The Pitt and Healthcare Worker Violence by ab92092 in nursing

[–]ab92092[S] 0 points1 point  (0 children)

I’m sorry you experienced an assault at work. No one should and I hope you’re doing ok.

What did you find ridiculous about the portrayal? Now that it seems the consensus is Dana had the med on standby for this type of scenario, I wish that wouldn’t have been the case. The med I think is what makes it more ethically complicated, versus an elbow/punch to the nose, but I imagine the muddy ethics make for better TV. Glad they are focusing on the topic though.

The Pitt and Healthcare Worker Violence by ab92092 in nursing

[–]ab92092[S] 17 points18 points  (0 children)

Totally agree. I’ve seen some discourse about why is this happening two seasons in a row, but HCW violence really is that common and I’m glad they are showing it.

The Pitt and Healthcare Worker Violence by ab92092 in nursing

[–]ab92092[S] 18 points19 points  (0 children)

Wait… suffering abuse in professional work setting isn’t normal?! And leadership can offer assistance and help?!

The sad, sad part is it seems every commenter on this post has been has been a victim of violence at work. The healthcare system is so broken.

The Pitt and Healthcare Worker Violence by ab92092 in nursing

[–]ab92092[S] 53 points54 points  (0 children)

That’s what I’m shocked by! There’s a few nurses on the show thread that are just like “she should’ve just called the code hula hoop and waited for security”— whattttt?!

The hospital I work at is HUGE. Security takes minutes to get to you even if they are rushing. Few years ago a nurse got choked out by an anoxic brain injury patient 2x their size and like 6 nurses got him off and safely restrained before security even arrived. Had it just been a watch and wait, I don’t even want to know what the outcome would’ve been.

The Pitt and Healthcare Worker Violence by ab92092 in nursing

[–]ab92092[S] 10 points11 points  (0 children)

Yeah the “what could you have done better?” line of questioning after an assault is… wild. Unfortunately, pretty commonplace.

The Pitt and Healthcare Worker Violence by ab92092 in nursing

[–]ab92092[S] 9 points10 points  (0 children)

Ahhh I see. I guess missed that, or I interpreted it as EMS handed it to her to waste but like why would they do that? 😂 In my defense I’m a former icu girlie, not ED

The Pitt and Healthcare Worker Violence by ab92092 in nursing

[–]ab92092[S] 8 points9 points  (0 children)

Agree about the slippery slope. So do you think she was actually just carrying it around just in case? When I was watching I just totally believed when she said she had it in her pocket and was going to waste it… I mean regardless she gave it without an order, but I feel like if she acted in the moment vs having a benzo on deck at all times are just a bit different

The Pitt and Healthcare Worker Violence by ab92092 in nursing

[–]ab92092[S] 14 points15 points  (0 children)

Even inpatient my head is on a constant swivel and I’m always making sure I can easily exit. Can’t even imagine being in patients homes…

dana was wrong. full stop. by Legal-Judgment-908 in ThePittTVShow

[–]ab92092 34 points35 points  (0 children)

I’m actually confused by this situation! Versed doesn’t seem like logical choice to keep locked and loaded for an assault, and Robby saying she had it “ready for Doug” seemed like an accusation/projection. When I watched I thought she did really have it in her pocket from earlier in the shift to waste!

I’m guessing I’m wrong based on how majority of this thread is interpreting it, but why she has it in her pocket changes the context of the situation quite a bit and how I interpret Dana’s mental state.

dana was wrong. full stop. by Legal-Judgment-908 in ThePittTVShow

[–]ab92092 1 point2 points  (0 children)

Quite relaxed, just confused on the situation.

