I am a CNA (~5 months). Last night I spent my shift sitting with a man suffering from severe psychosis (to make sure he didn’t pull out his IV, etc). We are a surgical floor and he was an off-service patient. Aside from some suicidal ideation and frustration, most of the night was okay. In the morning, he wanted to have a bowel movement. He refused to use the bedpan, but he is wheelchair-bound so we were not able to safely get him to the toilet without physical therapy’s help. At this point, he started full-voice screaming for help and that he was being held hostage. He began reaching over the bed to take down the siderail. I grabbed it and held it up, then he grabbed and began squeezing my wrist. I broke free and am unharmed aside from some minor bruising. He began explaining to me why we should let him go to the toilet, and after I still refused, he held up what he fully believed was a gun and attempted to shoot me with it.
I spoke to our nurse manager and they have assured me they will take steps to ensure the safety of our staff with this patient (she also mentioned the reason they don’t wear their stethoscopes around their neck is a patient strangled one of the nurses with it). I know this sounds like a pretty minor incident but I’m still pretty shaken up about it. I am applying to PA school this cycle and will hopefully be a provider someday. Is this something you see often in one-on-one scenarios? I don’t want to be afraid of my patient attacking me when I help them to the bathroom or something. How do you deal with this?
Sorry if this post is less than coherent. I’m just seeking some support. Thanks.
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