I'm hoping someone can help me with this.
We have a frequent flyer who comes to our hospital and as well as other neighborhood hospitals for treatment of wounds and infections. He is paralyzed waist down from a gunshot wound. He is verbally, physically abusive and several doctors at my hospital refuse to accept him as patient because of his thug behavior and they have figured out that all he wants is dilaudid. They know this because every they switch him to PO pain meds, he signs out AMA immediately. This happens EVERY TIME.
Last time he was on my floor was around Labor Day, I had to care for him. I was told never to be in a room alone with him because he cannot be trusted. So I was in the room with him and another nurse changing his dressing which upset him because I insisted the other nurse be present. When she had to leave, we had a CNA come in while I finished wound care and drew blood. Unfortunately, the CNA ran out of the room exclaiming "I have to get this to the lab!" And she left me alone with him while I was picking something up off the floor near his bed. Seconds later he reached over, grabbed my behind and began feeling me up. I reported it to the supervisor who said protocol was to file a workplace violence report. During the rest of his stay he behavior was so bad with other nurses and even patients a security guard was placed outside his room 24/7. And needless to say when they took him off his dilaudid, he signed out AMA. I was told the hospital was going to file charges against him for sexual assault against me and physically/verbally abusing other nurses (he throw an IV pole at my friend).
Well now he is back and on my floor. Do I have a right to refuse this patient? I'm also assuming the hospital never filed any charges. I am also wondering why this hospital keeps admitting him for minor things like, this time, fever.