ok, so how about this one guys....
WE had this patient for a couple of weeks, he was in for alcohol detox/mental status changes. He had been in restraints for a pretty long while as he was constantly pulling things out and ripping things off and the such.
So, this one nurse decided that he had been fairly quiet the last 3 days she had had him, so she decided to leave the restraints on his wrists and ankles, but not have them tied to the bed. Her thinking was that maybe he wouldnt realize he wasnt totally tied down and he wouldnt be so agitated.
So, she releases them, finishes his assessment, goes to the nurses station to get the glucometer to check his blood sugar cause he was kinda sweaty and sick at his stomach. While she is at the nurses station, he gets up, goes to the bathroom and locks the door. She goes in his room, realizes he is in the bathroom and goes to get the key to unlock the door. She comes back to his room with the key, inserts it into the knob... and gives the knob a big tug.
Nothing happens.... He had taken all of his retrainsts, tied them around the doorknob and the handicap rail on the other side of the room so that she couldnt get the door open.
I would have given anything to have been at work that day.... it had to be the funniest thing she had ever seen.
Needless to say when they got him out of the bathroom, he had pulled out his picc line (big IV that generally goes on the inner aspect of your upper arm and is usually sutured in), and taken out his NG tube (goes down your nose into your stomach).
and of course, that got him in restraints again. It is amazing the things that patients can do sometimes.........