Quote from TazziRN
We have a frequent flyer that many of us think has undiagnosed Munchausen's. He came in tonight with pain and had injections ordered. He has, in the past, attempted to kiss me, so I refused to medicate him. My coworker refused because he's also exposed himself to many of our staff. We called the house supe, who called the clinic next door (owned by the hospital) and had a male MA come over and medicate him for us. We are at a total loss about this patient; like any other patient he deserves care but because of his history most of us are not comfortable doing anything to him that requires very close.
Thoughts? Opinions? Don't bash us, please. He causes a lot of stress every time he comes in.
He shouldn't get away with behavior that would be considered assault outside the hospital. My guess is that right now, he does it because he can. That is, thus far there really haven't been any negative consequences for him, and he gets a payoff from the shock and discomfort he generates. Why should he stop when his bad choices don't cost him anything?
I would have the relevant departments confer and come up with a plan for future visits. Present a united front, and tell him upon admission that any out-of-line behavior will be treated as it would be in any other public setting. Tell him very specifically that if he touches staff inappropriately, makes off-color remarks, exposes himself, or engages in any other improper behavior, you will treat him and and turn him over to the police. Then follow through on this.
You can't deny him necessary treatment, but you don't have to tolerate abuse just because you are in a hospital. The thing is you all need to stick together and follow through with pressing charges. Sqeamishness will only communicate to him that he can use his illnesses to harrass others. Not a good message.
If you have trouble sticking to your guns, think about him committing the same acts in a mall or a school or a park. Hospitals should not be safe havens for illegal behavior and you and your coworkers shouldn't have to tolerate his abuse.
BTW, has he had a psych consult? If not, he certainly needs one.