There was one RN in the room with the CRNA, and I & two others came in to help (I am an RN, another RN, and one scrub tech), when we noticed the patient waking up disoriented. The safety belt was on and the patient was trying to sit up, following a Septoplasty. The patient was coughing and blood was splattering everywhere, with each cough. I grabbed a towel and held it up to the patients mouth & nose with my right hand, left hand grabbed the patient behind the neck. An RN opposite side of the bed was assisting me in trying to calm the patient. The CRNA was at the head of the bed with a grin, and doing nothing. The patient became more combative and stated "let go of me, someone's gonna get hurt". The RN opposite me let go & backed away, I kept talking to the patient trying to orient him and shouted to the CRNA to give him something. The CRNA responded "don't tell me what to do, you're not my boss" and then proceeded to threaten me that he was going to hit me. I said "go ahead". I'm still holding the patient trying to keep him on the bed. The CRNA still focussed on me continues to threaten me and state that he's settle this later (implying something like we'll take care of this in the parking lot after work like he's gonna kick my *** or something). I said "anytime". Evidently there was a personality conflict that the CRNA was harboring and this event cause him to vent with personal threats. Afterwards after conferencing with the Anesthesiologist, Director and the others in the room I am painted the picture as the "bad guy". (All of the staff in the room were female exept for the CRNA, and I)
My question is concerning myself if after I touched the patient, if I were to let go, and the patient were to fall off the bed or sustain an injury in any way, is that considered to be neglect upon my part?
I am also concerned about the role of the CRNA in this scenerio. I am aware of ethics and the responsibility of the CRNA to assess the patient regarding status of airway, history,...etc, but during an episode like this shouldn't the CRNA have had some resposibility in assisting so that the patient doesn't follow through his disorientation and start swinging and hitting nurses, by maybe sedating the patient. Just curious.