There was a mix up in one of my shifts the other week so I ended up going into work late. When I get there I am advised to seek out our teammate and inquire what pt she wanted me to take from her. On the board I saw that one of them was CIWA = ++++work.
And of course when I asked said teammate, she responded with me taking on the CIWA. I joked with said teammate about me seeing what type of teammate she is, giving me that CIWA.... ok, np I shall take up this noble cause.
Then when I opened our charting program, I see on the board that the other pt she could have given me is a recovering COVID pt..... one that I can't even take in the first place. So I would have been stuck with the CIWA anyways. Guess it was just my lot in life for this shift to end up taking this on.
Well so be it....
Then we got into the thick of it.... the CIWA pt telling me that I took away their scissors and how I should give them back and that it was against the law to take them and if I didn't give them back that they were going to sue me! Ha, have fun with that one coo koo.
Oh did I forget to mention that this person is bat shit crazy and in 4 point pinel restraints?! Ya person's a frickin crazy and on CIWA! Oh yay!!!
I told them that they could go right ahead and sue... sue away!
Then I was told that I shouldn't lay my hands on them - when my hands were within their eye sight and holding onto the side rail up by their head!
Then I had a colleague come in and "suggest" that we pull said pt up. I was like, hell why not. So away we go and do that, and she turns to me and says "touch me and I'll fuck you up!" - oh goodness we had a good laugh at that one..... she's in 4 point pinel restraints. She aint doing any touching!
A couple of hours of trying to keep her in the friggin bed, then she's all serious when I go in and check on the levels of meds running through the pump and she turns to me all serious and says, "when I get out of here, I'm going to find and kill you". I didn't even deam to respond and simply nodded my head and walked out of the room. No point in even responding to the delusional. Besides, even if she could follow through on that, I am highly unfindable as I have an unregistered phone number and the house I live in doesn't belong to me.... so go ahead and try!
This person was nearly impossible to reorient, but I did try several times. You can only help crazy so much.
Hell, the person was trying to climb out of bed with 10mg/hr of Versed infusing as well as them getting Valium 10mg IV q1hr PRN.... like I said, crazy!
And that's what I dealt with all night long... it was a long shift to say the least. Thank goodness I don't have to deal with CIWA pts often.
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