When a visitor refuses to leave

At 3 a.m. in the ER, a visitor refused to leave a patient’s room after hours and started shouting; I kept my tone soft, gave space, looped in the charge nurse, and called a Code Gray to protect the patient’s rest. How do you set that firm line with empathy, and when do you involve local police under your policy if the person won’t calm down or makes threats?

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌‍‌⁠‌⁠​⁠‌‍‌⁠‌‍‍‍​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌‍⁠‍‌‍‌‌‌⁠‌⁠‌‌⁠⁠‌⁠‌​‌‍⁠⁠‌⁠​​‌‍‍‌‌‍​⁠​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​‍​‍‌‍⁠‍‌‍‌‌‌⁠‌⁠​‍​‍​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‌​⁠​‌​⁠​‍​⁠​‍​⁠​‌​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍‌‍‍‌​⁠‍​‌⁠‌⁠‌‍‌‍‌​​⁠‌⁠‍‌‌‌‌‍‌‌​​‌‌‌​‌‌‌‌‌‌‌‍‌⁠‍‍‌​‌‍‌‌‌⁠‌‌​‍‌‍‌‍​‍​‍‌⁠⁠‌​

I set my line with a 60‑second timer the person can see and say, “when this ends you need to step out or I’ll initiate Code Gray,” with the charge nurse right there so it’s calm but non‑negotiable. > do you involve local police under your policy if the person won’t calm down or makes threats? I call them only on a specific threat or after two ignored directives, and I start that call at the same time as the Code Gray so arrival times line up — does that fit your policy?

‌⁠‍⁠​‍​‍‌⁠‌​​‍​‍​⁠‍‍​‍​‍‌‍‌⁠‌⁠​⁠‌‍‌⁠‌‍‍‍​‍​‍​‍⁠​​‍​‍‌‍‍⁠​‍​‍​⁠‍‍​‍​‍‌⁠​‍‌‍‌‌‌⁠​​‌‍⁠​‌⁠‍‌​‍​‍​‍⁠​​‍​‍‌‍‍‌‌‍‌​​‍​‍​⁠‍‍​⁠‌⁠​⁠​​​⁠‌‍​⁠‌​​⁠‍‌​‍⁠​​‍​‍‌‍‌​​‍​‍​⁠‍‍​‍​‍​⁠​‍​⁠​​​⁠​‍​⁠‌‌​⁠​‌​⁠​‍​⁠​‍​⁠​⁠​‍​‍​‍⁠​​‍​‍‌‍‍​​‍​‍​⁠‍‍​‍​‍‌​‍⁠‌​⁠‍‌‍‍‍‌​‍‍‌‌⁠⁠‌‍‍‍‌​‍​​⁠​‌‌​‌​‌​⁠⁠‌​‌‍‌​​‍‌‌‌‌‌‍⁠⁠‌‌​‍‌‌‌‌​‍​‍‌⁠⁠‌​​