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We domt use thorazine. I wish we did.

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I got y'all beat

Had a pt..that was a black kid, I knew from age 15 yo 25. He was bi polar and an asshole. I refused him entry to the ER one night. He was homeless and using the I am gonna hurt myself card. He wanted to be DC..ed earlier in the month as his check came in and wanted to smoke it up.

I tell him to fuk off , he runs to the train tracks and yells my name , then jumps in front oftrain.

I was alone in triage so no-one knew shit..no fuk given.
.

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I never went that far.  My hallucinations and weirdness was pretty much internalized.  But have pity on those who end up like this.  It may not be their fault.  Mine was due to a medical event not drug or alcohol abuse.

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Special K is my favorite.

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Hospitals are the new psych wards.

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That sucks.

We never give anyone more than one ride. If you cant dogpile and prep to cuff or restrain a guy during the 5 second ride, more training is needed. That said, shit happens.

That said, to protect myself and.my staff id gladly provide as many lightning rides as neceessary.

Some years back i got domed by a psych pt with a stainless surgical tray. Because we were on a big PC handle them with kid gloves kick. If he had turned it on edge just a little more, it may have killed me. To this day it blows my fucking mind that nurses are stupid enough to leave them at hand, they always pop them out of the stands and start throwing or swinging them.

Fuck that.

I treat every last ome of them with respect, like human beings. Until they get violent. Then we respectfully do what needs doing.

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I've seen a lot of people with ICU delirium before, I honestly feel terrible for the people who end up with it.  It's a terrible thing to see so I couldn't imagine experiencing it.

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Hahaha. First time I've heard that. Stealing this.

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My wife is an RN, per dieme for the hospital, but has a pretty set schedule of when she works.  Every Tuesday she does a 3p-3a shift and I bring her coffee on my way home from work.  Today she got pulled from her normal floor and sent to the ICU.  I've never been in the ICU so I fumbled my way through the halls until I found it, also I didn't know anyone on the floor or where my wife's station was.  I went to the central desk on the ICU and asked where she was, got a funny look and told somewhere down that way, but she's probably in a room.  I turned in that direction and saw absolutely no one except a transport team and security gathered outside a room.  Not a single nurse or aid in sight.  I'm thinking oh god I hope that's not her patient.  I strolled down that way and propped up against an empty nurses station near the transport team.  Then I hear my wife's voice coming from that room with everyone outside it, great, her night is going to be complete hell.  

Then I hear all of the following phrases, randomly repeated multiple times, just in varying states of yelling:
Fuck you
That's illegal
Don't fucking touch me
You can't do that to me
I know my rights
You all saw her do that to me
WHAT ARE YOU DOING?!?!?!
You're going to jail you fucking bitch
No, fuck you
NO NO NO NO
Get out

As this crazy bitch is coming unglued, I hear my wife laying down the law in the most professional way possible and completely keeping her cool.  My wife comes out of the room fast, I assume to keep from losing her shit, sees me and just gives me that look and smiles at me.  Mid-smile I hear "Fuck you, stay out of my room, you stay out of here skinny little cunt bitch, fuck her."

My wife instantly turns around, springs into the room and says in the sweetest tone, "I'm sorry, did you need something?"   This was met with a thunderous wave of "FUUUUCK YOU", my wife storming out, and three other nurses coming out of the room nearly in tears laughing.

I've heard stories from her of these patients so many times, but catching it in real life for the first time was hilarious.

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Or the nosey woman in the waiting room who's trying to get your family member's life story and exactly what's wrong.

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Haldol just pisses them off worse by that point.  Thorazine, on the other hand....

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I remember a few years back, an associate of mine indicated some preference for geodon for that kind of issue.

This was after a particularly well told anecdote regarding a 400 pound psychotic woman standing naked on a desk and hosing off anyone that got close with breast milk.

Y'all don't get paid enough to deal with that shit.  

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We had one that kept trying to climb out his 3rd floor window, who kept escalating despite several doses of Haldol 10 mg IM.  200 mg IM Thorazine took the starch out of him.

Geodon works good too, if you have the time to let it work.  When the chairs and table legs start flying, you need something with a faster onset.

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Read that phrase with with all the attitude and satisfaction of the poster. Brings back memories.
Rule #1: never, never, never, ever, ever trust a nut. No matter how nice they seem to be. They can go from calm to an F5 tornado in the blink of an eye.
If things look like they are going iffy, take off your glasses or anything else that you don't want broken. Nothing like the satisfaction and relief of being on the floor,
rooms a mess, out of breath and hearing the second handcuff click closed. 

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Had a ding dong take a swing at me when the card dcd his diluadid (cath negative), he was allergic to morphine of course.

Said it once and I'll say it again, I honestly don't know how you career people do it.  I didn't last a decade.

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I sometimes empty my pockets and waistband of anything that could be grabbed and weaponized (pens, stethoscope, pocket knife, etc.) and remove my wristwatch before entering some rooms, much like going into the MRI.

The last ketamine dart I did went really well, all things considered. To avoid the usual tornadic chaos, I assembled a hasty team and made an entry plan. We stacked 5 of us outside the door and flowed into the room with surprise. One person went to each limb and held it, I threw my torso over both upper legs and gave the individual a buttock full of ketamine.

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What do you do for a living now?

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Hospitals Jails are the new psych wards.

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That's good to know.

I'm not sure I've ever seen a stainless tray just laying in a room though.

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I wonder if it has to do with the shuttering of many "institutions" starting back in the Clinton days.

Every service industry person in the medical field tells me that it's getting worse and worse for them dealing with people who should be under some sort of care. I see it in my field. I do a few apartment buildings for low income and elderly. They have case workers stop in once every two weeks or so and let them self medicate. By the looks of it, it's not going well. I see some crazy shit. The property managers basically manage their checkbooks for them as the SS checks roll in. The wander around like zombies and just barely exist. Some do drive and they all carpool to Walmart for their shit.

My wife....an Optician for decades now, says people come in screaming and demanding shit, not wanting to pay anything because they are "entitled to it". I never heard of them having to call the police before, but in the past three years, it's a monthly occurrence. She's done in 6 more working days for good. Says the people, in general of society have changed.

So yes, I believe these horror stories.

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Dude, that's every fucking day in an inpatient facility.  Seriously.  EVERY DAY.

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The nurses in our hospital are lazy and stupid. Most hate security and don't want them around, but will be screaming from the rooftops if they don't show up RFN if things go sideways. The nurses are just as mind fucked as the window lickers they watch.

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Hospitals are the new psych wards.

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Another day in the life....

The shit nurses put up with day to day is beyond me.I don't know how they cope

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Acute haldol deficiency

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I'm always nice to nurses because they have a tough job, and they always return the favor.  ICU nurses tend to be the most grizzled.  Absolutely nothing fazes them.