually happens.

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  #17  
Old Dec 16, 2004, 01:56 PM
Registered User
Join Date: Sep 2003

5 mg of Haldol and a playphone where she can make all her 'calls' in complete peace. Literally.

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  #18  
Old Dec 17, 2004, 06:19 AM
Registered User
Join Date: Oct 2003
"I'm Melting!!!"

Originally Posted by Blackcat99
One of the LTC residents recently called the state on us because he said "a nurse spilled ice water on him." Now no one is allowed to enter his room alone. He has a history of this kind of nonsense so everyone has to bring someone with them whenever they enter his room. Therefore, the nurse or caregiver will now have a "witness" as to what actually happens.
Really? Just because of ice water? Sheesh. Seems that guy has a little bit of a power trip going, and the state authorities should know that when they see one.

Seems like a lot of labor effort being spent on this one person. Good for you for taking on these troublemakers!

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  #19  
Old Dec 25, 2004, 03:57 PM
Registered User
Join Date: Aug 2004

Sound like the majority of my patients..I would not let her out to smoke ...If she wondered off and got lost, or something happened to her you could be held liable. If she persisted I'd have her sign ama papers before going out. I'd also call the doctor and get an order for ativan. and get psyche involved. Remember also that compassion goes a long way..Perhaps some family would like to come sit with her. We also get patients that call 911 on us. Some call the hospital operator too. Document everything. Did channel 4 ever come to do a story???Merry Christmas

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  #20  
Old Dec 25, 2004, 06:30 PM
Registered User
Join Date: Sep 2003

At our facility there was a pt with suicidal tendencies who was allowed to go for a smoke and took a nose dive off the 30 ft ramp to the concrete below.

I think it could have been avoided.

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How do you handle that "crazy" patient?

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