So I had a disagreement with my director recently. She was doing her rounding when she came into my pts room. He was in soft wrist restraints for being confused and super violent. The first time I saw him he nicely asked me to come over in a whisper. I came close to the head of the bed and he folded himself in half with remarkable speed and tried to kick me in the face. Among a lot of other things, he was just violent.
He had been in restraints for 2 days, I saw during my assessment that he was using a lot of accessory muscles in breathing. The acessory muscle usage had also been documented for about a week, but lungs were CTA and great sats. Also, multiple MDs had rounded on him.
Director saw the accessory muscle use and told me that we're not having a pt die in restraints. I told her I wouldn't go near him without restraints on.
I go go back in there and he was untied and slipping out of bed. There was no way I was going to help him into bed alone. So I got 2 other people and by the time we came back he was on the floor.
I was really upset about it because I told her all the things he had done, but she insisted that dying in restraints is a huge deal, and maybe a sitter would be a better alternative. I didnt get in any trouble or anything for the fall, I just think the whole thing was a bunch of nonsense that I really didn't need.