What do the other experienced staff nurses say? Can you address this with him as a group? What about the medical director (you must have one ...)?
Yes, you can contact your state dept. of mental health (whatever it's called there), and also the state agency that regulates hospitals (or LTC facilities, if that's what we're talking about) and enforces the state and Federal rules/regs that apply (the agency that I worked for in my state). We often got calls from people who wanted an opinion on whether something was within the rules, either calling anonymously (which we didn't like but we talked to them anyway
) or just posing a hypothetical question ('What if we wanted to do such & such? What do the rules say about that? ...") The name of the regulatory agency is different in every state, of course, but it's usually a division of your state Dept. of Health & Human Services (or whatever your state calls it). There's usually an 800 number. Of course, I have no idea whether state personnel in your state are willing to discuss questions like this anonymously or hypothetically, but it can't hurt to try.
And, YES, if the forced medication is actually happening
now to this patient who is refusing meds (and anyone else), you can officially complain to the state regulatory agency and they will investigate (I don't know, of course, whether your state's agency will take anonymous complaints -- mine will, and, even when we did know who the complainant was, we did not disclose that
to the hospital when we were investigating unless we had specific permission to do so).
Also, does your facility have a patient advocate/ombudsman office or person? Who does the internal investigations of patient complaints? (I guarantee you there is
someone, because CMS regs require it.) Perhaps you could meet with that person (or the head of that office) and talk about how best to approach your NM on this topic.
I realize this is a v. sticky situation for the staff nurses, but there is strength in numbers. If the new NM is proposing a dramatic change to an established process on the unit (one that is dictated by law!), I would think it would be v. reasonable to ask questions about that. You and the other nurses have an obligation to your patients and your own licenses (!) to pursue this until you get answers. Be careful that you don't get left holding the bag personally, though ... Best wishes.