Crazy, abusive patient? What do u do? - page 2

I had a very discouraging experience a few weeks ago. I'm a tech on a cardiac floor. One saturday night about 8 pm I saw a stretcher coming my way, so as usual, I went to check out the patient and... Read More

  1. by   kewlnurse
    5 security guards, 10 of haldol, 2 of ativan and a 20 ga syringe. He wouldn't refuse that.
  2. by   thisnurse
    oh i am such the expert on
    this sounds like the kind of pt i seem to get ALL of the time.
    everyone, including the docs laff cos i ALWAYS get the whackos.

    went thru a similar situation
    called the nursing supervisor....she blew me off...i told her he had a strong potential for violence...he heard me and he got even more agitated. she heard him screaming, she came to the floor.
    security was called and they sent up ONE female officer. i called them back and told them they better send more. 4 men came to the unit.
    i called the docs. resident came to the floor and tried to reason with him.
    he would NOT restrain or sedate him....issues with imprisonment...
    resident told me not to worry...he would be ok. BULLSHYT
    this guy was out of control. he didnt know what the heck he was saying or doing. there was NO WAY that doc could tell me he was going to be ok.
    finally gave him 5 of morphine....big deal...might as well have given him a drink of water. gave him 10 of xanax, then another 10. no effects at all...didnt even calm him down.
    i told the doc, in front of the supervisor, that i was NOT going to care for this patient. it was a safety risk i was NOT going to take.
    he couldnt guarentee my safety and there was no way this guy was going to kick my azz.
    after i refused to care for him, everything changed. thats when the doc decided to give him the morphine.
    and thats when the doc and the supervisor decided to have security stay with him all night.
    just dont do it. refuse the pt. call the supervisor, call the doc, call whoever you have to. stick to your guns.

    and i have NO problem telling pts like that to settle down. and i have NO problem telling them i am NOT going to tolerate their abuse. AND I DONT.

    i really hate the psych patients. they go from calm to homocidal in seconds. no way to read this and respond until its too late.