Physically attacked on the job? - page 3

My gf told me of a situation where an addict threw an IV pole at her, luckily it missed. My friend's wife was kicked in the knee sustaining a minor patellar fracture. Have you ever been attacked at... Read More

  1. by   ChronicNurse
    Yep, many times in ten years. Mostly by psych & geriatric Pt's. I had to take a 22 year old boy down in an elevator once. He was on a psych hold and assaulted three others and tried to leave the unit. I let him throw a punch, then stepped in and took him down to the floor. 2mg of ativan in one butt check and 4 of haldol in the other.
  2. by   UM Review RN
    Yup. The biters are the worst. Close behind that are the MRSA(or other gross/nasty disease)-infected spitters. The slappers, punchers, scratchers, kickers, throwers--I've BTDT and I try very hard not to get caught off-guard any more.

    Most are so confused that there's nothing you can do except wrist restraints and medications.

    However, I've sustained the most severe personal injuries just lifting or transferring patients. So my biggest fear is a bad back injury or a leg/foot sprain. It can mess me up for weeks.
  3. by   mobileRN
    Yes but it has been awhile, I once got punched in the stomach while I had a patient in the shower. Amazingly he was my patient again about 15 years later and he REMEMBERED the incident and APOLOGIZED for it. WOW. I have come close to being hit more times that I can remember, had too many killer grips to my hands than I can count.
  4. by   pugmum
    Quote from KungFuFtr
    My gf told me of a situation where an addict threw an IV pole at her, luckily it missed. My friend's wife was kicked in the knee sustaining a minor patellar fracture.
    Have you ever been attacked at work?
    Yes, more times than I care to count (working in the ER multiple years).

    Worst - being choked by a psychotic patient. An off-duty police officer with a #tib/fib was waiting for the ERP and hopped over on one foot to try and stop him. The code team arrived at the same time and tried to tackle the pt. too. Unfortunately, the pt, the police officer, and two men on the team knocked everyone over and landed on top of me squishing me flatter than a pancake. Perfect case of the cure being worse than the injury, but I didn't complain too much cause I was still alive. It was not fun and I was off for months.
  5. by   miniaussie
    I have been kicked, punched,and scratched. Why is it that when resident care plans are followed, and incident reports are filed that the main MDS nurse makes it out to be your fault. The primary MDS nurse is angry because the physician has ordered new medications to decrease the violence of this resident. Following an IDT meeting,this MDS nurse has had a memo issued to all staff stating that many patients have attacked staff but when care plans are followed and two staff are present in the room that should eliminate the attack or physical contact by the resident on the staff because the 2nd person will be able to stop the punch. This is not always true. If a violent resident does not appear angry or agitated, is being helped to sit up, throws an unexpected quick blow, the other staff may not be able to stop this unless they are standing on the bed and in a few inches of the residents arm. This positioning of the second staff person is not always possible to be within inches of this residents arms. Following this IDT meeting the MDS nurse who actually wrote the memo blamed the main MDS nurse and stated they had to write the memo. Can someone please explain?
  6. by   hipab4hands
    I had a 60 year old male hit me in the upper back and neck with his fist. He then hit my partner in the stomach.

    Management "justified" keeping him on the floor by stating he was "agitated", and refused to have him transfered off the unit.

