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No. 10
from DolceVita
Old Oct 28, 2009, 11:21 AM

Default Re: Customer Violence
Excellent point made about the "customer" prefix.

What are you calling "covert" violence?
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No. 11
from tewdles
Old Oct 28, 2009, 11:38 AM

Default Re: Customer Violence
When threatened with a lawsuit I generally respond that "yes, you may hire an attorney and sue both me and the hospital...that is why I write down everything that you say in a threatening manner". The first time I said something of this nature I was a young RN in a Peds ICU. The "uncle" of the child responded something to the effect that I should becareful walking to my car at night (I worked 3-11). I asked him in a clear and loud voice if he was physically threatening me...a number of people heard me...he, of course, denied it...but you can bet that I documented every word. I also notified security (why the heck are they not armed?) and never walked alone to my car until well after that child was gone from our unit. By the by...I have a CCW and have been known to carry when visiting patients in the greater Detroit area. I recently had a fellow approach me as I was walking back to my car (by company policy I was wearing all white, obviously a nurse in a VERY bad neighborhood)...I kept walking...put my hand to the small of my back...and said very loudly..."DO NOT SPEAK TO ME...DO NOT APPROACH ME...YOU DO NOT WANT TO MESS WITH ME". I was not kidding, and apparently he believed that I was not kidding as he turned around and went the other way. You can bet that my heart was pounding just about out of my chest, but I was prepared to shoot that idiot if he tried anything.
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No. 12
from Orca
Old Oct 28, 2009, 11:51 AM

Default Re: Customer Violence
While I agree that such behavior is inappropriate, it doesn't rise to the definition of "violence" in my opinion. To lump the two together dilutes the response to real violence (which includes threats of same). Yes, threats to report me to management or to get a lawyer are stressful, I can cope with them. A threat to "get" me or my family is a whole separate matter.
This was my first thought. Verbal abuse isn't in the same category as physical assault. If someone is verbally abusive and efforts to calm them down fail, I just have security escort them off the unit.
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No. 13
Old Oct 28, 2009, 11:59 AM

Default Re: Customer Violence
Originally Posted by tewdles View Post
When threatened with a lawsuit I generally respond that "yes, you may hire an attorney and sue both me and the hospital...that is why I write down everything that you say in a threatening manner". The first time I said something of this nature I was a young RN in a Peds ICU. The "uncle" of the child responded something to the effect that I should becareful walking to my car at night (I worked 3-11). I asked him in a clear and loud voice if he was physically threatening me...a number of people heard me...he, of course, denied it...but you can bet that I documented every word. I also notified security (why the heck are they not armed?) and never walked alone to my car until well after that child was gone from our unit. By the by...I have a CCW and have been known to carry when visiting patients in the greater Detroit area. I recently had a fellow approach me as I was walking back to my car (by company policy I was wearing all white, obviously a nurse in a VERY bad neighborhood)...I kept walking...put my hand to the small of my back...and said very loudly..."DO NOT SPEAK TO ME...DO NOT APPROACH ME...YOU DO NOT WANT TO MESS WITH ME". I was not kidding, and apparently he believed that I was not kidding as he turned around and went the other way. You can bet that my heart was pounding just about out of my chest, but I was prepared to shoot that idiot if he tried anything.

We are toughies here in Detroit aren't we? This is exactly why I don't do home care. Too many bad neighborhoods.
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No. 14
from CeilingCat
Old Oct 28, 2009, 02:34 PM

Default Re: Customer Violence
If it's physical violence, the hospital needs to have a zero tolerance policy. If a nurse reports being hit, her supervisor MUST let her press charges, in my opinion.

If it's more like verbal abuse, I'd suggest educating the nurses. Verbal abuse is hard to stop. And even good people say nasty things sometimes in periods of stress. Let's say the hospital wants to improve things. Could they bring in someone to coach the nurses on dealing with verbal abuse? They should also make it more clear to their nurses when it's ok to just walk out of the room when a family member starts cussing them out or when it's ok not to pamper someone's nasty demands. If nurses felt 100% secure in not being penalized for doing their job, they would get flustered when Mrs Smith threatens to file a report if his meds are 5 minutes late.

Just my 2 cents worth.
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No. 15
from eriksoln
Old Oct 28, 2009, 02:44 PM

Default Re: Customer Violence
Originally Posted by CeilingCat View Post
If it's physical violence, the hospital needs to have a zero tolerance policy. If a nurse reports being hit, her supervisor MUST let her press charges, in my opinion.

