When are you guys going to learn? When a patient is choking the life out of you, you HAVE to offer them milk and cookies then tell them to go to a secluded room before you try to defend yourself. Those are the rules. If they have their hands around your windpipe and you can’t breathe, then just point emphatically to the secluded area.
Yes. Yes it is.
This is the inherent problem of large regulatory bodies like the Joint Commission: they do not operate in reality. They exist in a perfect fantasy land where falls never happen, infections are impossible and ED (and all patients) are well behaved. They do NOT understand the complex and dangerous reality that is modern health care. Like managers, they should be required to spend an amount, say a week a year, of time where they are the primary surveyors. Your primary survey (management) area is ED? You get to spend a week in the trenches. The people who are writing the rules NEED to be intimately familiar with the true consequences of their actions. Handing down edicts from on high isn’t as easy when you know what it means to the actual providers.
Of course that is just a fantasy because like most bureaucrats, they got into this line of work to avoid (or couldn’t hack it) just this sort of thing. Actual patient contact? Ewww.