documenting tantrum

[LilyRN99]

I do private duty nursing for an adolescent with cognitive impairment and a unpredictable seizure disorder. Some triggers for a seizure is over stimulation, becoming extremely upset, exertion (she isn't permitted to run, only participates in gentle physical activity at school). She often develops apnea during seizures so I have to have an emergency bag of supplies with me at all times. I decided to pull her out of gym since there was going to be twice as many students as usual and she had a seizure recently in the same situation. Of course, she was upset and demanded to participate. I blocked the gym door so she couldn't enter and she tried to trip me and push me out of the way. She ran to the other gym door and I had to try to beat her there so she couldn't get in. She refused to go to computer lab or nurses office to do art or reading. I explained how important safety is and how her mom said if she doesn't listen to me I wouldn't be allowed to be her nurse. She tried to run away from me and I grabbed her wrist to try to stop her. At this point she was so worked up emotionally and physically I feared it would trigger a seizure. I got her to sit on a couch in the hallway but she didn't want to sit there. I tried to block her so she couldn't get up and tried to talk to her to get her to calm down. I was unsuccessful. I told her mom I grabbed her wrist in case she developed a bruise. Her mom didn't have any issues with how I handled the situation. I've seen the mom wrestle her to get her coat on. My question is about how I document this situation. I don't want my documentation to imply that I restrained her or pinned her down against her will. I was alone with her and did the best I could to prevent her from exerting herself to prevent a seizure. She was physical with me (pushing, trying to step on my foot, trying to trip me, and outrun me).