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Content by ashagreyjoy

  1. ashagreyjoy

    Escaped Mental Patient

    I work in a secure setting. Today I took an unexpected phone call. Today I answered the phone and noticed the caller ID was a local hospital. The caller, (Maureen, not her real name) was asking to speak with "Juan" whom she thought was in our building because he "used to be a police officer". Maureen then became very tangential with her story, telling me a long life history and exhibiting pressured speech, flight of ideas, and ending her sentences by calling me Mom. I was immediately concerned about this person. Me: Maureen, are you in the hospital right now? Maureen: Yes, Im supposed to be in the behavioral health unit. Me: Maureen can you go get your nurse and put her on the phone with me because I really want to help you. She agrees and sets the phone down. And doesnt come back for 4 whole minutes. So, I ended the call, figuring, her nurse tracked her down and she's fine. She's obviously INSIDE the hospital, right? Phone rings again, its Maureen again... Rather distressed, wasnt able to find the nurse. Me: ok dont worry, is there any staff member you see walking by I can talk to? And by the way what floor are you on? Maureen: well Im supposed to be in room 334 and there isnt anybody around but...thats probably because Im DOWN IN THE BASEMENT. Me: Maureen, Im really worried about you. Will you promise me that you will go back up to your room? Maureen: yes I know where the elevator is, I promise I will go back over to the elevator. Maureen then recited a prayer to me and said "thanks mom" So, I called hospital security and told them, hey if you are missing a patient named Maureen who is admitted to room 334, she's in the basement. They promised to go look ASAP. Maureen, take care, I hope you are safe.
  2. ashagreyjoy

    How do you handle touchy/feely coworkers?

    So this is going to sound weird....to me it depends on the co-worker! I am not a hug-giver myself by nature but. We have some nurses where I work, who have been nurses longer than I have been alive, who are the hardest working and most amazing nurses, and they have already forgotten more about nursing than I will probably ever know, they have backbones of steel and The Voice like Bene Gesserit (Dune...) and if one of them is glad to see me and hugs me, its because Im special..it makes my day. Everyone else, dont touch me. LOL.
  3. ashagreyjoy

    Stupid hurts.

    Shoot heroin, nod out, while wearing a polyester jacket vs. campfire = 3rd degree Burgler vs. drug dealers bored pit bull = hamburger leg Fugitive hopping fences vs. cops are tired of chasing you and they boost the Belgian Malinois over every fence = hamburger arm
  4. ashagreyjoy

    So I called the police on a patient

    Jail nurse here. My 2 cents. Threats of harm from a patient or attempts to harm self or others by a patient need to be dealt with as 100% serious. Staff safety is just as important as patient safety. If your hospital is going to require nurses to be security guards (by not having in-house security or psych techs available to intervene on strong and aggressive patients) I would use 2 steps: 1. hospital chain of command 2. then call the police. Obviously you are working and paying taxes, and there is some hospital CEO raking it in off the difficult, hazardous, and underpaid work you perform as a nurse. Your personal safety is on the line. The reality is, only you were assigned to that patient. I have experienced all kind of second guessing from others after an incident. It means nothing: I kept myself and the patient safe. If you really think my ADPIE was professionally incorrect, then ask management for a debriefing. We can pull my charting and the security video (this is jail) and walk through the incident and we can all learn from it. Still havent had a debriefing yet!! I will use every available resource to keep myself, my staff, and the patient safe if they cannot keep themselves safe or their aggression is escalating. There is no wrong when calling for backup. If you think you need it, you call. Chain of command (charge/nurse mgr/house sup) can either back you up, or your chain of command is broken and you need to back yourself up. These things are not black or white. Like most of nursing they are a judgement call. In acute care the reality is a lot of detox patients need a sitter, and "there isnt one available". The patient your hospital admitted to the floor. Whom the hospital will bill Medicaid/Medicare and get paid for. The hospital apparently failed to provide sufficient resources to manage that patients medically induced behavioral problem. Patient detoxing and making threats, displaying aggression? Yeah we get that in jail. And the patients learn to control their behavior really quick, even with an altered mental status, for a lot of the time, because I have a deputy with a taser standing behind me and 15 more a radio call away. The acute psych term is Show Of Force. Do altered patients get tased? No. Is the altered patient's behavior less aggressive because they see that deputy in the doorway? You bet. It registers even in an altered mind. I think this is applicable to every field of nursing: I nurse with the understanding I may experience aggression from a patient at any time. This does not obligate me to continue to experience it once a particular patient displays it. And I will be a nurse leader by demanding a culture of safety. If patient had a dangerous medical condition, I would get it treated. If they display a dangerous security condition, I will get that "treated". It is my role as a nurse to intervene to keep myself, my patient, and my staff safe. I am a nurse, not a provider. I am obliged to consult for medical AND security orders. It sounds to me like you had to make your own chain of command for security orders because your hospital leadership failed you when consulted. Good for you! Stay safe!
  5. ashagreyjoy

    Mandate Fairness

    I work in a 24 hour institutional setting, union contract, 8 hr shifts as an RN. Our union contract is such that if there is a call off on the next shift, we can be mandated to a second full shift with ~ 3 hours notice, leading to a 16 hr shift unexpectedly. Everyone gets mandated eventually. Sometimes its a little brutal, but we are all in the same boat. Almost. My problem is, my co-worker, after they were hired as permanent, has chosen to file an ADA dispensation for psychiatric reasons (they chose to disclose this, to everyone) disallowing themselves from being mandated to the next shift. Unfortunately, my schedule often mirrors this employee's schedule and often our 3rd nurse is agency/on call and cannot be mandated. So, if I am working with this particular employee, which is frequent, the mandate automatically falls on me. This particular individual is a favorite of the current direct manager, although they have numerous professional conduct problems and extensive attendance issues. Just venting. Looking for any perspective. I am struggling with feelings of resentment toward my employer about all of the above. I will be attempting to change my shift assignment but there are no opportunities right now. Thanks y'all
  6. ashagreyjoy

    Mandate Fairness

    Jedrnuse, you are not wrong. Beyond the ADA no-mandate, co-worker in question, often does not come to work in the first place. The funny thing is although they cannot be mandated, when they call off day shift gets mandated to cover them. Its great for morale!
  7. ashagreyjoy

    Safe Staffing Levels for In-hospital Nursing Units

    How does the lift team work exactly? Is your charge free-float or do they take a team?
  8. ashagreyjoy

    Breaking New Grad Contract

    Yes I broke my new grad contract. I think I just got lucky, and they were very disorganized. Check this out: I graduated from a nursing college attached to a hospital system. They waive my last semester of tuition if I worked for them for 2 years. I worked there 8 months and then quit. They have never tried to collect, and Im not going to remind them.
  9. sounds like your disruptive patient was scoring!!Librium To The Rescue!! Nighty night!!
  10. ashagreyjoy

    Mandate Fairness

    Thanks for all of your perspectives. Reading your comments made me feel a lot better about the whole situation. There are other "plus" sides to this job which make it worth it right now. And you are right: what one individual decides to do is on them, not to do with me. And thats really the best way to look at it. If I really want to fix it I should get more involved with the union. Thank you!