Violence in Nursing - page 6

Violence in Nursing When Ashley became a nurse, she dreamed about helping patients and relieving suffering. She never thought she’d be hurt, much less attacked. Her second day on the job, a... Read More

  1. by   Nurse Beth
    Quote from JKL33
    Excellent post in its entirety, though I've only quoted a portion.

    Working @ random ED: Patient with weapon (not a gun) and violent/threatening behavior. Staff was in a safe position, I called the police. I hung up the phone and everyone told me I was in BIG TROUBLE because they aren't allowed to call the police to come to this ED. I politely said to the effect 'we'll see about that'. As soon as I encountered the supervisor (later) I told her, "Oh by the way. I had to call the cops earlier for a violent patient waving a weapon around. These guys have told me I'm going to be in trouble because they aren't allowed to call the police, but I told them they must have misunderstood because that is ridiculous and would be a major legal issue!" <make excellent eye contact>. She said "Oh....well....good work. I have no ideeeeaaa why they would say THAT??!!" <of course you don't!>

    I was prepared to be as assertive as necessary over this issue but as it turns out I never heard another word about it. And that, right there, was the end of them being "not allowed to call the police."

    We all have to put our foot (feet) down. For the best results, I suggest making no apologies and leave no room for being bullied about it.
    Good for you! I once saw a nurse about to call the police because a patient left AMA with an intact IV. "Why?" I asked. 'He might use drugs" she answered. What a nuisance call for the police!

    This same nurse would never consider calling for a violent patient.
  2. by   Zyprexa
    Patients and family members should be held to the same standards as anyone else. Period.
  3. by   herring_RN
    Sometimes a patient cannot be blamed for his or her actions.
    I've only been injured by a patient once. It was about 2:00 am when I heard my colleague call, "I can use some help in here."
    His patient was in flash pulmonary edema with 02 sat dropping. We knew his agitation and confusion were cause by hypoxia. I paged the resident on call. He said to put on )2 by non-rebreather.
    My colleague was applied wrist restraints. As I held the 02 mask on his face the patient kicked my cheek. I saw stars and was dizzy.

    After the patient was treated with IV Lasix, IV drips, had a pulmonary artery catheter inserted, and all the usual treatment he was againg alert.
    He sort of remembered kicking me saying, "I thought you had broken into my house and were tying me up."

    In my 18 years working nights in CCU I observed many patients become disoriented and combative when hypoxic.
    That is but one condition in which I cannot blame the patient.

    We must have a plan protect ourselves. We must not generalize. In my opinion.
    Last edit by herring_RN on Aug 11 : Reason: typos
  4. by   SOS XD
    I was assaulted by a supervisor. I am a different ethnicity than she. She habitually called me racist nicknames. A patient of her ethnicity called her on it. He was defending me ( his nurse) and being older than her, spoke to her in a chiding manner. She waited around a corner and straight arm clotheslined me then closed her arm around my neck. She cut off my ability to breathe.

    I've been a victim before. I've studied self defense. I've worked on it. All that practice kicked in and my reaction broke her nose. I am not proud of hurting anyone. I am grateful all of this was witnesses by a retired judge who happened to be ambulating by. All of it.

    I lost my job. I've been kind of black listed. I was counseled by HR to not press charges. I pressed charges. I reported her to the board. I have had some truly wonderful people supporting me; telling me not to back down. An attorney got in touch with me. We sued the crap out of the company that fired me. I paid off my student loans and have returned to school to further my education so that one day I might teach nursing to young nurses.

    That said, I have been sorely abused by patients and have never considered what they do as criminal. I know it's wrong, I know it's bad. I meditate, I pray. I forgive. I still can't watch when my stitches are done or taken out ( I can do so for others all day). Somebody has to endure the worst part of people. That's me. I put myself aside when my scrubs go on. I suit up; I am a nurse--my personal life isn't part of that. Game face on.

    Everyone handles this sort of thing differently. I strive to approach everything from a point of compassion. I hope we can all be better for each other, incrementally, every day.

    I don't have any ill will toward the supervisor that choked me. I hope she learned something, I hope she has grown from the experience. I hope she never hurts anyone again.

    Thanks for reading. *hugs*
    Last edit by SOS XD on Aug 14 : Reason: Typos!