Just looking for some help to find written law for a situation. I work in LTC. We have a new resident who on their first day on the hall attacked one of our nurses by strangling them and telling them they were going to kill them. They also took their stethescope and threw it into the nurses' chest. Our facility got an order for an IM med, which the resident could not be given.
Eventually, EMS was called and the resident was sent for a psych eval at hospital. The hospital sent them back just a few hours later. So, two questions--if someone attempts to strangle someone and says they are going to kill them-isn't that one of the qualifications for a mandatory 72 hour psych hold?
And 2--isn't our facility liable if they readmit this resident and they then attack someone else? It could just have easily been another resident. Am I wrong to say that I would have filed charges if someone attempted to choke me and threatened to kill me? (it wasn't me it happened to).
When I came in today and read the chart I went and told my charge nurse that if this resident did this again today that I wanted them sent back out. And that I would call the police if this happened.
Anyone know the legalities here? thx!
Jan 28, '13
by ♪♫ in my ♥
"More resources," sure...
Adequately equipped and staffed to safely handle these people? Nope. Sure, I can strap them into the bed but we have nobody to interact with them, no activities, no ability to shower them, no TV, no music, no nothing... strap 'em down and wait for placement...
Just because they pose a risk to your staff or your other patients doesn't mean that they belong in an ER.
Dumping? Yes... because we have no choice but to take them and they often have no treatable medical condition...
Unprofessional? I don't see how.
Rather than being mad at me for stating the truth, you should be mad at a system that provides no place for these people to go.
They belong in the LTC with whatever is needed to provide a safe environment... and if Haldol (which isn't generally helpful with the demented old folks) and restraints are what it takes, so be it.
They're not legit ER patients.
Last edit by ♪♫ in my ♥ on Jan 28, '13