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Wrongway Weekly Reader March 1- 4, 2019

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by Davey Do Davey Do (Guide) Guide Expert

Davey Do has 35 years experience and works as a Behavioral Health RN.

1,839 Likes; 13 Followers; 71,739 Visitors; 5,772 Posts

I share my art with you in the chance that you might find it enjoyable or thought-provoking or something. However, doing art is an endeavor of self, in that for  the process is enjoyable and therapeutic. 

I've been trying to get my head wrapped around the behavior of a staff member at WRMC.:

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Sunday night, I was assigned to work the adult women's psych unit. I don't think it was my turn to be pulled, but as I told Mandy the house sup, "The next time it's my turn to be pulled, I want a Get Out of Jail Free card!"

After getting shift report at about 1920, I introduced myself to the patients in the day room, and met them each personally. Then, in the company of the LPN, I went looking for the infamous patient, Marie A, who had been responsible for at least six staff injuries.  Marie A truly was, the Psych Patient From Hell. I could go on and on and on, but please accept my label.

At 1925, the LPN and I found Marie A on the floor, laying face down, between the beds, unresponsive.  We couldn't see her breathing, she did not respond to our shake n shout, so we log rolled her to a supine position, as she was wearing a neck brace. The LPN did sternal rubs while I checked for a radial pulse to no avail. I told the LPN to go call a Code Blue and I tilted the patient's head back as best I could and got an sound like a snoring suck of air. Spontaneous respirations were present, I found a pulse, so I yelled, "Make that a Rapid Response!" and I checked her pupils and lightly patted her cheek.

Marie A was groggy and slow to respond when the RR team arrived, we assessed her, backboard, gurney, yadda yadda yadd, and she left the unit at 1945 for one of her many trips to ER.

At about 2200, I was in the process of admitting and getting med orders for a suicidal patient sent from ER suicidal positive for heroin, amphetamines, and cocaine who was yelling profanities and acting out when she knocked over a WOW. The tech and I assisted her into the locked seclusion room.

About that time, Marie A returned from ER via wheelchair. I advised that she return to her room when Clark, a recreational therapist, started some ramma lamma ding dong with her. I got between Marie A and Clark and proclaimed, for safety's sake, she needed to return to her room.

In assisting Marie A to her bed, she became threatening and combative. A code Green was called and, with the assistance of Clark, techs, and security guards, Marie was therapeutically held. I recited, in a voice to be heard by everyone from rote memory, my spiel about the reason for the therapeutic hold, the legal process, and the criteria for the restraint to cease. I also said that I was going to contact the doctor for a chemical restraint.

I went back to the nurses station and Mandy the house sup, God bless her, had gotten an order from the psychiatrist for Thorazine 50/Ativan 2 IM now. I set up two syringes and returned to the room to find Marie A out of a therapeutic hold. I said, looking at Clark, the staff member who certified me in CPI, and recited, "Only a licensed practitioner can discontinue the restraint process"!

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Davey Do has 35 years experience and works as a Behavioral Health RN.

1,839 Likes; 13 Followers; 71,739 Visitors; 5,772 Posts

54 minutes ago, Davey Do said:

 

Sunday night, I was assigned to work the adult women's psych unit. I don't think it was my turn to be pulled, but as I told Mandy the house sup, "The next time it's my turn to be pulled, I want a Get Out of Jail Free card!"

 

Mandy asked me what I meant by the Get Out of Jail Free card and I said I'd come up with something she could sign:

623911158_getoutofbeingpulled.png.0b00c023639055aef010f182ebe986bc.png

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Daisy4RN has 20 years experience.

460 Likes; 1 Follower; 5,583 Visitors; 752 Posts

Your card reminds me of a coupon I once received from mgmt for free cookies in the cafeteria, of course (being the coupon clipper I am) I noticed it was expired, mentioned that to the manager who assured me it would be accepted still, of course it was not, gee thanks for the expired worthless coupon!

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