Hope everyone is doing well. Work is going good. I will be off my orientation June 1st. I've already learned a ton. However, I was wondering how some of you would deal with a certain situation. We have a patient on our floor who's been there approx a few weeks. She came in with acute abdomen, they had an NG tube in her. They are trying to run tests but she refuses a lot of them. She's getting TPN for nutrition, and just recently we were able to take the NG out. They are thinking she has pancreatitis, gastritis. Well, she's 35, has a state guardian and is from a nursing home, has a history of schizophrenia. She has a very childlike manner about her. But, at times can just stare or not talk at all. She goes from hot to cold a lot. Well, the other day she was like in a manic phase and I was hanging a new IVPB on her and she came up to me and said "Hey, let me fix that." I thought she was talking about my hair because the previous shift had warned us she was playing with people's hair all day. Well, she outright slapped me across the face. And HARD. I was shocked, but held back of course like a good little nurse. I told her not to slap me. Then she apologized. One of the nurses said I should have filled out an incident report. I didn't because I don't think she even realized what she was doing and it's not like I got seriously hurt (maybe my feelings that's about it....") I had her again today and she was again trying to touch my face, saying it was pretty. When I told her not to slap me like she did the other day she said ---"I didn't do that!". So I know she's clueless. How would you guys have dealt with it???
