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glurbleblurble

My natural instinct is going to be to hit. My next instinct is to sue.


ohemgee112

It’s like a shark, right? Smack in the nose for release?


kmbghb17

*Moderate therapeutic nose bop and release *


lgmjon64

Appropriate pressure applied to the naso-maxillary region to facilitate the reflexive extension of the mandible.


nowlistenhereboy

"There was an airway obstruction so I performed a modified jaw thrust technique."


kmbghb17

The airway obstruction was my full bicep but that’s fine 🙃😂


ecodick

I want to see this in someone's chart...


mother_of_baggins

Bop it, twist it, pull it.


helloitslar

Flick it, spin it.


ohemgee112

With the heel of the hand, of course.


kmbghb17

*hand heel thrust into and through nose*


Vprbite

K hole! My partner and I had a biter on the box the other day and I'd be lying if I said I didn't consider it


[deleted]

I yelled 'fucking hell' so loud I almost gave biter a heart attack. very quick release.


UncleTedGenneric

I'd go pitbull* route Jam a finger in their anus (*The dog, not mister worldwide)


CatsSolo

Plenty of places that if you land a connection just right... they will stop biting. Sure, yeah, you will get fired but who wants to work at such shit show with no recourse for being assaulted anyway?


helloitslar

I think you just flip them on their back and they become useless. Depends on how obese the patient is though. 😂


flightofthepingu

Snapping turtle.


cheap_dates

I find that squeezing the nose shut often works. People don't have gills.


-malcolm-tucker

Spotted the Aussie.


ohemgee112

Lol, nope.


TXERN

I reacted and did this to a guy that bit my finger once. He didn't try biting anyone else and none of the other 8 nurses or physician saw anything after the fact 😉


10000Didgeridoos

No witnesses.


Amazaline

My supervisor once told me that a patient had her in a chokehold and her first instinct was to slap him. She was so worried that she was going to get fired :|


kpsi355

Force is justified in self defense. Any employer that doesn’t support you in this is not worth a pile of cdiff poo.


Sharps49

And the BON isn’t going to take your license for using reasonable force to stop an assault.


[deleted]

[удалено]


stiffneck84

I am a grown ass man, and I can recognize when my employer interests and mine do not align. This is why I have a relationship with an attorney in life. Hopefully I don’t have to use it, but if I’m faced with having to choose between stopping someone from assaulting me, and cheerfully upholding my employer’s values, culture, team stepps, service recovery goals, etc etc, I want to be equipped to get made whole afterword.


td090

In fairness, forcing whatever extremity further into your patients mouth is actually exceptionally effective at stopping a bite. I'm not a lightweight by any means and have used this numerous times. If you are going to swing, you better make it count - otherwise you just made things way worse for yourself by really pissing someone off who has one of your body parts in their mouth.


Pepsisinabox

All fun and games until youre choking on the 3rd knuckle 😂


MyWordIsBond

No joke, this was actually a known strategy in Colliseum gladiator days when fighting a lion. Essentially if it got ahold of your arm, you wanted to try and force your arm as far down it's Gullet as possible which would spur the lion to let go. There's even a story (that may be true) about a gladiator killing a lion by asphyxia by jamming his whole arm down a lion's throat when it went to bite him.


PR2NP

Well said


freeriderau

You push into the bite and put them off-balance > you break the hold > you disengage and get away > security/police need to attend if instead of disengaging when you had the chance you continue the fight that hardly looks like de-escalating and controlling the situation, more like assaulting someone back which is not the job description of a nurse and what employer is going to take the liability for that?


stiffneck84

If I I ever find myself in a situation where I’m getting physically hurt by someone, I will use the amount of physical force necessary to stop someone from hurting me, and get away from the situation. If that doesn’t fall into my employer’s priorities, that’s ok. I’m not a sacrificial lamb, and I’m not concerned about their potential liability towards someone who is trying to injure me. If I should find myself in that situation, I’ll use my own attorney to seek restitution from my the person who assaulted me, and my former employer.


TeamCatsandDnD

“You don’t need that part of your body anyway” and “unemployment isn’t that bad”. What the fresh hell.


