question: can you chart on a pt. being rude?Register Today!
This is a discussion on question: can you chart on a pt. being rude? in General Nursing Discussion, part of General Nursing ... Is it just part of our job as a nurse to deal with rude behavior and the name calling or can i...by aligar89 Feb 13Is it just part of our job as a nurse to deal with rude behavior and the name calling or can i document on a pt being mean, grabbing my arm tight when yelling at me, accusing me or just mocking me? These a various pt by the way all elderly men....
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- Feb 13 by TheCommuterYou can certainly chart on a patient's unbecoming behavior. However, it is recommended you do it in an objective manner that states the facts and leaves your personal opinions at the door.
"Patient grips this writer's arm and yells, 'All of you nurses are stupid witches!'" sounds more objective and factual than "Patient is mean, rude, and mocks this writer."
- Feb 13 by sarakjpI have written things like irritable, frustrated, resistant to care, combative, demanding, although I agree it's important to be as objective as possible. Quotes are great. & that patient seems like my worst nightmare. NO TOUCH!!!
- Feb 13 by jadelpnIf you are gonna write it, I agree it needs to be in a "patient with increased agitation" as opposed to subjective information--and be sure that you tell the MD, and then you are able to either get a prn for agitation, or "patient with increased agitation, MD aware, no new orders (or prn med ordered)" Then you can follow up as well about if the med worked or not.
- Feb 13 by rn/writerDocument what you see, hear and feel (not emotions but things like getting hit or scratched)--not what you think it means. Not, "Patient became rude and hostile," but, "Patient threw wash cloth, grabbed this writer's arm, and used vulgar language." This takes your judgment out of the picture and allows the facts to speak for themselves.
If you're going to be giving this patient for something for anxiety/agitation, it's much better to have an objective record of their behavior than your personal conclusion, which could make it look as if you medicated them because you were upset.Last edit by rn/writer on Feb 16
- Feb 13 by loriangel14You could write " pt became physically and verbally aggressive".
- Feb 13 by Rhi007Haha at my ED we can fine people!!! One of the nursing staff, when he first started didn't speak great English and was told by a patient 'go back to where you came from' so he fined the patient $200
- Feb 13 by BrandonLPNQuote from loriangel14To be honest, even that could be considered vague or too subjective. What you consider "verbally agressive" and what someone else does may be two different things. Idealy, you should just chart concrete facts. Chart exactly what he *said* and exactly what he *did* and let the facts speak for themselves.....You could write " pt became physically and verbally aggressive".
With that said, I've charted phrases along the lines of "resident became verbally abusive" more than once myself. In a perfect world we'd all have time to chart perfectly....
- Feb 13 by SleeepyRNWe have sections for behavior charting. This would definitely be charted and monitored.
- Feb 13 by xoemmylouoxI try to document this clearly as well. I often quote things said and if there is any physical contact I make sure to document this as well.