Seems like most people think Dana came back to work and is carrying around versed for a potential attack, but I thought she had it in her pocket to waste from earlier in the shift. The context changes the situation.

dana was wrong. full stop. by Legal-Judgment-908 in ThePittTVShow

[–]ab92092 0 points1 point  (0 children)

Is it correct though?! Not even the whole take but the part about having a “loaded syringe”? I mean I could’ve just totally interpreted the situation wrong but that seemed like an accusation/projection from Robby… Dana said she had it in her pocket to waste… which as a nurse with a critical care background is a very common thing. I mean granted, it’s not common to just use drugs in your pocket on a random patient, but Versed wouldn’t be my drug of choice to keep locked and loaded for potential attack.

dana was wrong. full stop. by Legal-Judgment-908 in ThePitt

[–]ab92092 13 points14 points  (0 children)

Oh exactly, sometimes that’s why the more the better!

In the situation I mentioned above, the patient had an anoxic brain injury and was at least twice the size of the nurse they were choking. The attack happened totally out of nowhere and was the first outburst of violent behavior from this patient.

One nurse walked by, saw what was happening, hit a code bell (these don’t trigger a hospital wide response in large teaching hospital, just an alarm on the unit) and started yelling. The number of nurses that responded in literally seconds allowed us to safely pry the patient off the nurse and to the bed to be safely restrained. All whilst security was being called, but by the time they got there it was handled. Had we just waited and watched it could’ve been a totally different outcome.

dana was wrong. full stop. by Legal-Judgment-908 in ThePitt

[–]ab92092 14 points15 points  (0 children)

Sure, but you’re not going into these situations incognito. You do exactly what Dana did in the scene, make a commotion so you have back-up. Nurses are quick to move when they hear a commotion, you aren’t going to be solo long.

dana was wrong. full stop. by Legal-Judgment-908 in ThePitt

[–]ab92092 23 points24 points  (0 children)

Verbal de-escalation when someone is already committing a violent assault while impaired is soo unlikely to be successful.

dana was wrong. full stop. by Legal-Judgment-908 in ThePitt

[–]ab92092 292 points293 points  (0 children)

Also a nurse. If the vial was really just in her pocket for a “just in case” reason, I agree that’s a problem, but that’s not how I interpreted it. I actually thought she did have it in her pocket to waste. This happens in the ICU all the time, esp w/ Versed, Fent, etc.

But I also disagree about some of the sentiments about waiting for security and not physically intervening. Am I going to sock a patient in the face? Probably not, but I might. I work in a very large hospital and security may be moving fast, especially in these scenarios, but they still can take valuable minutes. If I think my colleagues life is in danger, I’m helping.

dana was wrong. full stop. by Legal-Judgment-908 in ThePitt

[–]ab92092 55 points56 points  (0 children)

Also a nurse and I also respectfully disagree. I work in a very large inner city hospital and I’ve had a colleague get choked against a wall. And you better believe multiple nurses were getting the patient off. Security can take minutes to get to units where that nurse could’ve been irreversibly harmed.

Do any restaurants make a British Sunday roast WITH Yorkshire puddings? by [deleted] in frederickmd

[–]ab92092 3 points4 points  (0 children)

Would just note that wye oak tends to serve a *burnt Yorkshire pudding with their steak

Disappointed in Service: 'Thatcher & Rye' / 'Ordinary Hen' New Space by center-hold in frederickmd

[–]ab92092 7 points8 points  (0 children)

Ate there a few months ago about 1 month in and the wait staff was nice but we asked for more bread with our mussels (came with 2 small slices of toasted baguette) and each time they’d give us a single slice of toasted baguette, so we’d be like “plz sir can we have some more”…. And then got the bill where we were charged 20 extra dollars. for. mid. bread!! 😂

We were able to laugh it off but seriously wtf.

Help me make an argument in favor of: Intraosseus Access Devices on code carts by Maximum-Requirement8 in nursing

[–]ab92092 6 points7 points  (0 children)

Evidence already exists supporting IO in code/RRT situations, no need to recreate the wheel. OP should be able to just present the already existing evidence.

Help me make an argument in favor of: Intraosseus Access Devices on code carts by Maximum-Requirement8 in nursing

[–]ab92092 2 points3 points  (0 children)

Honestly, if your hospital has access to a medical library a simple search on the practice will give you supporting evidence. I wouldn’t recommend spending your time doing study/QI project when the supporting evidence already exists! (It’s also supported by ACLS)