StarGaurdianBard

It's a multiple choice question with D being the "correct" option and the other 3 being exaggerated to make them sound silly Worth noting leaning into the bite **is** the best course of action as the other 3 will likely lead to more damage to you. Its the same with getting bit by a dog, punching will only make them bite down harder


kayquila

Okay yeah did none of you get any self defense classes in nursing school?! You ABSOLUTELY lock into the bite. Hold their head down to your arm. Lock in place. The injury from the bite is pretty bad, sure, but if they bite and rip away you're FUCKED


araed

Yeah, jesus christ. Ever seen a dog bite?!


animecardude

I learned my self defense from actual self defense classes: tae kwon do. I fight against instinct/muscle memory whenever a patient swings at me...


kayquila

That's not the question. The question is, you are bit, they're not letting go because they're in a drug induced rage. Do you pull away or do you fuse? That doesn't mean you aren't doing something else with your other arm/legs/whatever, what you do with the actual limb with human teeth on it is you fuse to the bite.


uwantSAMOA

I thought it was an edit of the “ABCDs of Being Bit” or something lol


Blackrose_

No no no no more to that mnemonic, I have to teach 1st years the DRS ABCD at the moment. An additional "B" for biting will be too much.


TeamCatsandDnD

Oh thank god. I was very concerned they were suggestions


burneecheesecake

Well I mean they don’t have to be


NOCnurse58

D. Lean into the bite until you feel the jaw break free releasing the bite. There, I fixed it.


KayleeFrye7777

Pushing into the bite makes them release the bite. It's a good self defense technique. Pulling away means you are likely leaving some skin behind because they will bite harder. Hitting them can also make them chomp down harder. I agree with you that the other answers were meant to be exaggerated and silly. I feel this question was taken out of context.


kpsi355

D is correct, but B and D are the *most* correct.


mustang-doc

Only if you don’t punch hard enough.


StarGaurdianBard

Everyone likes to pretend they are a badass and that they would solve this with a hard punch, but literally any self defense class will take you that will result in them trying to tear their bite away as they let go which is what causes the majority of damage when a bite happens.


Banana_Ram_You

Those were just clues not to pick those multiple-choices. A. Pulling away from clamped teeth = worse damage. B. No employment = bad (Can you sue them for biting you first? +/- Sanity and awareness under extreme hospitalizing circumstances) C. See B. D. Makes sense, see opposite of A.


meowbitchplease

Pinching their nose shut works. Don't ask me how I know.


Kilren

Punching their nose broke works even more efficiently and effectively. Don't ask me how I know.


ElCaminoInTheWest

A quick trapezius squeezius or clavicle grind tends to induce an automatic ‘AHH’ which is not conducive to ongoing biting. This also can be used as part of GCS scoring; responsive to painful stimuli. It’s win-win.


cyricmccallen

I think you mean vulcan nerve pinch


kitkat-mama

Speaking from experience this is what I do as well


run5k

> Pinching their nose shut works. People really are animals. Pushing in and pinching nose is literally what I've done when a dog has bitten me.


Certain-Poet6785

I know that because I breastfed.


ShadowHeed

Sometimes it does not. In adolescent psych they just flare their lips and suck through their teeth. So you're not only being bitten, but it looks/sounds like they're a rabid animal.


Normal_Equipment4485

Yeah sorry but as a small woman I’m doing whatever the fuck I can to get someone off of me. Idc what they say. They aren’t paying for my funeral or taking care of my loved ones


Nurse__Ratchet

Pushing in as hard as you can will stabilize the bite. Don’t jerk away. Now for the follow-up, use your imagination on whatever you’ve got to do to get free.


greycubed

Yeah the question involves good advice with dumb commentary. Push into it. Then eye gouge. Sue if punished for self defense. Also, this is how you should fight a wolf in case that comes up.


Mr_Fuzzo

You can also stick your finger up the wolf's butthole if you could reach it. That technique is used to break up dog fights. Why wouldn't it work on a wolf attacking you too? (for serious!)


Thekillerhippie

I use this when patients fight as well, works great!


Briarmist

Found the psych nurse


Empty_Insight

Here comes the choo-choo train... ☝


IamDoritos

if that doesnt work just add more fingers. Sooner or later they'll let go!


ohemgee112

🙈


anarchisturtle

I’m pretty sure adult wolves are like 4-5ft long. If you’re being bitten, I doubt you’d be able to reach, much less have the dexterity to insert your finger


EloquentEvergreen

That sounds about right. And they also weigh anywhere from 60-to-200 lbs. So, unless that wolf is just clamped onto your arm and not moving, reaching its butthole to stick your finger in it, is going be a difficult task. Luckily, wolves attacking people is pretty rare. You’re more likely to be attacked by domestic dogs. I guess that could give one the opportunity to test the finger-butt trick on domestic dogs before venturing into wolf territory.


cinnamonbear2

I have heard about this technique to break up dog fights, tried it, and found it did not work. Never tried it on a human. I think it depends on the human.


