Margaret Muniz
October 2025
Margaret
Muniz
,
RN
Johnson 5
Beverly Hospital
Beverly
,
MA
United States
In the meantime, Meg came in calmly, stood at the bedside, and took the patient’s hand.
Meg singlehandedly prevented a patient from continuing in a cycle of using antipsychotic medications and physical restraints to Control behavior. The day was busy, and I went running when my patient’s call light went off. The patient was agitated as she had been withdrawing from alcohol and had previously sustained a fall. She was now being restrained physically with a Posey vest and wrist restraints. We were also using antipsychotic medications. As she had done many times before, the patient was attempting to get out of bed, setting the bed alarm off and yelling for help. The patient was attempting to kick the staff and was generally not happy. As the primary nurse, I called for assistance and asked a coworker to retrieve the PRN medication. When the patient would not accept oral pills, I then asked the doctor for an order for IV or IM medication. In the meantime, Meg came in calmly, stood at the bedside, and took the patient’s hand. She asked the patient to take a deep breath with her and used therapeutic communication to allow the patient to make her needs known. Just taking a deep breath and being heard, the patient began to calm down. Meg suggested that we mobilize the patient as she was requesting to use the bathroom. We toileted the patient and were able to put her back to bed safely without incident. Meg demonstrated that by listening to the patient and not jumping for the quick fix of medication, we can re-humanize a patient in a time of need. After the initial cycle of not using chemical restraints on the patient, she began to clear mentally, and we were able to discontinue the use of antipsychotic medication. Meg is an amazing coworker, friend, and human being.