So the question came up in Argabarga's latest post about whether or not anyone had actually has a SC call the cops on them, and they got in trouble for it.
I came close. It is an amusing tale I will relate to you . . . .
I was just starting out as the charge nurse in a very busy ER back in California. In fact, I think it was my first shift as charge on my own.
We had a new nurse, I'll call her Caroline (not her real name). She was great, a former neuro ICU nurse with a lot of common sense and great skills. But ER was a totally new game to her.
We got a walk in: Mom brings in her 15 year old son who had supposedly swallowed a big bottle of pills. He had his 15 year old girl friend with him. Mom was freaking out. Kid was grinning and giggling, and treating the whole thing like a joke.
I assign him to Caroline. Doc orders Activated Charcoal (a solution of charcoal powder) and a "pump and dump"; ie, gastric lavage.
Gastric lavage involves putting a tube down the throat into the stomach, suctioning out the stomach contents (which presumably still has pill fragments in it) rinsing the stomach out, and putting down the charcoal to absorb any medication we missed and preventing it from being absorbed into the blood and metabolized.
We had a great kit for this that involved a hand held pump that would simultaneously pump and remove water and stomach contents. Then we could add the activated charcoal and pump that in to finish off and remove the tube.
Needless to say, the boy was not happy about this process.
I found out the depths of his unhappinessness when I heard a slap, and the Doc (the nicest guy on gods green earth) yell out, "Don't you hit me!"
I ran into the room to see the Doc restraining the boy, and the girl friend trying to push the doc and Caroline away from the boy. Mom is trying to restrain the boy and crying.
I immediately told the girl to leave the room. She tried to argue, I told her I'd call security. Mom hustled her out.
Girlfriend got very angry, yelling at us about how we were treating her boyfriend.
Me: I'm sorry this is unpleasant for him. But it's the treatment the doctor ordered, and it's absolutely necessary to ensure he doesn't suffer any real harm.
Girlfriend: You have no right! No right! If you don't stop, I'll call the police! You're hurting him.
Me: It's time for you to leave. You can wait in the waiting room. If you give me any more trouble, I will have security escort you from the property.
Girlfriend: You can't do that!
Me: Absolutely I can do that. You are not a relative. You have no legal right to be here. The only reason I'm allowing you to wait in the waiting room is because you are a minor, and it's getting dark.
Girlfriend: I'm going back in there.
Me: No, you are not.
Girlfriend tries to push her way past me. I fold my arms across my chest and get firmly in her way. Dr. V, our other doc, immediately comes over to me and backs me up.
Girlfriend leaves.
About 15 minutes later, PD shows up. They'd gotten a 911 call about a doctor hitting a patient. I explain to the officer it was the patient who hit the doctor, and that the doc, nurse, and patient's mother will back that story up (which they all do). Girlfriend is standing behind the cop looking smug until Mom comes out and backs us up. Cop slaps his notebook shut, says, "Well, we figured it was something like this. You guys have a good night. Do you want this girl to leave?"
I graciously allow the girlfriend to wait in the waiting room when the Mom says she's willing to take the girl home.
I came close. It is an amusing tale I will relate to you . . . .
I was just starting out as the charge nurse in a very busy ER back in California. In fact, I think it was my first shift as charge on my own.
We had a new nurse, I'll call her Caroline (not her real name). She was great, a former neuro ICU nurse with a lot of common sense and great skills. But ER was a totally new game to her.
We got a walk in: Mom brings in her 15 year old son who had supposedly swallowed a big bottle of pills. He had his 15 year old girl friend with him. Mom was freaking out. Kid was grinning and giggling, and treating the whole thing like a joke.
I assign him to Caroline. Doc orders Activated Charcoal (a solution of charcoal powder) and a "pump and dump"; ie, gastric lavage.
Gastric lavage involves putting a tube down the throat into the stomach, suctioning out the stomach contents (which presumably still has pill fragments in it) rinsing the stomach out, and putting down the charcoal to absorb any medication we missed and preventing it from being absorbed into the blood and metabolized.
We had a great kit for this that involved a hand held pump that would simultaneously pump and remove water and stomach contents. Then we could add the activated charcoal and pump that in to finish off and remove the tube.
Needless to say, the boy was not happy about this process.
I found out the depths of his unhappinessness when I heard a slap, and the Doc (the nicest guy on gods green earth) yell out, "Don't you hit me!"
I ran into the room to see the Doc restraining the boy, and the girl friend trying to push the doc and Caroline away from the boy. Mom is trying to restrain the boy and crying.
I immediately told the girl to leave the room. She tried to argue, I told her I'd call security. Mom hustled her out.
Girlfriend got very angry, yelling at us about how we were treating her boyfriend.
Me: I'm sorry this is unpleasant for him. But it's the treatment the doctor ordered, and it's absolutely necessary to ensure he doesn't suffer any real harm.
Girlfriend: You have no right! No right! If you don't stop, I'll call the police! You're hurting him.
Me: It's time for you to leave. You can wait in the waiting room. If you give me any more trouble, I will have security escort you from the property.
Girlfriend: You can't do that!
Me: Absolutely I can do that. You are not a relative. You have no legal right to be here. The only reason I'm allowing you to wait in the waiting room is because you are a minor, and it's getting dark.
Girlfriend: I'm going back in there.
Me: No, you are not.
Girlfriend tries to push her way past me. I fold my arms across my chest and get firmly in her way. Dr. V, our other doc, immediately comes over to me and backs me up.
Girlfriend leaves.
About 15 minutes later, PD shows up. They'd gotten a 911 call about a doctor hitting a patient. I explain to the officer it was the patient who hit the doctor, and that the doc, nurse, and patient's mother will back that story up (which they all do). Girlfriend is standing behind the cop looking smug until Mom comes out and backs us up. Cop slaps his notebook shut, says, "Well, we figured it was something like this. You guys have a good night. Do you want this girl to leave?"
I graciously allow the girlfriend to wait in the waiting room when the Mom says she's willing to take the girl home.


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