So... DTS/DTO

[F0nzie]

So several days a go a patient walked into the clinic and pulled a box cutter on my RN threatening her then put it up to his neck. Case management was able to deescalate the pt and the box cutter was turned in. Admin followed up on the incident, stated that he "contracted for safety" then let him go home. Nobody called 9-11... Just another #%^*ing day at the clinic.

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[TexasPhysician]

This is why I own a private practice. This would not fly.

 

[wolfvgang22]

A person that threatens somebody with a weapon should no longer be welcome without a police escort, period. Police should be called and consider if charges should be pressed for terroristic threats at the time of the incident.
A person that threatens someone or himself due to mental illness gets admitted involuntarily, period.

 

[nitemagi]

Contracting for safety should never be A factor to decide to discharge, let alone THE ONLY factor.

 

[Information Underload]

This is wrong on multiple levels, and you need to speak to your clinical administration.

I don't care if he did contract for safety. That is aggravated assault and a felony where I come from. That doesn't make one eligible for "contracting for safety"---more like up to 20-years in prison and a fine not to exceed $50,000. Put the guy on suicide watch in prison. You don't get to assault me or my staff. Period.

At the very least, he is going inpatient involuntarily, after which point the police can pick up him and haul him off to jail. There is also a major liability issue here. What if this guy walks out of your clinic and assaults someone after he was fully allowed to do such by your staff without anyone so much as even contacting emergency medical personnel or legal authorities? An injured party has every reason to go after your clinic and its physicians for such an action.

 

[notdeadyet]

If he's well enough to not require a hold, he's well enough to deal with the consequences of his actions with police.

 

[birchswing]

There must be more to this story. Did he have his appointment or was he just asked to leave after signing this contract? Was this an episode of a particular mental illness? If so, was he given a med change to help with this?

It seems like it's something you'd want to get to the bottom of. It seems like when things like this happen people usually say, "If only he had gotten psychiatric help," (such as the high profile case in VA where a bed couldn't be found for a politician's son who went on to stab the father and kill himself) except in this case it happened in the exact place you would get help.

 

[sunlioness]

All "contracting for safety" means is that the patient promised not to harm himself or anyone else. No one signed anything. It's not worth very much, practically speaking. So much stock is place on contracting for safety with little, if any evidence, that such declarations are reliable. And to accept that declaration after the patient has already taken violent action against himself and a staff member ... It's inexcusable.

If that happened to me .... I'd quit. Without notice. Unsafe work environment. Let them sue me. I'd fight it.


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[F0nzie]

There must be more to this story. Did he have his appointment or was he just asked to leave after signing this contract? Was this an episode of a particular mental illness? If so, was he given a med change to help with this?

It seems like it's something you'd want to get to the bottom of. It seems like when things like this happen people usually say, "If only he had gotten psychiatric help," (such as the high profile case in VA where a bed couldn't be found for a politician's son who went on to stab the father and kill himself) except in this case it happened in the exact place you would get help.

Mood nos per records but aspd imo. I fired him a year ago after he was aggressive towards me. He was transferred to another doctor in the clinic.

My nurse is amazing btw. 70 y/o sweetheart.

 

[F0nzie]

All "contracting for safety" means is that the patient promised not to harm himself or anyone else. No one signed anything. It's not worth very much, practically speaking. So much stock is place on contracting for safety with little, if any evidence, that such declarations are reliable. And to accept that declaration after the patient has already taken violent action against himself and a staff member ... It's inexcusable.

If that happened to me .... I'd quit. Without notice. Unsafe work environment. Let them sue me. I'd fight it.


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My 2 year loan repayment contract expires this August...

 

[keifernny2]

Complaining to administration only has an effect if they actually will do something about it. Chances are they know the situation is dangerous but are simply in denial.

 

[erg923]

So...he said he wouldn't harm anyone or do it again, and that's cool? What universe are these people in?

 

[Shikima]

I still don't understand why he wasn't arrested and is now in jail.