As an aside, I work inpatient psychiatry where it’s not so much that they’re always right as much as that it’s pointless and even counterproductive to argue. In those situations you don’t say “but this is a-” you say “I really wanna talk over the details of how to get you exactly what you want” then try to elicit the details of (to use this example) what they think a macchiato is.
Now, the reason I prefer working inpatient psychiatry as opposed to costumer service is that when they start yelling I get to say “oh, my apologies. I’ll come back when you’re more ready to talk about this!” and just leave. And then if they follow me to keep yelling…
The list of things I’m not allowed to do will always be longer than the list of things the waiter is legally not allowed to do. The waiter can legally just fight back, and I’m never allowed to do that. But the second they become significantly verbally threatening or physically threatening in any way, the list of things I’m not allowed to do to someone as part of my job suddenly becomes much shorter than the waiter’s.
Admittedly a lot of people think “voluntary” makes this a customer service situation where I’m not allowed to do that when the reality is that I just have to call somebody afterward to decide whether we’re changing their status to involuntary or kicking them out and calling the cops.
In that exact moment where I judge a threat to self or others I’m 100% allowed to use my judgment to neutralize the threat provided I a) maintain their hemodynamic stability and b) only do what is precisely necessary to neutralize that threat. Now that exact risk assessment doesn’t have as much formal training behind it as I think it should but it’s also usually at least partially a team decision and if the assigned nurse is newish there’s usually at least one nurse involved who has a decade plus experience (unfortunately these days that’s usually me). But like I said, there’s always a list of things I’m not allowed to do, but once significant threats of or actual violence happens, that list gets very short very quickly.
A lot of people think there’s this secret third option where they’re just allowed to buck up at my techs and throw things at them and that is just 0% ever a thing. I’ll let them get one incidence of bucking up at me or throwing something small at me like a small paperback just so I can truthfully document that I tried to go the least restrictive route, but I never ask my subordinates to take on that risk since they don’t have as many options to escape or get the situation back under control.
As an aside, I work inpatient psychiatry where it’s not so much that they’re always right as much as that it’s pointless and even counterproductive to argue. In those situations you don’t say “but this is a-” you say “I really wanna talk over the details of how to get you exactly what you want” then try to elicit the details of (to use this example) what they think a macchiato is.
Now, the reason I prefer working inpatient psychiatry as opposed to costumer service is that when they start yelling I get to say “oh, my apologies. I’ll come back when you’re more ready to talk about this!” and just leave. And then if they follow me to keep yelling…
The list of things I’m not allowed to do will always be longer than the list of things the waiter is legally not allowed to do. The waiter can legally just fight back, and I’m never allowed to do that. But the second they become significantly verbally threatening or physically threatening in any way, the list of things I’m not allowed to do to someone as part of my job suddenly becomes much shorter than the waiter’s.
You know, if waiters could call a code and administer a 10-2-50 on unruly customers, we’d probably see fewer outbursts.
Admittedly a lot of people think “voluntary” makes this a customer service situation where I’m not allowed to do that when the reality is that I just have to call somebody afterward to decide whether we’re changing their status to involuntary or kicking them out and calling the cops.
In that exact moment where I judge a threat to self or others I’m 100% allowed to use my judgment to neutralize the threat provided I a) maintain their hemodynamic stability and b) only do what is precisely necessary to neutralize that threat. Now that exact risk assessment doesn’t have as much formal training behind it as I think it should but it’s also usually at least partially a team decision and if the assigned nurse is newish there’s usually at least one nurse involved who has a decade plus experience (unfortunately these days that’s usually me). But like I said, there’s always a list of things I’m not allowed to do, but once significant threats of or actual violence happens, that list gets very short very quickly.
A lot of people think there’s this secret third option where they’re just allowed to buck up at my techs and throw things at them and that is just 0% ever a thing. I’ll let them get one incidence of bucking up at me or throwing something small at me like a small paperback just so I can truthfully document that I tried to go the least restrictive route, but I never ask my subordinates to take on that risk since they don’t have as many options to escape or get the situation back under control.
Idk, you’d probably get people coming in and making a scene just for the drugs
Well that also happens to me though.