Dr. Oberstar is a first-year resident at the Harvard Longwood residency. E-mail: joel{at}oberstar.com Key Words: Resident's Perspective Sure, it sounds like a stupid question, but for a new medical-student-turned-intern, even the most simple of questions can seem incredibly complex. On my third overnight call as a psychiatry resident on the inpatient unit, a nurse approached me and requested permission to chemically restrain a patient. This was my first time, I thought as my heart skipped a beat; I decided to keep that to myself. After she described the patient's belligerent and threatening behavior, I agreed with the nurse's plan and she went about making preparations for the restraint. I walked cautiously to the hallway where four security guards were busy donning latex gloves. The nurses were bustling around directing the other patients into their rooms or the lounge area. I was unsure about what my role was now that the "decision" had been made. Everyone else seemed so confident. The nurse leading the restraint instructed four officers, "If he resists, you take the left arm, you take the left leg, you take the right arm, you take the right leg," pointing to each of them in turn. She
Where Do I Put My Hands?
Abstract
Dr. Oberstar is a first-year resident at the Harvard Longwood residency. E-mail: joel{at}oberstar.com Key Words: Resident's Perspective Sure, it sounds like a stupid question, but for a new medical-student-turned-intern, even the most simple of questions can seem incredibly complex. On my third overnight call as a psychiatry resident on the inpatient unit, a nurse approached me and requested permission to chemically restrain a patient. This was my first time, I thought as my heart skipped a beat; I decided to keep that to myself. After she described the patient's belligerent and threatening behavior, I agreed with the nurse's plan and she went about making preparations for the restraint. I walked cautiously to the hallway where four security guards were busy donning latex gloves. The nurses were bustling around directing the other patients into their rooms or the lounge area. I was unsure about what my role was now that the "decision" had been made. Everyone else seemed so confident. The nurse leading the restraint instructed four officers, "If he resists, you take the left arm, you take the left leg, you take the right arm, you take the right leg," pointing to each of them in turn. She
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Where Do I Put My Hands?
Oberstar, Joel V.
Follow Academic Psychiatry
, Volume 25 (4): 235
American Psychiatric Publishing, Inc (Journal) – Dec 1, 2001
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