It was my second week in Wilderness EMT-B Training & I went to my clinicals at a local ER; a 10 Hr Shift, and at about 3AM everything was kind of slow, when a code orange blasted across the PA, and an RN Came running into the ER and pointed to me and my fellow student, and said "you two, come with me!" So we ended up chasing him through the hospital and up to the second story where the "PT care ward" ie. Psychiatric Ward was and then instructed us to take off our stethescopes, meanwhile we didn't really know what was going on (as we were only 2 weeks into our emt training). Well we took off our stethescopes and watches then were buzzed into the ward. Well there was a female PT, about 40 years of age in a small cafateria type room, refusing to go into her room, and refusing medication screaming obsenities at the top of her lungs.
Well the head RN up there told us what was going on, and came up with a plan that we were all going to go in there again, and ask her ro take her medication, and go to her room, so we went in and she went into hystarics again, and threw a cup of urine (she had urinated in her drinking cup) all over the head RN, so the RN had us leave the room and we discussed another plan, and then went back in and told her that if she did not go to her room we would have to forcibly move her; so she complied and went into her room, but she refused to take her meds and sedatives and started acting violent again, so we locked the door, and she started going hysterical again.
Again, we left into the hallway to discuss another plan, and the Rn decided that we would go in and do a four point restraint (I was charged with restraining her head), and the RN would administer a SQ Sedative, so we entered the room and it was our lucky day because she had deficated all over the floor on purpose! Well we managed to get her down on the bed, after she bit a chunk out of the arm of one of the RN's, and we started restraining her with leathers, all the while she is spitting on us, cursing us to hell, and saying a bunch of other things. What really got me was her MPD, because she was switching personalities, and at one point she thought she was a young child, and she thought we were raping her, and not having ever been in a situation like this, it really got to me because she really sounded like a young girl being raped and screaming for her life.
Well eventually we administered the SQ Sed, and left the room, but I was definatly not expecting to deal with anything like that, especially as in our course we hadn't even covered restraints. Well all in all it was one heck or a ER rotation!
Well the head RN up there told us what was going on, and came up with a plan that we were all going to go in there again, and ask her ro take her medication, and go to her room, so we went in and she went into hystarics again, and threw a cup of urine (she had urinated in her drinking cup) all over the head RN, so the RN had us leave the room and we discussed another plan, and then went back in and told her that if she did not go to her room we would have to forcibly move her; so she complied and went into her room, but she refused to take her meds and sedatives and started acting violent again, so we locked the door, and she started going hysterical again.
Again, we left into the hallway to discuss another plan, and the Rn decided that we would go in and do a four point restraint (I was charged with restraining her head), and the RN would administer a SQ Sedative, so we entered the room and it was our lucky day because she had deficated all over the floor on purpose! Well we managed to get her down on the bed, after she bit a chunk out of the arm of one of the RN's, and we started restraining her with leathers, all the while she is spitting on us, cursing us to hell, and saying a bunch of other things. What really got me was her MPD, because she was switching personalities, and at one point she thought she was a young child, and she thought we were raping her, and not having ever been in a situation like this, it really got to me because she really sounded like a young girl being raped and screaming for her life.
Well eventually we administered the SQ Sed, and left the room, but I was definatly not expecting to deal with anything like that, especially as in our course we hadn't even covered restraints. Well all in all it was one heck or a ER rotation!
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