    The sad thing is he underwent surgery a few days later, got a post op infection, and died several days later.
  7. by   Ruby Vee
    i've been punched, slapped, bitten, shoved, kicked, scratched and almost knifed. and that's just by the patients. (there is no one stronger than a demented little old lady!) i've seen physicians punch, slap, shove and throw objects at the nursing staff, and once the assistant manager shoved me so hard i slammed into the bedside cart and had bruises all up and down my side for weeks! i wasn't getting out of her way fast enough. i wrote that one up -- the doctor was in the room when it happened. unfortunately, nothing came of it because the doctor died before the investigation got to him. in the end, it came down to she said/i said, and since she was the assistant manager and i was a lowly staff nurse . . . . after a number of complaints about her verbal abuse of others, she did go to anger management, though. and then there's the visitors . . . i've seen them punch, slap, threaten, kick, shoot at and set dogs on the nursing staff. and my friend bob got shot in the butt as he was running away.
  8. by   mom23RN
    Quote from miniaussie
    I have been kicked, punched,and scratched. Why is it that when resident care plans are followed, and incident reports are filed that the main MDS nurse makes it out to be your fault. The primary MDS nurse is angry because the physician has ordered new medications to decrease the violence of this resident. Following an IDT meeting,this MDS nurse has had a memo issued to all staff stating that many patients have attacked staff but when care plans are followed and two staff are present in the room that should eliminate the attack or physical contact by the resident on the staff because the 2nd person will be able to stop the punch. This is not always true. If a violent resident does not appear angry or agitated, is being helped to sit up, throws an unexpected quick blow, the other staff may not be able to stop this unless they are standing on the bed and in a few inches of the residents arm. This positioning of the second staff person is not always possible to be within inches of this residents arms. Following this IDT meeting the MDS nurse who actually wrote the memo blamed the main MDS nurse and stated they had to write the memo. Can someone please explain?
    I read the first part of this and was thinking "resident" doctors!!!!! I was like.... :imbar then I figured it out.


    sorry you're veen so abused at work!!
  9. by   ShayRN
    Quote from ruby vee
    i've been punched, slapped, bitten, shoved, kicked, scratched and almost knifed. and that's just by the patients. (there is no one stronger than a demented little old lady!) i've seen physicians punch, slap, shove and throw objects at the nursing staff, and once the assistant manager shoved me so hard i slammed into the bedside cart and had bruises all up and down my side for weeks! i wasn't getting out of her way fast enough. i wrote that one up -- the doctor was in the room when it happened. unfortunately, nothing came of it because the doctor died before the investigation got to him. in the end, it came down to she said/i said, and since she was the assistant manager and i was a lowly staff nurse . . . . after a number of complaints about her verbal abuse of others, she did go to anger management, though. and then there's the visitors . . . i've seen them punch, slap, threaten, kick, shoot at and set dogs on the nursing staff. and my friend bob got shot in the butt as he was running away.
    omg!!!!! where do you work?!?
  10. by   Graffinius
    People shouldn't let those kind of situations get in the way of their helping others. I was talking to a nurse earlier that was concerned about working in a rehab because she thought she would get attacked! Probabaly unlikely
  11. by   Jedi_Iatros
    Quote from nursenili
    if you work in the ed, like me, you most likely have been attacked or assaulted some time in your career. i have been assaulted a few times, threatened many times, too many times to count. the worse assault was a 14 year old female who was combative, on drugs and pregnant. we were attempting to restrain her and somehow, her leg got loose and she kicked me hard in the ribs. i sustained nothing more than rib contusions, but i was in pain for weeks. i have had clipboards thrown at me in triage, was slapped in the face by a psych patient, and have had combative, drugged out psych patients attempt to bite, kick, and punch me. through the years, i have learned to always be aware of my surroundings, always have a way out of the room, never take chances and restrain the patient at the first sign of combativeness, and to move really fast ande duck when i see an extremity or clipboard coming at me!
    yup! nurses should use the s.a.f.e.s.t. approach.

    spacing, appearance, focus, exchange, stabilization, and treatment.
  12. by   nonie
    Working on Psych Units it's bound to happen but the facility where i worked also made sure we were trained in several techniques as well as verbal judo in an effort to help keep physical attacks from happening.....but there were the days those techniques failed to work depending on the pt and the crisis they were in
  13. by   SuperFlyRN
    Actually, recently, a nurse was attacked at work by an ex-lover, the staff Anestetist. She had applied for protection and it is currently begin investigated. Here is the link. It is so very sad-hopefully the first stab wound was the fatal one.
    http://www.canada.com/windsorstar/ne...c-b3d3bb8b9185

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