I'm fed up with the number of unnecessary takedowns at my current employer. We had another one tonight. I'm the "big guy" on my unit and refused to escalate a conflict, so staff called another nurse in to pop this patient's bubble.
I guess staff got what they wanted. They got to tackle this patient into a corner again, hold him down, and get an order for S&R from the on-call PMHNP. Whoop de doo. Congratulations on putting your fellow staff at risk for injury over nothing. This pt was running his mouth, threatening this and that, but never engaged in any threatening behavior. It certainly did not reach the level of danger to self/others.
I've posted about this in the past and turned in a supervisor for taking things way too far for no good reason. Of course staff covered for her and supported her illegal and morally wrong behavior.
Most of the reason for my disgust is because this is bush league psych-out nonsense that should have been handled without confrontation. It takes skill and balance to convince somebody that you are going to do what it takes to handle their complaints properly while knowing all the time that the patient isn't going to get what they want. No, you're not going to be released from the hospital while on a psychiatric hold. No, I'm not personally responsible for that set of circumstances. You don't want to hurt me over this, do you? Why would you? I'm not doing anything to you, the county sheriff has decided that this is what's best for you and I am obligated to carry out the wishes of the county sheriff. We can talk more about how the county sheriff intersects with other law enforcement entities later, but it's really important to recognize that the county sheriff is the highest law in the land. I cannot disregard the instructions of the county under the current circumstances, which place you under the guardianship of those people. Unfortunately for you, you have made direct threats to the safety of yourself and others, blah blah blah.
Doing the deescalation talk with the patient is extremely important. Shoving in to blow up the patient's safety net is something a two year old could do. Nothing against two year olds... I just don't feel the need to follow their examples.
I'm looking for another job right now.