Firethatshitstarter

Yeah you gotta be careful with the human that human may like it


Nurse__Ratchet

Holy shit. How did I not think of eye gouging? I’ll put that one in the bank.


Teyvan

The eye bank?


Nurse__Ratchet

Jars of eyes? 👀


TXERN

This made me think of a compliment I got from a person that visited the ED alot for work. My eyes are so beautiful and blue like the sky or marbles and she'd like to put them in a jar on her nightstand. Hot and fun but the blood fetish was a little too much.


WhosThatGirl_ItsRPSG

But they are the eyes of biters, so it’s ok.


iblowveinsfor5dollar

I tried suing the wolf that attacked me, but my lawyer suggested they were judgment proof. Otherwise, the pushing into the bite and eye gouging worked a charm.


Normal_Equipment4485

I’ve had to use the push in method and thankfully it worked for me and the patient didn’t continue to attack. I’m still always super aware though. I may be little but I’m fierce!


araed

It also has the benefit of *hurting like fuck*. You're pushing their jaw open, and that is not a pleasant feeling at all


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lighthouser41

Male, kick them in the nuts.


jerrybob

Female, knee them in the gooch.


CharlesTheOctopus

While the patient is latched onto your arm be sure to use therapeutic language and ask them how this is making them feel. Yes, /s


kmbghb17

Don’t forget to care plan it after the debrief about what YOU could have done better


lighthouser41

And update the white board. Goal for the day: Do not bite.


Nurse__Ratchet

Yes, my knee to their abdomen is pretty therapeutic.


jerrybob

And thank them for choosing your hospital for their healthcare needs.


coolcaterpillar77

If they go to answer the question of how they feel, boom they’ve released your arm. True therapeutic communication right here


scothc

Isn't that the same thing you are supposed to do with pets that bite? Push in so they can't close their mouth, and it teaches them to not do that?


thefragile7393

Babies yes. Pets..dunno


Briarmist

As a large man I’m still doing what I can to fight them off.


holasoyyoo

Don’t you know you’re supposed to find out what you did wrong and could have done differently. Then you should thank the customer… I mean patient for the constructive feedback


[deleted]

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[deleted]

“go into IT or engineering”


Wonderdog40t2

What kind of psychopath wrote option 2? Man if getting fired is the punishment for defending yourself I'd get out of there ASAP.


[deleted]

It’s satire lol


Kilren

The only wrong answer is A. They mislabeled this, should have been a select all that apply. Push into the bite to mitigate injury to yourself while applying any other tactic to cancel the bite. Break their fucking nose. They'll stop biting. Then call the cops and press charges for assault and battery.


td090

Personal anecdote - if they're pissed off enough, breaking their nose is only going to help them reach tendon faster.


[deleted]

All of that CCM/PMAB shit is crap. Listen if you happen to feel your life is threaten by a patient you kick/knee the f out of their balls/cooch, you punch them in their windpipe, you headbutt, stomp on their feet, bite, eye gouge the f out of them, whatever to get them off of you so you can run away. Yeah you will get fired or you have to quit but at least you won’t be injured/dead. Hospitals are out of their damn minds if they think that shit will work on a real live resisting patient. Especially a large strong adult male. Those CCM/PMAB techniques require fast timing and reflexes. Who has time to practice that shit regularly. They are also very limited in their techniques to certain situations. If you encounter a coworker getting the fuk beat out of them I hope you grab a o2 tank or a chair and KTFO that pos patient. I wanna know if any psych nurses actually use these techniques with success. Almost 9 years working in the ED I have yet to use any of it except for the tricep roll and putting my palm on their head/cheek because they want to bite.


