management of an aggressive situation

management of an aggressive situation

Working in a BH unit as a psych nurse I can said that in my job environment the most difficult situation involving a patient is management of an aggressive situation. A patient had become highly aggressive both verbally and physically. At this time, my team and I performed the techniques of de-escalation as per protocol. When this was not successful, I, as the lead nurse had to make the difficult decision to call the psychiatrist and receive an order for physical and chemical restraint for the safety of all, the patient, milieu and staff. The psychiatrist led the order and the patient was placed on a four-point restraint in addition to receiving medication to assist in calming the patient. The goal should be always, controlling the situation with the minimal physical and psychological damage for patients and staff members. Always keeping a professional, calmed, team working and positive attitude.

Tell me about yourself?

I am naturally from Cuba. I am privileged enough to be a mother whilst attaining a professional education and career. In 1997, I had the honor of graduating from General Medicine in Cuba, which would be the equivalence of Family Medicine in the United States. I then came to the U.S. and obtained my Registered Nurse certification by 2007. At this time, I began working in a home health setting. This basically involved, but was not limited to: wound care, diabetic management, colostomy management and performing intravenous antibiotics. In 2011, I then began a career at an inpatient psychiatric hospital setting. In 2017 I began my FNP course which I about to finish in this university. Working in the BH environment is what has motivated me to attain a future Post Master in Psychiatry.

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