Finally, a realistic scenario. It's not always black and white. You want to interrupt them by getting in front of them (the door) so you can explain how you can help them. They could walk in the hall and still have tantrum and hurt themselves but now they're in the hall and scaring other patients. You need to try and explain 1st then listen then call security. But you do need to explain 1st because safety has to trump their mood. They need to understand that 1st. But listening is hardest because you usually don't want to or have time to listen to them. But it does help.
You serious? You can't hold a patient like this who is expressing a desire to leave. The ONLY time you can do that is they're a danger to themselves or others. They don't know if she is, because they've done zero physical examination to objectively determine such. If a patient says, I want to leave and have a cigarette, you may not like it, but you have to let them go. Who are you to stop the free movement of a person who's done nothing wrong and simply wants to step out for a minute? Do this, and I promise you will lose your license if done to the wrong patient who knows the law. You need to go learn the actual legal grounds for holding a person. Wanting a smoke, ain't it.
That's illegal. You can't hold a patient for ANY reason other than them being a danger to themselves or others. Wanting a smoke, isn't such. This is called a lawsuit and lawyers wet dream. Please, any medical students watching this, if you value your license, don't do this.
Man, this is hard for me to watch. Being in the ER for medical reasons is not fun. The last time I was in the ER was for some knee pain, and after a brief visit with a doctor in the ER (who prescribed me painkillers), I got discharged. But I've been in the ER for more than an hour for medical reasons - one time in 2019, my doctor suspected I had appendicitis and recommended I go to the hospital for a CT scan to see if I had it - thank GOD I didn't have it. To have to undergo surgery and spend the remainder of my summer recuperating would've been awful. However, my father needed his gallbladder out towards the end of the summer.
This incident when she hit her head on trashed 🗑can she hitting herself with her head to get rid of the problem of being a little bit more than a few minutes ago.
Because that is considered restraint which is not allowed unless directed by a doctor and also would A not help defuse the situation, and B potentially cause further injury. The best thing to do is try to de escalate and get security if things get worse. They have specially trained teams that are trained to properly and safely restrain residents in order to sedate them but those are supposed to be a last resort in most scenarios. Again restraints are always a last resort and have huge legal and ethical implications so we try not to use them to avoid both the potential legal/ethical retaliation as well as to prevent any further injury of the patient.
Fucked up the way we treat other clearly distressed people. I dont know why the medical industry is so hellbent on tying you to a bed like an animal. You’d think doctors would UNDERSTAND THE CONCEPT of FIGHT OR FLIGHT mode. But instead they actively make it worse, crowding is sure to make someone feel better when they’re agitated. Blocking exits is also awful If you did this to any animal it’d defend itself with its life. Why do you expect an agitated patient to just be okay with it when their brain is freaking out. We’re patients. Not prisoners! One of the worst parts of the medical industry (yes industry, I’m in the USA) It’s so common in everyone who doesn’t experience it. Empathy just goes out the window! And I know damn well nurses called me a Karen and a brat when I had multiple autistic meltdowns (diagnosed). Screaming crying thrashing. If you have any psychiatric condition (temporary or otherwise) the only help you get is torture and destruction of your rights!
if an agitated patient wants to get out it can be dangerous not only for the patient but also the staffs and other patients. i had one agitated patient come out of their room and they were just screaming and yelling. there were less staffs since it was during night. one of the other patient tried to calm the agitated patient down which ended up in an altercation and throwing punch at each other. and to the nurses that was trying to stop the two from punching each other. theres other things to think about besides letting the patient do whatever the hell they want. and keeping them in their room and trying to de-escalate the situation is the best and calling security.
you clearly don't understand our job and what we have to do to keep patients and ourselves safe. we could all be sued and loose our jobs if we let angry patients do whatever they demand. since again you clearly have no idea what its like to be responsible for patients shut up. we are physically and pyschologically abused on the daily
Lady. If you wanna go smoke, you're not in.that much pain . When. My gut. Pain kicks in Im.stuck. in.bed grimacing. And if bad enough.. i faint. EDS sucks.
