A code "strong" was called one night. I ran to room 106 where the code was directed. A code strong was rare and simply meant that a patient was out of control with words or usually actions.
I ran through the hallways to room 106, and when I arrived, one of my nurses was in the far corner of the room trapped by this elderly man who was about 6'1" and 220 pounds. He was screaming obscenities at her while holding onto his walker threatening her with hand gestures. Holy shit!! I distracted him long enough for her to get out of the room. A couple of my other staff had arrived to help, but I wanted the man to calm down, so I told them to step out, and I shut the door (I had no security and often had to defuse this type of situation, and with an agitated dementia patient, lots of people in he room doesn't work). I started talking to the man, and he called me every bad name he could think of with his failing mind.
He thought I was in his home, he wanted to go home, he thought his wife was in the next room, etc. He was agitated and angry to say the least. I got his wheelchair behind him, pushed it against his legs, and it made him sit down. My goal was for this guy to not fall. Once in the chair, I stood behind him, and with light pressure on his shoulders, I wouldn't let him get up. I figured he might calm down a little and he would be safe. He continued to curse me and yell, and I took him out of his room like he wanted (huge mistake on my part).
It wasn't as easy as just giving him a shot to calm him down or restraining him (which I kind of was anyway but no technically) because at this point in healthcare, physical and chemical restraints were nearly taboo.
Anyway, I pushed this guy out into the hallway, and he reached back and dug his fingernails into my hand that was on the wheelchair handle pushing him. I let go bc it hurt like a mf, and he stood up. Now this big, strong, old, yelling, and confused guy is in the hallway raising hell. I still didn't want this guy to fall. One of my staff gave him a walker to help steady him. Holy shit! Now he's using the walker As a weapon by swinging it at me and anybody else!! I got close to him and wrestled the walker away.
He's huffing and puffing and cursing and wobbling down the hallway now when he figured out he has a gait belt around his waist. A gait belt is a simple belt with an interlocking buckle that staff can use to assist a patient to walk or transfer. It gives you a handhold and place to support them. Anyway, it became a weapon for him with that hard buckle. Again, I was trying to prevent him from falling, so I was getting close. I actually caught him once when he was teetering. That's when once he straightened out his gait, he swung that belt around and around like a lasso and clipped me on the arm with that hard ass buckle! It hurt and left a substantial bruise. EMS and the police had been called, and they arrived and he was carted away on a stretcher. I can still see this old bastard swinging that gait belt at me while staggering down the hallway. :facepalm: