The guy who bleeds on purpose, I would have waited it out a little, ignore him for 45 minutes then sneak look in the room to see what he's doing (half the time they are happy watching tv then the nurse walks in and they act half dead!) , if he stops then he was doing it on purpose. But then again in SNF/LTC I have 25 residents, and I don't have time for his antics, ship him out. The guy with high fall BP, ship him out, I don't have time for that either. If the unit manager wants to take either guy over and deal with it for a couple of hours while I plug away with the other 23 residents then fine, they can stay, but "I ain't got no time for that!" When in doubt ship them out. Especially if they are full code!! And if you do keep them, DOCUMENT DOCUMENT DOCUMENT! MD AWARE, MD STATED...MD,MD,MD Good luck.