Quote from WinterLilac
Eck, ganging up on you and insulting your appearance is verbal abuse, intimidation and bullying and should not be tolerated. I hope those patients were reprimanded firmly for that incident.
On the psych unit I worked in, techs were always there to stop a pt from escalating. The techs were especially protective of us nurses.
As a nurse, I also protected and shielded my techs, as well. It takes a team working together in psych.
I'M working in an acute medical unit, yet I still come across some agitated pts. We don't have techs to deescalate.
I basically try to be firm and kind. Compassionate, yet distant emotionally. I.E. I do not engage.
Yesterday, a pt was acting manipulative, stating s/he wouldn't accept the meds Id already poured in a cup unless I added a strong narc with them. I was, well, pissed. I wanted to tell the pt that s/he could refuse their routine meds and if so, that's fine.
Instead, I checked myself and carried the meds back to the Pyxis and prepared the narc... Only to realize that the narc wasn't due, as the pt had recvd it 2 hrs earlier! Sigh!!!
i chose the high road and explained that the next narc could be given at xx time and wrote the time on the whiteboard.
ANd I brought the narc when it was available.
I also think you did well by offering prune juice as a compromise.
i think I also would have tried to nicely explain that unless 2-3 days have passed without a regular BM, a laxative isn't needed.