Not true. I laid in a ditch with a broken back, pelvis, and sternum after a horse accident and calmly smoked a cigarette while waiting for rescue. I can tell you I was in pain. But my anxiety levels were so high by that point that one of the first responders gave me the cigarette to calm me down.
@@Unknown4935 I would assume that part had already occurred. She even said that the man in scrubs would not let her get her cigarette. They explained that she could have a cigarette if she would set on the bed and let them make sure she was safe and not a danger to herself or others. She was hitting her own head on a trashcan and striking out at the man in scrubs, so clearly she WAS a danger to herself and others.
Completely disagree with the 2 hospital workers from the onset. Their body language and conflictive stance are very agitating. This is all simulated and comes across from how the employer is demanding these 2 act to keep their jobs, while thus instructing others in this aggressive posturing that in reality only makes a situation worse.
Cigarettes are highly addictive. Security should not have been called as it would have only aggravated the situation. The best approach Wheelchair the lady or roll the bed outside for the lady to have a cigarette under both male supervision. The exam is here. Clearly in a situation like this empathy, " I realize you craving a cigarette and I'm sorry your having a bad time being in the hospital " Can we give you some pain meds before we take you down for a cigarette"Okay this is a scene but all this can be resolved and de-escalated without judgment and to understand hospital isn't home. Bringing security in defeats the purpose of resolving conflict and treating the patient as a person. Her Acting was brilliant. I almost believed it :)
I love these people who think that with chronic under-staffing and all the extra BS we already have to do that nurses can just pull half an hour out of their ass to deal with one out of control patient. No, as soon as your refusal to cooperate cuts into the care of my other pts you're getting handled. If you need a cigarette so bad you can't behave for half an hour in the ER you don't hurt bad enough to be in the ER.
@@leohale3464you are being shown an ideal scenario. Nobody's telling you this is the reality. Also, we shouldn't assume a patient in this state * just *wants a cigarette... there could be many things behind that. Mental ilness should be dealt with with empathy. The first step for that would be to train the staff to handle situations like this, and that would require the staff understanding what the hell is going on, you know, beneath the agitation. And there is time to do that, if you train for it, most of the time.
@gabby20 I agree with you, to be honest, but the counter argument would probably be that other (trained) staff should be present, both as witnesses and to protect other members of the team. Hospital security, i believe, are in charge of that, too. Should they be? I don't know, I wouldn't think so.
@@alexwarrington7558 that’s called kidnapping bud! And I have worked in a hospital before. UNLESS this patient is on a psychiatric 5150 hold there’s nothing you can do to stop them and all you have to do is give them the AMA form. And don’t tell me you can go hands on a regular patient who wants bozo.
This is also the EXACT state a extremely aggressive and combative person with dementia acts to a T no way to talk to them only way to get them under control is to strap them down before they try to hurt themselves or others.
![Roddy Ricch - Survivors Remorse [Official Music Video]](http://i.ytimg.com/vi/J5IeFzr2GgE/mqdefault.jpg)
the OSCAR should be given to this lady
Pffft….she does this everyday
man I love her acting- spot on and very realistic!!
Finally, a realistic scenario. It's not always black and white. You want to interrupt them by getting in front of them (the door) so you can explain how you can help them. They could walk in the hall and still have tantrum and hurt themselves but now they're in the hall and scaring other patients. You need to try and explain 1st then listen then call security. But you do need to explain 1st because safety has to trump their mood. They need to understand that 1st. But listening is hardest because you usually don't want to or have time to listen to them. But it does help.
This woman should’ve been an actress
I'm a nursing instructor always looking for teaching videos - this one is great, thank you!
You serious? You can't hold a patient like this who is expressing a desire to leave. The ONLY time you can do that is they're a danger to themselves or others. They don't know if she is, because they've done zero physical examination to objectively determine such. If a patient says, I want to leave and have a cigarette, you may not like it, but you have to let them go. Who are you to stop the free movement of a person who's done nothing wrong and simply wants to step out for a minute? Do this, and I promise you will lose your license if done to the wrong patient who knows the law. You need to go learn the actual legal grounds for holding a person. Wanting a smoke, ain't it.
