i dealt with a situation today where i was posted on constant observation to a "combative and aggressive" patient (i'm working as a health care aide during the summer). basically, without going into too much detail, it was my worst shift ever. the patient was restrained using a magnetic belt, but the problem was that the patient hit, bit, kicked, scratched, pulled hair, etc. so needless to say, i left the shift with a rather large scratch along my arm (no blood was drawn, but the patient's nails were long and sharp...and it still hurt like hell.) as well as having been hit at (i managed to duck when she struck out) and verbally abused.
so my question is: how do ppl deal with patient's like this? and how do you deal with their family (part of the problem is that the family refuses to consent to wrist restraints and bc our hospital has a least-restraint policy, there's nothing we can do about it).
any advice would be helpful so i know how to deal with ti in the future.
ps- the nurse assigned to this pt. was careful to chart EVERYTHING.