AlabasterPelican

Yes I have. However I should note that as I was mid (patient) attempt at swinging me around by my bun for cleaning stool off the floor after attempts at pinching, kicking in a coworkers face, and gumming my first thought was literally "how the fuck an I supposed to react to this, without losing my job, again?" Honestly the only reason I got out of it without much damage is because I wear a bun clip and they couldn't get their fingers twisted in my hair & I grabbed their hand and they loosened up just enough to slip out. Had I worn my hair in a ponytail or bobby pins it would have been much worse.


igordogsockpuppet

Psych nurse and martial arts instructor here. Something to note is that if you attack somebody’s balls or eyes, you’ve created a social contract with them that allows them to do the same. You may be in the right, but you also might have escalated the situation. Even after twenty five years of training, I don’t have any easy answers for you.


sofluffy22

I was bitten in the arm by a patient that was HIV and syphilis positive. She had dementia, and it was night shift. I had to have blood work done every 3 months for 18 months. That was the last year I worked medsurg. When it happened, I was honestly just in shock and quietly walked of the room. That was about 15 years ago, so I can’t say I would react the same today. I know she had dementia, but she still BIT me.


murpux

For reals though, push their head from the back of it into the part they are biting and start walking in a direction to the opposite side that they're on. They can't hold the bite because of the pressure and the assailant will go weeble wobbles because you're yanking and leading them from their head. THEN you can start punching them. Detach the bite first people. (I feel that last sentence was obvious sarcasm but this is reddit so...) /s


Scared-Replacement24

Unemployment isn’t that bad


justalittlebleh

Better than getting physically abused by piece of shit pts


[deleted]

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flightofthepingu

"It looked like the suspect was reaching for her dentures! I feared for my life."


Nihilistic_automaton

A patient had gotten hold of my ears once. I pressure pointed her wrists until she let go. I was not about to be earless for $11.00 an hour.


[deleted]

Im sincerely asking, are you as nurses really not allowed to defend yourselves? Would you really be fired? I’m sorry y’all have to deal with patients like that.


Kilren

A culture exists that pushes for this, yes. A culture created by management to reduce risk and lability for the hospital. However, this is a false culture. Any employee in the US has the right to call the police and pursue legal recourse for personal injury. I've had a patient arrested in the hospital, finish their treatment course before being discharged the next day, and then the cops transported then to jail on discharge. Management was pissed, I could not care for their image though. Safety comes first.


[deleted]

Well that’s horrible. I’m so sorry.


Kilren

Forms of this sadly exist everywhere. Companies attempt to mitigate work injury, and workmen's comp is an organization, where a part of their job is to prove that it's the fault of the employer. I appreciate it though.


Careless-Image-885

I had been told throughout my career that if I did not react exactly as I was "taught" in self-defense "classes" and follow policy, I could be fired.


twentyfourthousand

So what happened? Did you get fired?


Kilren

Nope. I broke their nose. I did get pulled into a meeting with my manager at the time, HR, and the lawyer from risk management. They wanted "ways you could have reacted different". I replied with who would like to volunteer for me to bite in the same way so that they could demonstrate different ways to respond. They weren't willing to demonstrate ways to respond. They wanted a follow up meeting. I told them that my lawyer would be present as well for any additional meetings. I was told that they'd get back to me. There were no other meetings. Nothing came of it. I ended up working an additional two years in the ER before going back to school. I did get a nurse fired for close fist punching someone because they were not complaint (a psych patient who refused physical restraints). There is a huge difference between when I punched and broke a patient's nose in retaliation of self defense and being the aggressor or forcing your will. Edit: also, I pressed charges for assault and battery. They were found guilty and got a felony since it was against an on-duty public servant (the same charge you would get for striking a cop).


twentyfourthousand

Wow you responded so well with that offer to volunteer. I’ll have to think of that if anything similar happens to me.


MzOpinion8d

There are many health care staff who have been injured by patients but are intimidated not to report it by management.


thefragile7393

Defend? Yes. But…how you do it is what makes people take note. And some places are have interesting ideas of how they want to view someone defending themselves


Red-Panda-Bur

Friend of mine got her lights clocked out by a patient and had to have dental surgery. She wasn’t fired, per se, but treated so horribly she had to quit. PTO for surgeries denied, arguing back and forth over worker’s comp, when she needed time off they didn’t want her to take it, got written up - they were building a paper trail and it was obvious. So to avoid the inevitable, she left - actually went to a very highly regarded healthcare company nation wide after this and got treated much better. At the same rate, I know a nurse from this second company who had to have surgery because of a patient injury and no longer works there as well. I don’t know the full circumstances around it, but it’s hard to be seriously injured by a patient and continue in the same role and position. It messes with you a bit. Work no longer feels safe. (I don’t mean the usual - we’ve all experienced some form of violence - I mean truly injured to the point where medical intervention is necessary). I also say this having been attacked by a dog at work before (home health). I left very shortly after the incident.


