The Opposite if AMA

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OK here's one to make ya think

pt comes in 36+ weeks co ctx.....she is having ctx 8-15 min apart....talkes through them....rates as 8/10 (you all know this patient) she is 1/50/high

2 hours later she is 1/50/high...refuses to leave (because she KNOWS she is in labor)is given a shot of demerol

2 hours later she is 1/50/high not having ctx order for DC home

pt refuses to leave....demanding to be induced...explained will not induce at 36 weeks....pt crying/yelling states she is not leaving. MD is called.....MD talks to patient states she will not induce...pt states she is not leaving, monitors DCd....pt is sitting in room

so what do you do??? I am sure the ER has run into this.....how do you handel it??

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Specializes in Hospital Education Coordinator.

get house supervisor to explain that once discharged she has no right to stay in the room and security can be summoned to assist her to the door. Also, the nurses are not allowed to treat her now, since she was discharged. I would also get a chaplain or someone with a calm demeanor to get her fear assuaged. Maybe they could recommend she go to the cafeteria or chapel or some other "public" area and, if sx change she should return to admission.

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Here is a previous thread that related to a similar issue:

https://allnurses.com/forums/f35/pt-refused-leave-147529.html

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