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The disruptive patient or visitor

S W Perry, M M Gilmore

|February 20, 1981

Summary

Managing disruptive individuals in healthcare settings involves a coordinated team approach. Haloperidol is recommended for necessary medication, with treatment possible without consent if a patient is deemed incompetent by a court.

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Area of Science:

Healthcare Management
Clinical Psychology
Emergency Medicine

Background:

Disruptive behavior in healthcare settings poses significant challenges to patient safety and staff well-being.
Effective management strategies are crucial for maintaining a therapeutic environment.
Existing protocols may require refinement to address diverse disruptive scenarios.

Purpose of the Study:

To outline a structured approach for managing disruptive patients or visitors.
To identify optimal interventions, including pharmacological options, for managing acute disruptive episodes.
To clarify legal and ethical considerations regarding treatment without consent.

Main Methods:

A four-person team, led by a single supervisor, is proposed for managing disruptive individuals.
The protocol emphasizes immediate subduing and secure transport to a separate evaluation room.
A brief pre-medication examination is recommended, with haloperidol identified as the primary pharmacological choice.

Main Results:

The described team approach provides a framework for de-escalation and control.
Haloperidol is highlighted as an effective medication for managing acute agitation.
The study addresses the legal precedent for treating incompetent patients without explicit consent.

Conclusions:

A structured, team-based approach is effective for managing disruptive behavior in healthcare.
Timely evaluation and judicious use of haloperidol can ensure patient and staff safety.
Legal frameworks support treatment decisions for patients lacking decision-making capacity.

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