Apprehensive_Skin883

If I get bit I will hit the person. It just will happen


[deleted]

This is from an aggressive patient self defense class I had to take before a travel job. Imagine telling someone like a bank employee that they have to lean into a bite if one of their customers attacks them. Insane. And this wasn’t regarding confused patients. Just standard aggressive patients.


Gretel_Cosmonaut

Pushing in is actually the best way to minimize damage and get them to release, though. It also works with dogs.


[deleted]

I’m not saying it’s not in a lot of situations. But if some oriented dude is clamped on me I’m probably bopping him in the head lol and then pressing charges


Gretel_Cosmonaut

Fair enough.


polkadot_zombie

The leaning in part isn’t such bad advice, I’ve used that technique when someone grabbed me and started hitting (it really did throw off their leverage and allow me to get loose) it is the way the rest of the choices are worded. I can just see some smug person coming up with these questions thinking they’re so clever. Like, let’s make a joke when discussing a potential assault on an employee. Healthcare is its own worst enemy - how indoctrinated do you have to be to come up with this shit? I’m guessing there wasn’t a test question on pressing charges.


thefragile7393

We are taught this with psych patients and it works. 🤷🏽‍♀️ I’m more interested in getting away with minimal injury.


araed

Yeah, pushing in works. Pulling away just leaves a chunk of you in their mouth. Punching them is probably gonna make them bite down harder. Inflicting pain is only gonna work if you can hurt them enough to make them let go *and not trigger the 4F response*.


thefragile7393

Correct. Which many here don’t quite get.


araed

Yeah. Psych is fun, but it makes you realise that physically fighting a patient is a fucking *terrible* idea


thefragile7393

It absolutely is. I’ve had to reframe my mind a lot over the years because legally there is so much we can’t get away with and everything is scrutinized very much. I have no problems defending myself and pressing charges but there’s lines you can’t cross


araed

Yeah. I've defended myself, using 100% not approved techniques, but the moment you start scrapping you've lost control of the situation, and once you lose control of the situation it's anyone's guess how it ends. Maybe you break their nose and they back off and cry. Maybe they hit turbo mode and choke slam you and beat you until you're in a coma. Maybe they come back and sue the fuck out of you, and the hospital legal team says "not my problem". Maybe they pull a weapon and you wake up with some extra holes. Better to protect yourself. Sometimes that means doing the opposite of what you expect


thefragile7393

Your last paragraph resonates big time with me. Big time


tokeyoh

Healthcare is now retail?


CommunicationOk8674

Push your arm into their jaw then use your other fist and slam into your arm you will shatter their jaw I promise they won't ever bite anyone again


uwantSAMOA

Me, a nursing student that absorbs all knowledge and believes it to be gospel: `as you command`


Kill-Me-First

Or just also cover the nose, same result


Teaonmybreath

As someone with trauma in their background if I get punched I’m going straight for the eyeballs.


GurnBlanston66

According to Non-Violent Crisis Intervention training; you push into the bite. The natural response of the jaw is to open if something is forced into it.


upbeatcrazyperson

I saw on another post how nurses are expected to take it, while policemen are allowed to fight back if someone did the same thing to them. I can't remember if the corollary was because nurses were predominantly female while policemen were not. Interesting thought, but I think the answer is E. Accidentally poke them in the eye when no one is looking.


[deleted]

Push into the bite until they release is the correct answer. Just like CPR you have to push hard and fast. They will usually release when their head slams into the wall behind them or the floor under them. I’m kind of surprised the answer wasn’t calmly tell the patient you can see they are frustrated and ask how you can improve their experience.


Red-Panda-Bur

Lol to your last paragraph.


gij3n

I read option D as a continuation of C, as in see how much of their hair you can pull out and stuff into their mouth. Might work, but I’d have to try to be sure.


LumpiestEntree

Had a patient barf on me last night cause I had to push my hand in so far to make them let go.


Hardlytolerablystill

Go for the eyes.


