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Nurse refusing a combative patient question.

Specialties   (127 Views | 1 Replies)

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I’m currently on a travel assignment and a staff member (new grad) refused to take a combative patient who has been refusing his meds for 3-4 days, she felt like she couldn’t deal with him.  The charge nurse told her she cannot refuse a patient. I intervened and said it is her right to refuse and she should be reassigned to someone else. I then said that the bigger issue is the patient refusing his meds for multiple days and I asked if a provider has been notified and how the patient needs a physician assessment ASAP. Charge nurse told me I am wrong, that according to the ANA, a nurse cannot refuse.  I told her that’s incorrect and she called house super  on me and the nurse refusing. House supv jusr rolled his eyes. Nobodt addressed the meds/physician thing.

 Nurses  just blow my mind sometimes. Where is the compassion, understanding and flexibility with your coworkers in this field? 

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Been there,done that has 33 years experience as a ASN, RN.

5 Followers; 6,304 Posts; 70,206 Profile Views

My understanding of the ANA stance is ... nurses have the professional right to accept or reject  a patient that puts the nurse at serious risk for harm.     Who cares what the ANA says anyway... they are not at the freaking bedside.  The nurse could still  be written up or fired. 

You were spot on.. the patient needed to be certified, medicated and restrained.

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