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Managing the Disruptive
or Difficult Patient
Recorded March 10, 2005
Faculty: Alan
Steinberg, Nick Calabrese & Phil Zarone
It is
not unusual for Emergency Department physicians and staff to encounter
patients who are intoxicated, combative, abusive, impaired or in
mental distress. In some cases, a patient's behavior makes it difficult
to provide treatment. The same can occur with a disruptive or difficult
inpatient. While a hospital should do what it can to treat such a
patient, no hospital should place physicians or hospital staff in
a potentially dangerous or harmful situation. Moreover, with more
care being offered in outpatient settings, problems often arise with
non-compliance, lateness, missed appointments, abuse of medications
and abuse of hospital staff.
Among
the topics discussed:
- Steps
physicians and staff can take to manage the disruptive patient
- When
and how hospital security should be involved
- Problem
patients in pain management clinics, drug or alcohol units,
and pre-natal care clinics
- Drug
seekers and the ED
- Patients
who leave the hospital against medical advice, including those
who are intoxicated
- Use
of law enforcement to help manage a combative patient
- Policies
to address persistent lateness and missed appointments
- "Patient
abandonment" rules for physicians who want to discharge
the problem patient from his or her practice
Registration Fee: $220
Audio CD: $225
With registration, audio
CDs are
available for an additional $50.
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supplementary materials.
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