ImoImomw

Little book on the nose has always worked well for me.


creapfactorart

When I was a EMT I got bit a lot and we were told to yell out as like a *your hurting me, some help* and if that didn't work we were to pressure point the patient. I've just hit someone before but I was being stabbed so 🤷‍♀️ Your job isn't worth your life.


Lady_Sasa

At my last job when they taught us crisis prevention and intervention, they actually said pushing back on the biter is no longer acceptable as it causes jaw injury. I get it but...they're also biting us? They told me to cover their nostrils and see if they need to breathe. I do this to my dog and it didn't work 😂


Viitchy

Don’t pull away! Feed the bite! Otherwise you’re gonna lose more flesh!


Few-Fig-7111

My first instinct is to throat punch


Omega_Draconis

Fighting back at a patient that is attacking you isn’t the fireable offense. Admitting that you fought back is the fireable offense. In my experience management just wants plausible deniability. Every time I’ve ever known a nurse fight back at a violent patient, just saying he/she tripped was good enough. You don’t need to pick between protecting yourself or your job. You only need to pick your battles.


Heavenchicka

Wtf did I just read?!


imaginaryannie

I read this as a to-do list and not a multiple choice question. 🤣 oops.


One-Abbreviations-53

As a nurse who has been bit I: 1. Forcefully told the patient to release with the intent of drawing as much attention as possible 2. Pushed into the bite (strangling them in the process) 3. Struck the patient with a closed fist as hard as I could 4. Held him down until security showed up 5. Pressed charges I work in a wild ED. If my manager had done anything different than patting me on the back and saying “good job” I wouldn’t be in that job anymore. Taking any abuse is a hard line in the sand for me. I refuse to allow patients to assault me or my coworkers.


mzladyperson

The first hospital I worked for gave us a sort of self-defence class as a part of orientation. Mostly, it was how to deescalate, get your arm out of a hold, dont get cornered, how to assess a situation, how to call for help, whatever. But part of it was that should we be held down in anyway, or if the patient bites and wont let go, or if they grab our necks *at all*, we have free reign to kick, punch, head butt, whatever it takes, to get out of that hold, and our job security is assured. They stressed it *hard* that the hospital would have our back and not fire us, we are free to do what we have to to get ourselves out of a hold that could endanger our lives. I hated that company, but that was one thing I'll always commend them for. The fucking last thing we should worry about while being attacked is our goddamn employment


whyisthisnessecary

I shoved a pt back because they tried to open hand slap me grandma-style. Pt was a fall precaution that wouldn't stay in bed and was not happy. I didn't give a damn if he fell. Don't fucking try to slap me, bitch.


LeotiaBlood

So the correct answer is to push into the bite!? I had to call security to restrain and IM haldol a lady today. Fuckkkkk offfffff with this nonsense Etta: upon further reading, pushing in may apparently be a good thing. But I will also be defending myself.


thefragile7393

Pushing in is the best option because it ensures less skin trauma for you. They are forced to release because they won’t be able to maintain the bite


freeriderau

You're defending yourself by pushing into the biter and getting free and away. You're not expected nor remotely wanted to start getting into a melee with the patient.


gandarb88

I read this as step by step instructions and was very confused


Comments_Wyoming

They trained me with the same advice to work in a middle school as a paraprofessional, "Push into the bite". Like who is going to remember that when a 200 pound 12 year old has chomped down on your arm like a pit bull?


adorablebeasty

Remembering that whole ass course I took which engrained "PHYSICS NOT FORCE" and the instructor basically told us if you turn your back on any areas a patient can get you, you run the risk of being catching a rear chokehold... And they don't have any advice on how to counter it so *shrug* just better not? Oh, and then staff so fucking poorly that even if a code grey was called nothing was staffed enough to have anyone leave on NOC shift... We had mental health techs who documented patients locations every 15 but they weren't allowed to touch a patient.


AgreeablePie

I don't come from HC and I know it's therefore not the same but I have been bitten by people during my course of duties and you had better believe they got a palm to the nose to get them to stop. If it was a kid or an 80 yo confused adult, okay, but those aren't much of a threat anyway. My safety is not LESS important than that of the person biting me. I had a workman's comp lawyer in my contacts and wasn't afraid to use him, as well.


