Category: Restraint & seclusion
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How to get there from here 3. Protection Pt 2.
Some suggestions for drastic changes in the law. 1. Instant, compulsory, guaranteed life in prison (*c) sentence for any murder of a community staff. I don’t include inpatient staff in this, only because sectioned patients are harder to send to prison and other disposals are available. 37/41 at minimum IMHO. *c) Oh, alright, I suppose…
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How to get there from here Pt 1a. Recruitment.
I know a hospital that has – by its management’s anti-seclusion and you-mustn’t-restrain-patients crusade – made its wards so violent and unsafe that as soon as a community post comes up, everybody working a ward job wants to escape there. (Don’t bother searching for it in the MSM, this type of news doesn’t get reported…
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Seclusion Pt 3
Ok, so now you know how impossible the workload becomes when we have to seclude. I’ll write a second post about the additional demands after we give RT. But you don’t know why. And you never will know if you rely on official explanations. This one – from an abstract – is a perfect example.…
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Seclusion Pt 2
I’ll list one or two more unnecessary and time-wasting demands before I move on. 1. ‘Risk must be reviewed hourly’ – not too onerous, you might think, except – ‘it must be documented.’ And they want your name on it. More time wasting for anyone who’s not that hot with words. This policy’s ‘owner’ (that’s…
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Seclusion Pt 1
Intro – I’m starting a series on these related subjects – restraint, seclusion and least restrictive policies. It’s a sprawling subject so I will probably change the titles and headings over time to organise them better. But for now, here goes. When a normal person (perhaps a mother whose ill but peaceful son or daughter…
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Themes you’ll see recurring in posts about ‘least restrictive’, seclusion & restraint. Pt 1.
1. Crap job. How many people will chose a job where their safety at work is ranked lower, much lower than a patient who chooses to assault, injure, bite, use weapons and so on? Some patients are psychotic, but others are ASPD, BPD, violent criminals, toddlers in an adult’s body, psychopaths, but all are given…
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It isn’t just violence pt II.
More on my point that it isn’t just patient violence – per se – that ruins the job. There are heaps of ‘things’ (*a) that some patients do that are dangerous, but short of violence. Things that we nurses have to stop them from doing, usually coercively. Well, I suppose I must concede we used…
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How it used to be Pt 1. Giving an injection to a refusing patient.
Once upon a time, it was quite common for larger male staff to get a phone call early in the shift. As I remember, it was commoner on afternoons. Responsible, experienced shift leaders were already thinking about what kind of shift they’d be handing on to the night staff. It would go along these lines.…