Anyone remember a thread involving what to do, and how far you should take it, with combative PT's? As the wheel went round yesterday, the RN and I were assigned 100yo lady who had bouts of striking out at others, the RN warned me. How can a individual like this harm anyone? She need to have a change and assessment, and started striking the nurse when sheed get near her to assess. I tried to weight her hands down with mine, so we could change wet linen, and any other care.
Dis lady threw kicks at the nurse, the kind that are bad. I couldn't believe it. Then lady grabbed my scrubs
up high, like close to me neck, and tried to throttle me. To occupy her by keeping her hands busy was allowing care to go on for about 20 seconds. Then the lady grabbed on me harder and closer to my face and gripped too close to my ID, which has lappel pins on it. Trying to throttle me over the ID = 35mm cut over her topside of hand. RN was magic and had a tega-derm.
If I was the nurse, and swore to do no harm, that would include prohibiting any engagement in violent behavior, even if the PT initiates it. Want to help/do no harm to all PT's, but this, for me, is an example of how much I don't know. Never want to use restraints. This woman had amazing ability to process and use ATP. Man!
With the first punch of a patient, you should step back and leave'em alone and document. I feel considerable guilt over the person's cut. We we're trying to provide care, I wound up allowing a stupid behavior to go on. I'm sorry. :-(