I think it’s interesting that some hospitals have such restrictive policies regarding the use of restraints. It’s also interesting that some ED staff members adopt such a naive and coddling approach toward people who should be in restraints. Even more interesting is their attitude toward us when we show up with someone in restraints, as if we just came from some bondage party.
“Well, he’s not on a psych hold.”
“Why is he in restraints?”
“Well, that’s inappropriate.”
“Combativeness is just a sign of a head injury. ”
“I know he’s cracked out of his mind, but you still can’t restrain him.”
Sorry, my security staff called in sick. The ten other people who usually work with me in the back of the ambulance are all on break. The cops left to go to different calls. Pardon me if I can’t subdue this 250-pound asshole felon on my own.
“Sir, are you going to cooperative with us?”
“You guys can let him out of those restraints.”
“Are you sure?”
“Yes, we’re sure.”
And then, of course, it always ends with, “SECURITY!” Followed by, “WE NEED ATIVAN STAT!”
“Oh, what’s that? You say something? You talking to us? Oh, you want us to help you restrain this guy now? Well, we already transferred care to you, and that just wouldn’t seem appropriate…”