At the risk of starting another emotionally heated thread I am sharing my experiences of this past week because it is causing me a lot of angst. I'm a nurse. I'm a damn good one. Some of my traumas relate directly to my job. I dont want to get into deIails. I have purposefully tried to avoid working in those areas of nursing since the traumas. In my latest employment situation I've run into some disturbing situations. This past week, I witnessed a doctor being verbally abusive to my elderly patient. The patient was frustrating to work with. She has her own opinions and is not a pushover. Suffice to say, she makes the job of finding her after hospital placement difficult. This patient has a court order saying that she must be placed only where her dog can also stay. The patient had zero family. She has a guardian. Don't get me started on those. Anyway, the patient is at a point where she needs moderate help with her care in daily life. Social work and the doctor cannot find a place that will accept her with a dog. So, the doctor picked a fight with my patient. Then later charted that the patient did not require the emotional support of her dog. That she was unable to care for her dog. The doctor went on to chart that the patient was aggressive and attempted to strike the doctor. This did not happen. I was there. The doctor used this lie to justify ordering a long term dose of an antipsychotic on the patient which I was directed to give via injection. Basically, the drug was to snow the patient over so that she couldn't object to her placement. It would also be evidence for a judge proving that that the patient was violent and needed advanced placement. I refused to give the injection. I was told that security would be called to hold her down and it would be administered anyway. I spoke with the social worker. She said that she couldn't find placement for the patient with a dog. She stated that she wouldn't do anything. I documented the patients situation as best I could. It was in direct opposition to the doctor's notes. I doubt it would hold weight with a judge. The patient said she would commit suicide if she lost her dog. I didn't document that word for word because I didn't want a further psych case built against her. This patient has no one. No family. No govt appointed advocate on her side. She is being drugged against her will. She will lose her only support. All because she is difficult. I want to scream.