finally had a patient i could almost not tolerate. - page 4

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  1. by   mark_LD_RN
    Montroyal-- i do not tolerate it either,but under the circumstances i do not believe it is apprpriate to press charges against here either. it is not like she was completyely with it. she lost control mentally , very similar to psychosis.
  2. by   montroyal
    Originally posted by mark_LD_RN
    Montroyal-- i do not tolerate it either,but under the circumstances i do not believe it is apprpriate to press charges against here either. it is not like she was completyely with it. she lost control mentally , very similar to psychosis.

    If "she lost control mentally, very similar to psychosis" as you state, she is unable to care for that child or any other and child welfare should be contacted and all the children removed. To excuse unacceptable and criminal behavior on the basis of psychiatric problems opens another can of worms which brings in to play concerns about the safety of all the children in her care. Removal of all her children until competency can be verified would be in the best interest of the children. If she is not accountable for her actions because she acts similar to someone with psychotic episodes, how can she care for any child? While your intentions are good, you appear to be willing to excuse criminal behavior because of mental health issues but are unwilling to follow thru with the obvious consequences which follow with this excuse. On the other hand, if the mental health issues you raise cannot be clinically verified, the patient is then responsible for her actions and criminal behavior and therefore should face the consequences.

    Assault of any type (verbal or physical) is a criminal act which needs to be dealt with in the legal system. This way, both staff and patients can remain in a safe enviorment. When violent acts against staff are overlooked or forgiven without the person being held accountable, workplace safety goes out the window.
  3. by   mark_LD_RN
    Originally posted by montroyal
    If "she lost control mentally, very similar to psychosis" as you state, she is unable to care for that child or any other and child welfare should be contacted and all the children removed. To excuse unacceptable and criminal behavior on the basis of psychiatric problems opens another can of worms which brings in to play concerns about the safety of all the children in her care. Removal of all her children until competency can be verified would be in the best interest of the children. If she is not accountable for her actions because she acts similar to someone with psychotic episodes, how can she care for any child? While your intentions are good, you appear to be willing to excuse criminal behavior because of mental health issues but are unwilling to follow thru with the obvious consequences which follow with this excuse. On the other hand, if the mental health issues you raise cannot be clinically verified, the patient is then responsible for her actions and criminal behavior and therefore should face the consequences.

    Assault of any type (verbal or physical) is a criminal act which needs to be dealt with in the legal system. This way, both staff and patients can remain in a safe enviorment. When violent acts against staff are overlooked or forgiven without the person being held accountable, workplace safety goes out the window.
    don,t know what area you work in,but obviously our opinions differ. I find L&D patients that have this problem have it resolve before leaving the hospital.

    with your thinking maybe I should have pressed charges against he patient who had a reaction to demerol while in labor. this ocured a few yrs ago she was fine up until the demerol,then she freaked out started screaming kicking ended up biting me.from the look in her eyes i could tell she was not all there.

    but by your standards i should press charges,maybe even have her child taken away. I think NOT!

    I did not see her behavior as criminal, some of the people we run into in L&D have issues,some are affected by the birth process and some do it intentionally,if it was intentional I would surely press charges.

    but if i were to do as you suggest press charges for every patient hat acts out verbally and or physical to any extent. 90 percent of my patients would be in jail!

    and where did i say i never followed up with social services and psych consult. this thread was just about a behavior of a particular patient. I find your insinuation that i allowed this and or did not follow thru. well a nurse with a high falutin like yours i do no need and would not want to care for anyone in my family.god knows we all may be crazy and you would have us committed
  4. by   OzNurse69
    I was just thinking along the same lines, Mark. Montroyal, have you been through labour yourself?? I am normally a very tolerant person, but when in the hormonal rush of transition with my second son, I shoved the midwife who was trying to deliver me, & told her to "F... off, I can do this by myself". My hubby nearly had a heart attack!!

    My point is, most labouring women suffer from some form of temporary insanity, IMO!! And those who say they don't are lying....

    So as far as you are concerned, I shouldn't be considered capable of looking after my son....who, by the way is now a 9 yo straight A's student who is a polite, well adjusted little boy.....I must have done something right, huh??
  5. by   imenid37
    wow. the other night my patient was mildly annoying (somewhat, but she was not too awful), her mom and grandma were obnoxious, but the the physician on duty was an absolute JERK!!! my point is that there are those who are supposed act professionally who often fall w/ in the psychotic realm. for pt's there is that excuse of not feeling well. short of a pt. that beats me up, i will take a lot knowing that they have something there that is making them act up.

    i'd love to win the lotto and tell this CREEP (dr.) off in the nurses' station. what a horse's hind-quarters he is, but then again i don't mean to insult horses.
  6. by   SmilingBluEyes
    Originally posted by mark_LD_RN
    don,t know what area you work in,but obviously our opinions differ. I find L&D patients that have this problem have it resolve before leaving the hospital.

    with your thinking maybe I should have pressed charges against he patient who had a reaction to demerol while in labor. this ocured a few yrs ago she was fine up until the demerol,then she freaked out started screaming kicking ended up biting me.from the look in her eyes i could tell she was not all there.

    but by your standards i should press charges,maybe even have her child taken away. I think NOT!

    I did not see her behavior as criminal, some of the people we run into in L&D have issues,some are affected by the birth process and some do it intentionally,if it was intentional I would surely press charges.

    but if i were to do as you suggest press charges for every patient hat acts out verbally and or physical to any extent. 90 percent of my patients would be in jail!

    and where did i say i never followed up with social services and psych consult. this thread was just about a behavior of a particular patient. I find your insinuation that i allowed this and or did not follow thru. well a nurse with a high falutin like yours i do no need and would not want to care for anyone in my family.god knows we all may be crazy and you would have us committed
    excellent response, mark. apparently you are in control of the situation and that is what matters.

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