How do you handle non compliant patients?? - page 3
I had a patient that was admitted Saturday evening about an hour before shift change. He came to the floor fromt he ER about 1800. He was admitted with abdominal pain, nausea, vomiting and supposed... Read More
Nov 10, '07Occupation: R.N. Joined: May '07; Posts: 3,228; Likes: 3,680Quote from abbakingWhy in the hell were they not sitting in a jail cell?4 Large guys cornered me in the hallway and began using very foul launguage and threats to me and my life. All because there mom (my pt) could not eat after midnight and that I was a %#&$! To make a long story short, I contacted security via Code Grey (keep in mind my life is being threatened by 4 dudes), requested a different patient, and was escorted to my car at the end of my shift. (By the way, a coworker had told me that those guys were waiting for me in the parking lot to "Take care of me".)
Nov 10, '07Joined: ; Posts: n/aQuote from Emmanuel Goldstein:yeahthat:Why in the hell were they not sitting in a jail cell?
Nov 10, '07Occupation: Clinical Nurse Specialty: 6 year(s) of experience in Operating Room Nursing ; From: AU ; Joined: Oct '07; Posts: 1,390; Likes: 2,128I worked on a surgical ward and have had to deal with non compliance for fasting orders a few times. I found that telling the blunt truth that if you eat, you risk vomiting when they stick a tube down your throat, it goes in your lungs and burns your lung tissue worked well.
In the end you just have to document everything, keep warning them but if they choose to ignore what your saying well you've done your best.
Nov 10, '07Joined: Jun '02; Posts: 14,213; Likes: 59,573Quote from tddowneyactually, it is a surprise. responsibile adults who have been educated re: the reason for an npo order can go more than 24 hours without food and drink -- especially if they have ivs.if i followed your post correctly, the pt had gone more than 24 hours without food or anything to drink. no surprise that he's going to sneak something.
ruby, npo for four days with nausea and vomiting.
Nov 10, '07Joined: Jan '07; Posts: 167; Likes: 176Quote from Alois WolfYeah, that is a pain in the butt. And I understand what you're saying. There is a point where we just have to say... okay, it's right to refuse treatment or something like that... but sometimes I wonder if some nurses (and I am in no way implying anyone on this thread is one of them) give up before even really trying.
I believe that some of us, maybe all of us, have given up to quickly one time or another. Especially if we are tired that night and don't have much patience to begin with. And I think that sometimes, it depends on the patient's attitude as well.
Nov 11, '07Occupation: Flight/ER Nurse Specialty: emergency and trauma ; Joined: Apr '07; Posts: 320; Likes: 252this is gonna sound bad...
first thing that comes to my mind is IM halidol or ativan....
then again...when one of my pts freak out... i could die...
hellicopters can be really scary w/ a pt that is freaked out
i have sux..... and i will use it!