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Previously stable patient has a restless night. The morning comes and he becomes non-responsive, thrashing around and kicking caregivers. Orders come for ativan, then Haldol. This only slows him down a little. He 'takes out' a sitter and has to be restrained. Labs, Ct, etc show nothing. Two days later as the full moon wanes, he returns to baseline and remembered nothing. Go figure, made for two he**ious days for us.
2 proposals to finish
1 staff member to fire
2 to reprimand
3 to re-train
schedule up-dates to be met
Staff meeting with managers & nurses
Staff meeting with doctors
Staff meeting with budget personnel
plus my big Birthday is coming up soon!!!
Well sure, there's critical thinking and superstition. And then there is observation, when it seems like every month during the full moon, the dung hits the fan, without fail. I can't tell you the amount of times I have wanted to pull my hair out, patients driving us NUTS, sundowners galore. Go get a breath of fresh air (and let out a couple good shouts) and lo-and-behold, full moon in the sky...