Later, as you walk past F.F.'s bed, you notice him crawling off the end of the bed

Question

What are you going to do?

What will be an ideal response?

Answer 1

• As you help him back into bed, tell him he could hurt himself if he tries to get out that way. Assess
his pain level and orientation level.
• Ask him why he was trying to get up. Ask him whether he has to go to the bathroom.
• Lower the side rail, help him stand up at the side of the bed, hold on to him, and give him a urinal.
(You'll probably have to hold it in place for him; be sure to wear gloves.)
• Return him to bed, raise the side rails, and give him his call light. Tell him to call if he needs
anything.
• If he has family in the waiting room, ask him if he would like to have someone come back to stay
with him.
• If he is newly confused, assess his vital signs and level of consciousness, perform an assessment,
and notify the physician if there are any changes. It might be necessary to turn on the bed alarm in
case he tries to get up alone again.