So, I work on an acute psych unit. I reeeeally need to vent lol; not because the unit is too challenging or the patients are hard to deal with. It's because the techs are hard to deal with sometimes!! They seem to think IM injections are used as some kind of punishment.
NO, I am NOT telling the doctor the patient needs an IM just because YOU feel the patient deserves one.
NO, I am NOT telling the doctor the patient is highly agitated and needs an IM because YOU don't like his everyday bad attitude. If he's not threatening, assaultive, or physically hostile, then just let him have a bad attitude. That's just who he is.
NO, I am NOT telling the doctor the patient requires an emergency stat IM just because you feel "we need to lay down the law here and show that fights are not acceptable." He may have been the aggressor, and started a physical altercation with another patient, but he's utilizing the quiet room to decrease stimulation and he is in control of his behavior now. Plus he was offered a PRN.
NO, I am NOT telling the doctor the patient needs an emergency IM because you think oral PRNs are not "strong enough."
Neither do the techs chart nor give medication at my facility. It's like they don't understand that emergency stat IMs are a last resort because stat IMs are given so often on my unit when warranted.
***This is only a vent for what I go through on my unit. This is not intended to deface techs in general or insult anyone.***
Oh love the coworker! I had an LPN stand over a pt and yelled at me "I want them put in four points right now!" I was standing there along with Security wondering who exactly needed to be put into restraints...the pt sitting on the bed calm and cool as a cucumber or the freaked out nurse looking wild-eyed at me!
Needless to say it didn't go well and the nurse refuses to work with me. I actually am relieved.
I read an article recently where a psychiatrist and a rn had their licenses sanctioned because they put someone in restraints as punishment. I too, see similar things happen, like the IM's, taking away privileges, etc for nothing more than personalilty differences. Mostly, that some staff don't like some pts
I understand and second your vent!
Last edit by chevyv on Jan 24, '13
: Reason: sp error