That's illegal. You can't hold a patient for ANY reason other than them being a danger to themselves or others. Wanting a smoke, isn't such. This is called a lawsuit and lawyers wet dream. Please, any medical students watching this, if you value your license, don't do this.
Awesome actress!
Christmas 🎄 ♥️ lights 😊
Man, this is hard for me to watch. Being in the ER for medical reasons is not fun. The last time I was in the ER was for some knee pain, and after a brief visit with a doctor in the ER (who prescribed me painkillers), I got discharged. But I've been in the ER for more than an hour for medical reasons - one time in 2019, my doctor suspected I had appendicitis and recommended I go to the hospital for a CT scan to see if I had it - thank GOD I didn't have it. To have to undergo surgery and spend the remainder of my summer recuperating would've been awful. However, my father needed his gallbladder out towards the end of the summer.
This incident when she hit her head on trashed 🗑can she hitting herself with her head to get rid of the problem of being a little bit more than a few minutes ago.
Id love to give a run for being a combative patient simulation but go in a way where its extreme violance situation training.
Hello, looking for copyright permissions to use this video for nursing education, please advise by DM.
Sometimes I feel like that too
What's her imdb
This is so funny 😂
My goodness
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I just couldn't understand why they didn't let her smoke outside hospital instead of calling security? Isn't it easier.
How come you aren’t supposed to grab the ankles?
Because that is considered restraint which is not allowed unless directed by a doctor and also would A not help defuse the situation, and B potentially cause further injury. The best thing to do is try to de escalate and get security if things get worse. They have specially trained teams that are trained to properly and safely restrain residents in order to sedate them but those are supposed to be a last resort in most scenarios. Again restraints are always a last resort and have huge legal and ethical implications so we try not to use them to avoid both the potential legal/ethical retaliation as well as to prevent any further injury of the patient.
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I have school tomorrow morning and eat my breakfast and then I have to go outside for my bus stop by picking me up soon as tomorrow morning
Fucked up the way we treat other clearly distressed people. I dont know why the medical industry is so hellbent on tying you to a bed like an animal. You’d think doctors would UNDERSTAND THE CONCEPT of FIGHT OR FLIGHT mode. But instead they actively make it worse, crowding is sure to make someone feel better when they’re agitated. Blocking exits is also awful
If you did this to any animal it’d defend itself with its life. Why do you expect an agitated patient to just be okay with it when their brain is freaking out. We’re patients. Not prisoners!
One of the worst parts of the medical industry (yes industry, I’m in the USA) It’s so common in everyone who doesn’t experience it. Empathy just goes out the window!
And I know damn well nurses called me a Karen and a brat when I had multiple autistic meltdowns (diagnosed). Screaming crying thrashing. If you have any psychiatric condition (temporary or otherwise) the only help you get is torture and destruction of your rights!
ok then what do you suggest lol
if an agitated patient wants to get out it can be dangerous not only for the patient but also the staffs and other patients. i had one agitated patient come out of their room and they were just screaming and yelling. there were less staffs since it was during night. one of the other patient tried to calm the agitated patient down which ended up in an altercation and throwing punch at each other. and to the nurses that was trying to stop the two from punching each other.
theres other things to think about besides letting the patient do whatever the hell they want. and keeping them in their room and trying to de-escalate the situation is the best and calling security.
you clearly don't understand our job and what we have to do to keep patients and ourselves safe. we could all be sued and loose our jobs if we let angry patients do whatever they demand.
since again you clearly have no idea what its like to be responsible for patients shut up.
we are physically and pyschologically abused on the daily
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What are you going to do about it
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Lady. If you wanna go smoke, you're not in.that much pain
. When. My gut. Pain kicks in Im.stuck. in.bed grimacing. And if bad enough.. i faint. EDS sucks.