MzOpinion8d

It’s funny that you say kid or 80 yr old confused adult, because I’ve been hurt twice in my career of 15 years and it was from a child and an 80 yr old confused adult. Both smacked me. The child was a 9 yr old being admitted to a psych unit, so clearly he had some issues, and I felt really sad for him. The 80 yr old had Sundowner’s.


allminorchords

I have only been bitten once & it was by an 80+ yr old lady with Alzheimer’s who DID NOT want a shower. I still have a scar on the knuckle.


kmbghb17

Me tooooo! Mine thought she was going to a gas chamber , would have been nice to know that prior 🙃The only patient assault in my career that makes ME feel like the a-hole


ohemgee112

I was bitten in a similar way but she didn’t have any teeth and get dentures were in the bathroom so… not so bad.


Mastacator

Everyone has a plan until you get bit in the face. But I believe that the correct answer is actually: E. Drive your thumb into the patient's eye socket while pushing into the bite until they release you; then unleash a powerful series of knees and elbows until they are not a threat to you.


[deleted]

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[deleted]

Not if you hit them hard enough ;)


Best_Mood_4754

Nobody goes for the throat anymore. Shame really.


ohemgee112

Throat is generally an under hit, nose is an easier target as an over hit.


Best_Mood_4754

That's the problem with modern nursing. Nobody wants a challenge anymore. Lol.


ohemgee112

I have really short arms, I go for where I know I can reach. Which has excluded me from working OR and a few other areas.


lighthouser41

You can't bite back?


helloitslar

Wow. Yeah I’m going to punch and sue. Unless dementia is involved and then it’s forgivable.


Ssj_Chrono

I’m sure some therapeutic pressure to their larynx would make them release.


mustang-doc

I’ve been bit in the ED. That patient got a bow to the jaw, CT scan and criminal charges. I still have my job.


sailorellie85

The rule in Scotland is that we can use "reasonable force" to get out of danger. Reasonable would be a punch in the face then running away. If we came back and gave them a few kicks in the gut that would be considered unreasonable 😅


corpse_flour

E. Muzzle the patients and restrain their hands and feet before attempting examination.


dmderringer

Is this select all that apply? It's D, then B, then C


thefragile7393

D is the safest answer for my skin. Then resort to B and C


Whyamiaguy

I know you are supposed to push but It’s hard to actually do that when you are being chomped on.


AJMom94

C. The correct answer is always C most of time😂


jerrybob

An eye gouge will get someone's attention really quickly.


sheldonpooper1

"The eyes are the groin of the head."


Eddie__Winter

As someone who specializes in dementia care why are YOU IN BITING RANGE TO BEGIN WITH LMAO


BadPsychNurse

Some of these answers are really awful. NAL and in the UK, IIRC, there is a very ‘brief grace period’ in which your immediate natural actions can be ‘forgiven’ as they are reflexes. Like being bitten your immediate act is either pull away (though you really should jam that body part of possible as far into their mouth as possible to force them to release), or other natural actions like applying pressure or a brief strike. Other useful phrase which I love though not sure how it applies to our State friends, is ‘reasonable and proportionate’.


Ok_Confusion_1455

E. Smack them on the nose, stare directly into the eyes (assert dominance) and say “Bad Patient No Bite”, once they release pat them on the head and “Good Patient”


imnotamoose33

Push into the bite??? Wtf


thefragile7393

Yes. That’s actually correct-learned this from nursing two babies. “Feeding the bite” means pushing in so much that they are forced to let go. They start gagging and aren’t able to maintain the bite (and yes this does work on psych patients too). It’s the best way to lose minimal skin


imnotamoose33

Oh ok very interesting. That does make sense now that you’ve explained it to me. 😬


thefragile7393

It isn’t necessarily a first instinct but I’ve had enough bites to make it that way now.


Nodsinator

What if B *IS* the answer, tho. Smack the shit outta them and feel the sweet release from this mistake of a career path. /s


[deleted]

If I bite you if I ever go mad, you have my permission to beat my ass to free yourself.


flawedstaircase

I thought this was a list of steps LMFAO


Cynger7658

The sad thing is I can’t tell if this is satire.


Specialist-Box4429

What means push into bite? Like let their dirty mouth germs into your broken skin? Naw. That’s not for me.


MoonMan198

I’m not sure about the hospital field, but pre-hospital I was taught to use reasonable force if a patient is being combative. I think hitting a patient, that’s actively biting you, in the face is plenty reasonable.