If it's more like verbal abuse, I'd suggest educating the nurses. Verbal abuse is hard to stop. And even good people say nasty things sometimes in periods of stress. Let's say the hospital wants to improve things. Could they bring in someone to coach the nurses on dealing with verbal abuse? They should also make it more clear to their nurses when it's ok to just walk out of the room when a family member starts cussing them out or when it's ok not to pamper someone's nasty demands. If nurses felt 100% secure in not being penalized for doing their job, they would get flustered when Mrs Smith threatens to file a report if his meds are 5 minutes late.

Just my 2 cents worth.
Bravo.

Much more mature approach than mine. I agree with training nurses to handle verbal abuse in a manner that is theraputic.

Heck, retail stores teach it.
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No. 16
from StNeotser
Old Oct 28, 2009, 04:11 PM

Default Re: Customer Violence
If it's about actual physical violence surely the glaringly obvious answer is to not tolerate it. Post signs up about a visitor/patient code of conduct and let them know you're not going to tolerate it. Then don't tolerate it, call the cops when physical violence against staff happens. Don't blame the nurse for it either.
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No. 17
from nicurn001
Old Oct 28, 2009, 06:40 PM

Default Re: Customer Violence
I am a nurse , I work in a hospital , I look after patients who are visited by family , I act in a professional manner to all I interact with and treat everyone in the manner I would be expect if I where in their place .
Violence of any kind in the work place should not be tolerated .The policy should be unambigous ie. zero tolerance of any violence , any such event resulting in a report to the appropriate authority .Maybe if your customers knew this would happen they would start behaving as patients , family members etc., again .
Staff should be confident that administration would correct the customer misbehaviour , without trying to lay the blame off , on anyone except the perpetraror .
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No. 18
from meluhn
Old Oct 28, 2009, 07:30 PM

Default Re: Customer Violence
Originally Posted by eriksoln View Post
U just proved my point. People of this nature, the "reason of insanity" types have enough reason/sanity to know who to do it too. They tend to bypass me for others.

Case in point: Alcoholics going through DTs. Kicking, screaming, grabbing at nurses. Make every attempt to harm their caregivers. Someone who has........IDK, a persona/look of someone who hits back comes in and.........well, the aim their attacks very well at others, make every effort not to strike me. It just can't be coincidence.

I think of it like this: Ever see pushy customers and how they operate? They tend to pick on the teen-age burger cashier, putting the finger in their face and yelling. The second the adult manager arrives, they all of a sudden regain their self composure and..............talk rationally. They may still demand their money back and raise the voice a little, but the extra curricular stuff magically disappears. The difference being.......someone their own size is in front of them now.
I agree. It is all in how you carry yourself. I am an average sized women but I just act confident and treat everyone with respect and 99% of the time I don't have a problem. If I know someone is especially beligerant or nasty, I go in with an even bigger smile and am extra nice in order to diffuse any problem before it starts.

BTW, aren't you the same guy who gave me a bunch of flack on another thread months ago when I told the OP to stand up for herself against lateral violence in the work place? Now look at you.
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No. 19
Old Oct 28, 2009, 08:48 PM

Default Re: Customer Violence
How do I handle a threatening patient or family member? I do the same as an above poster. I document everything they said, including if anyone else was present, and then I tell the bully that I've documented their threats and that if anything happens to me, the cops will go looking for him/her FIRST. I call security hand have them do frequent walks thru the area when the family is present; if it's a patient, I will have them come and stand in the room during blood draws or anything involving sharps. I call the doc and complain that he's got someone in the unit threatening us and that we'd like them gone, NOW. I also tell my management and put it into our risk management software that I have had this experience and made the doc, my management and security aware that a potential hazard exists. Finally, I tell my family, "if I get hurt or run off the road, get a lawyer and get all the risk management documents I've filed, and tell him to look for perp."

But first, last, middle, TELL PEOPLE ABOUT THE THREAT. When a guy's been threatening to beat in the head of his dayshift nurse, wouldn't you like to know that before you enter the room and get within arm's reach?

When a company (hospital, clinic, or other) realizes that they are going to be on the potential list of people being sued if "someone" happens to you, they suddenly get much more concerned about NURSE safety....
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