ER- violent patients

Where I work they usually have a show of force, security guards and great big techs, so with all that, the patients nearly all back down. We have had to call the police now and again and have the patient escorted out But for the most part, our doctors refuse to treat a patient and send them out. Now if the patient is confused that is a different event. Restraints and chemical intervention is needed and they get treated.

Leathers!!!!! That'll de-escalate them.

Many psych units have formal non-violent crisis interventions programs (and many extend to the ED setting as they care for this population). It has been many moons ago that I first did course work and it focused on diffusing the situation without violence - safety for all when restrain is necessary (enough folks-all on the same page, etc) - safety for YOU when dealing with volatile patients. I don't remember specific names of the courses, but I would think that any emergency psych unit should have some resources. You may also look at the Joint Commission, National Psych organizations and law enforcement agencies as good places to start.

Good luck. Stay safe.

I was sent from my hospital to a workshop by a company called Crisis Prevention Institute (CPI) which trains individuals to go back and train their staff on nonviolently deescalating situations (there were ER nurses at the workshop). I know the site is http://www.crisisprevention.com and they have workshops in this country and abroad.

hope this helps....