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New nurse here...slapped today by patient.



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No. 80
from RobLPN
Old Apr 27, 2008, 11:41 AM

Default Re: New nurse here...slapped today by patient.
Originally Posted by Bonny619 View Post
So...I'm a new RN, still in orientation mode. I was starting an IV on a patient, my primary nurse was present as well as a student we had with us. The patient's husband was also present.

I started the IV, I was getting ready to place the tegaderm on and BAM.

She slapped me straight across the face...pretty hard too. No mark, but it stung. I just left the room immediately, that was my first instinct. My primary nurse was dealing with the patient.

Anyway, the patient was an older lady....77, but she was A/O x3. NOT a confused patient, she later said she thought we were just "playing with her" I'm assuming she thought this because the student was watching? I don't know. She knew we needed to start a new IV, her IV infiltrated.

So, my question is this....at what point does a nurse actually look at a situation as being assaulted. If this lady slapped me across the face in the middle of the grocery store, I would have called the police.

What is that fine line? What if she bruised my face? Is that different?

Any advice is appreciated.

When they are that old not much is going to happen. you'd have to get clocked by a young man or something before someone would do something.
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No. 81
from bluefabian
Old Apr 27, 2008, 11:44 AM

Default Re: New nurse here...slapped today by patient.
Oh please!!!

How long are we gonna say it's the patient factor and take all the hit? I have 80+ patients who are still rational and have the courteous attitude ever against the 30+ diva. I think the OP have stated that she was A&O.

We should quit defending the patient if our well being are at stake. I will be severely ****** of by that incident and would have snapped there and then. Happened to me a couple of times. Being sick is not the license to be rude. And every nurses who cares for any patients knew the somewhat emotional/social implications that a condition/disease inflicts. The very least we can do is be patient - with verbal abuses. I take this like air to my lungs by now. But not to physical harm, never.
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No. 82
from RobLPN
Old Apr 27, 2008, 11:55 AM

Default Re: New nurse here...slapped today by patient.
Originally Posted by bluefabian View Post
Oh please!!!

How long are we gonna say it's the patient factor and take all the hit? I have 80+ patients who are still rational and have the courteous attitude ever against the 30+ diva. I think the OP have stated that she was A&O.

We should quit defending the patient if our well being are at stake. I will be severely ****** of by that incident and would have snapped there and then. Happened to me a couple of times. Being sick is not the license to be rude. And every nurses who cares for any patients knew the somewhat emotional/social implications that a condition/disease inflicts. The very least we can do is be patient - with verbal abuses. I take this like air to my lungs by now. But not to physical harm, never.


Technically it's assualt, yes. My point is that the hospital probably would never do anything if the pt is elderly verses young.

Right or wrong certain situations carry various reactions with people. For example, if a 80 year lady is hitting on me, which is assualt, and I clocked her one time in self defense I'd be fried chicken. if the pt was a 20 yr old man attcking me and I clocked him one good time it wouldn't carry the same impact verses grandma getting clocked.

Hopsitals do indeed put image high on the list even if it means not backing staff members at times. So filing charges against an old lady who slapped a nurse would not be supported by the hospital, because it would hurt the hospitals image.
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No. 83
from bollweevil
Old Apr 27, 2008, 11:59 AM

Default Re: New nurse here...slapped today by patient.
Originally Posted by lvnnow View Post
From day one in school, I was taught that it is not about me but about the patient. Sometimes they pee on you, sometimes they throw-up on you and sometimes they slap you. I am suprised at how many relies to her post are focused on how wrong the patient was and how the nurse should retaliate. Am I the only person to consider that the patient has some type of mental impairment? The patient is 77 years old and slapped the nurse because she thought they were "playing with her?" HELLO!!??
I'm wondering if she might have messed up electrolytes and I want to know more about her steroid psychosis. these are real physical problems and I am kind of surprised that almost no one here has asked anything about her most recent labs, her meds, and so on. This has been focused almost totally on the nurse, who gave a shocking but incomplete picture.

Not that we shouldn't want our colleague treated better. We all should be treated like the important people we are. But we need to recall that this was a hospitalized patient and that she was there because of illness, presumably, and because we need to know (I do) if her illness adversely affected her behavior. And where was the preceptor and what did Management say and what did the OP decide to do?

I'm glad she at least felt badly - about having done it, most
e likely. The husband I would have ignored his remark, possibly, as he ws probably overwhelmed, although not necessarily.

Again - I care about the nurse but want to hear the end of the story and get the whole picture.
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No. 84
from Ginger45
Old Apr 27, 2008, 12:04 PM

Default Re: New nurse here...slapped today by patient.
How old was this lady? I agree that if she was alert and oriented X3 that it is assault. I have never been hit but I have seen it happen. I would press charges. Assault is assault and it is very traumatic.

I commend you for walking out of the room. The first instinct alot of times is to strike back. You didn't. You kept your cool and left the room.
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No. 85
from bollweevil
Old Apr 27, 2008, 12:09 PM

Default Re: New nurse here...slapped today by patient.
Originally Posted by Ginger45 View Post
How old was this lady? I agree that if she was alert and oriented X3 that it is assault. I have never been hit but I have seen it happen. I would press charges. Assault is assault and it is very traumatic.

I commend you for walking out of the room. The first instinct alot of times is to strike back. You didn't. You kept your cool and left the room.
I think the first instinct for me would be to ask her why she slapped me and delve past her really strange answer. She did not have her right mind about her, I think. Presumably, the procedure and its necessity for it had been made clear to her. I wish the OP would come back and give us the last installment.
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No. 86
from iggy1971
Old Jun 23, 2008, 11:48 PM

Default Re: New nurse here...slapped today by patient.
First of all, being "Old and frail" does not make you immune to the consequences of your actions if you are in your right mind. The law is the law, period. You do not have to tolerated abuse at your job. You have the right to refuse to care for her again and you MUST press charges or she'll continue with her behavior. This is assault and battery and you are protected under the law. Follow through or it sets an "it's ok," example.
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No. 87
from txnurse32
Old Jun 24, 2008, 01:18 AM

Default Re: New nurse here...slapped today by patient.
I had worked long term care as a LPN for about a year. I have been punched in the face, slapped, kicked, pinched and one tryed to bite me. I have never done anything to causes this behavior. They were confused so I really dont get too upset about it. I have told people in thier right mind that I will not tolerate being cussed at, threatened, groped, hit and if they continue to do this, (I make sure they are in a safe position rails up call light within reach) and leave the room and tell them i will come back in a few minutes to check on them. They usually calm down and have a better attitude when I come back.
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No. 88
from abbaking
Old Jun 24, 2008, 07:20 PM

Default Re: New nurse here...slapped today by patient.
I am tired of Hospital management not supporting the staff when crap hits the fan. In a worst-case situation, I would not be suprised in the least if out management blamed the nurses if there was an assault, murder, rape, and cannabalism on the unit. I have said it before and I will say it again "What ever happens, I will ALWAYS be the nurses fault". For example, if there is a terror attack on the hospital - nope it not Osama Bin Ladin's fault, its the RN's fault. If there is a 10.5 earthquake and patients are killed on the unit, Its the RN's fault.
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No. 89
from cursenurse
Old Jun 24, 2008, 07:29 PM

Default Re: New nurse here...slapped today by patient.
I wouldn't have hit the old lady back, but believe me, she just bought herself a lovely set of four point leather restraints.
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