Not true. I laid in a ditch with a broken back, pelvis, and sternum after a horse accident and calmly smoked a cigarette while waiting for rescue. I can tell you I was in pain. But my anxiety levels were so high by that point that one of the first responders gave me the cigarette to calm me down.
Some agitated patients acts like Karen's
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VG
😂😂😂😂 nursing is something else
Why can't she go outside & smoke?
That's considered ama and if she has an IV then it's against all hospital rules.
@@user-cg2jb5ke4c yea they might hav explained why to her.
@@Unknown4935 I would assume that part had already occurred. She even said that the man in scrubs would not let her get her cigarette. They explained that she could have a cigarette if she would set on the bed and let them make sure she was safe and not a danger to herself or others. She was hitting her own head on a trashcan and striking out at the man in scrubs, so clearly she WAS a danger to herself and others.
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Completely disagree with the 2 hospital workers from the onset. Their body language and conflictive stance are very agitating. This is all simulated and comes across from how the employer is demanding these 2 act to keep their jobs, while thus instructing others in this aggressive posturing that in reality only makes a situation worse.
10mg Haldol IM
Cigarettes are highly addictive. Security should not have been called as it would have only aggravated the situation. The best approach Wheelchair the lady or roll the bed outside for the lady to have a cigarette under both male supervision. The exam is here. Clearly in a situation like this empathy, " I realize you craving a cigarette and I'm sorry your having a bad time being in the hospital " Can we give you some pain meds before we take you down for a cigarette"Okay this is a scene but all this can be resolved and de-escalated without judgment and to understand hospital isn't home. Bringing security in defeats the purpose of resolving conflict and treating the patient as a person. Her Acting was brilliant. I almost believed it :)
I love these people who think that with chronic under-staffing and all the extra BS we already have to do that nurses can just pull half an hour out of their ass to deal with one out of control patient. No, as soon as your refusal to cooperate cuts into the care of my other pts you're getting handled. If you need a cigarette so bad you can't behave for half an hour in the ER you don't hurt bad enough to be in the ER.
@@leohale3464you are being shown an ideal scenario. Nobody's telling you this is the reality.
Also, we shouldn't assume a patient in this state * just *wants a cigarette... there could be many things behind that. Mental ilness should be dealt with with empathy. The first step for that would be to train the staff to handle situations like this, and that would require the staff understanding what the hell is going on, you know, beneath the agitation. And there is time to do that, if you train for it, most of the time.
@gabby20 I agree with you, to be honest, but the counter argument would probably be that other (trained) staff should be present, both as witnesses and to protect other members of the team. Hospital security, i believe, are in charge of that, too. Should they be? I don't know, I wouldn't think so.
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Forcing to keep her in the cubicle is false imprisonment.
So you’re kidnapping the patient? By LAW if the patient isn’t a 5150 psychiatric hold you can’t hold them back no matter how crazy or mad they are!
If I have a DoL and best interest I can 🤔
That's what I thought
@@demonsheart2900And that'll get your daughter d|ldoed with a switchblade. Carve a Jack O Lantern out of her pцss
That's why some people absolutely won't go to a hospital.
@@CanMoose This person is a genuine menace
Just advise her she can leave ama.
its not that easy
@@alexwarrington7558 yes it is… and you can’t keep a patient by force either
@@runeplate123 in some circumstances you can
@@runeplate123 not sure which country you live in or if you work in healthcare but in reality we prevent people from leaving care and hospital daily
@@alexwarrington7558 that’s called kidnapping bud! And I have worked in a hospital before. UNLESS this patient is on a psychiatric 5150 hold there’s nothing you can do to stop them and all you have to do is give them the AMA form. And don’t tell me you can go hands on a regular patient who wants bozo.
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This is also the EXACT state a extremely aggressive and combative person with dementia acts to a T no way to talk to them only way to get them under control is to strap them down before they try to hurt themselves or others.
Take off your damn masks. Can't hear them well; can't see facial expressions! She's terrific.
Via