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I agree with CM that the appropriate action would be to write a letter asking for an explanation. Keep it polite and neutral. I'd include something like, "What will you being to minimize the chance of this happening again?" As Sue says, I don't think there is anything any facility can do that will absolutely guarantee this type of incident never happens.
What sort of action?
Did you take any photographs?
I would certainly write a formal complaint to the rehab centre and ask for a full explanation of how these injuries occurred, and a detailed account of what took place during that very disturbed evening and night. But I wouldn't jump to any conclusions about it - are you sure your husband wasn't scratching himself, and that was partly what they needed to restrain him for, for example?
It is extremely distressing to see this sort of thing and I'm sorry for how upset you must feel. How is your husband settling in at home?
I understand you wanting to get some closure but I'm not sure you have a "case", since he become combative. They may have tried to get him back to bed or prevent him from falling.
I have been on the receiving end of confused, combative and angry patients. I've been hit, punched, spit on, pushed, scratched (by nails), etc.
Yes, nurses are trained to handle combative patients but, when they outweigh you and are stronger than you, and they won't listen to reason, or are going to hurt themselves, you just have to do what you can. Usually, you would have another nurse or orderly helping you. Sometimes I've had to do it alone. It's a fine line for the nurse getting hurt from the patient or the patient getting hurt from forcing their way and having to be restrained.
Can you imagine your husband being combative with you? How would you fare?
Since he is scratched and nothing broken, fractured or sprained, I'd forget it.
FYI,
Often doctors will order the time a medicine is to be given. The nurse has NO choice but to give it at that time, even if the patient takes it at the opposite time of day at home.
I've had a lot of angry family members tell me I was wrong to give their LO the meds at that time. My hands were tied. I would call the doc and ask if we could change the time to what the family wanted.