Well, this Dog & Pony Show was anything but boring, primarily due to a disagreement between me and the CPI instructor, Clark. The next three paragraphs are excerpts from my own personal documentation:
As we were discussing page 15 which states, "the RN is responsible for patient care" and "RNs have the authority to initiate and stop the restraint" Clark said, "Anybody can initiate or stop a restraint".
I spoke up and said, "I disagree". I stated that only an RN can terminate a restraint, that there is a process, and the RN makes the final decision, for which I received argument. Clark brought up theoretical cases, stating "What if...what if...?" and "some nurses will leave a patient in restraints even after they've calmed down". I replied that I was "not speaking of opinions, perspectives, generalities or other nurses". I stated, "When I'm the RN on the unit, and I am in charge, no patient will be released from restraints until I deem so".
...For years at past CPI trainings, a question has always been asked, "Who can initiate a restraint?" with the answer being "Anybody." The question that has always followed was "But who terminates the restraint?" The answer has always been "Only the RN."
There's a lot more to this documentation, but I wanted to give you the gist of it. During the discourse with Clark, I also made a request. These next two paragraphs are excerpts from more documentation:
I had to request that the CPI instructor Clark refrain from "flagrant profanity". Clark used obscene words like "p****d, a**, b*******', f***" a total of about 18 times before I finally voiced my request.
Clark's argument was that he was merely repeating what a patient had said. This was untrue, in that his presentation was sprinkled with profanities, as I kept track on the pages of handouts. Also, Clark was not entering verbatim words used by a patient on legal documentation, he was merely repeating profanities as an example of patient behaviors. Clark could have been more appropriate by using euphemisms, or the first letter of the profanity. We all know what "F this! F that! F! F!" means without having to hear the actual obscenity.
I'm considering using the documentation as communication to administration. I may just keep it for my own records. Any input from allnurses members will be appreciated.
To end on a positive note, my supervisor, RoofElmo, during the inservice gave me recognition for my recent interventions and subsequent documentation. RoofElmo was referring to an adult male psych patient who medically decompensated last Friday. She also mentioned that the CNO praised me.
I told my medical nurse wife Belinda that the situation would be one with which she routinely deals. But when a psych nurse medically makes a good call, they're a Rock Star Nurse!
Or, in this case, a burned out 70's DJ Nurse!