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Oct 28, 2009 02:04 AM

Customer Violence


I am working with a focus group on a policy to address customer violence. Our nurses have encountered covert acts of violence from family members which have increased over the past few months. Our organization prides itself in customer service but we need to be supportive off our staff and excellent patient care by implementing a zero-tolerance policy for violence. Does anyone have a policy (that you would be willing to share) that addresses customer violence. Thank you in advance.


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No. 1
Old Oct 28, 2009, 07:38 AM

Default Re: Customer Violence
I'm not sure if my hospital has a policy regarding violence inflicted upon nurses by family members but I tell you this, if anyone lays a hand on me, I'm pressing charges I don't care how upset or frustrated they are about their loved one being sick. It doesn't give them the right to harm me. And that is how it should be.
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No. 2
from mamamerlee
Old Oct 28, 2009, 08:20 AM
Updated Oct 28, 2009 at 08:21 AM by mamamerlee

Default Re: Customer Violence
Some of the 'violence' is not physical - it's the demeaning ugly way that families, and sometimes the patients, address the staff; it's the threats about contacting administration for a med that's 10 min later then they think it should be; it's the 'gonna get a lawyer' talk that's being heard too often.

Physical stuff is easier to deal with - it's obvious, although if there are no witnesses, but may be hard to prove.

The emotional and psych abuse are much more difficult.
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No. 3
Old Oct 28, 2009, 08:54 AM

Default Re: Customer Violence
While I applaud you for trying to protect your nurses and other employees, you have a problem inherent in your question: "Does anyone have a policy (that you would be willing to share) that addresses customer violence."

Once you modify "violence" with "customer," you lay the ground for hesitation and doubt and second-guessing what is okay and what isn't, what is stepping on a "customer's" toes, etc. The bottom line is there should be a NO VIOLENCE policy instituted that applies to all humans. Period. That includes your administration, patients, and their families. I wish you the best of luck in incorporating a safe system of protection. It won't be easy if your higher-ups are looking at this as "customer violence" and not as it is: violence against its employees in any form.

As for the psych and emotional abuse, every organization should have a system in place to report and resolve these issues. No one should have to do the job they were hired to do while being the mental punching bag for those with emotional problems.
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No. 4
Old Oct 28, 2009, 09:47 AM

Default Re: Customer Violence
Originally Posted by mamamerlee View Post
Some of the 'violence' is not physical - it's the demeaning ugly way that families, and sometimes the patients, address the staff; it's the threats about contacting administration for a med that's 10 min later then they think it should be; it's the 'gonna get a lawyer' talk that's being heard too often.

Physical stuff is easier to deal with - it's obvious, although if there are no witnesses, but may be hard to prove.

The emotional and psych abuse are much more difficult.
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.

I just visited an academic medical center yesterday and was struck by one of the huge differences... they have their own university police patrolling the area... these are licensed, armed peace officers... that's a far cry from some of the lame rent-a-cops that provide, eh hem, security, at the other hospitals. I'd feel so much safer working there.
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No. 5
from eriksoln
Old Oct 28, 2009, 09:47 AM

Default Re: Customer Violence
Originally Posted by TurnLeftSide View Post
I'm not sure if my hospital has a policy regarding violence inflicted upon nurses by family members but I tell you this, if anyone lays a hand on me, I'm pressing charges I don't care how upset or frustrated they are about their loved one being sick. It doesn't give them the right to harm me. And that is how it should be.
U R better than me. I guess maybe people just assume it cause I am a male nurse...........a LARGE male nurse.

Anyone lays a hand on me, I perform a "laying of the hands" of my own, and not the clerical kind........license be damned..........I can do something else.

Same goes with verbal or emotional abuse. Don't start with me unless you are very confident you can finish. Having a mouth that cashes checks the body can't cash is a dangerous habit.

I know, it's a childish approach, but...........I don't tend to get abused. Thats my goal, and mission accomplished.
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No. 6
from goyavo
Old Oct 28, 2009, 09:59 AM

Default Re: Customer Violence
Good luck with that. My wife's finger was bitten off by a "customer" two years ago and we just found out today that the guy was found not guilty by reason of insanity. No jail time for biting off a finger!! You can "not tolerate" violence all you want, but it will still happen and our justice system is too impotent to do anything about it.
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No. 7
Old Oct 28, 2009, 10:08 AM

Default Re: Customer Violence
Originally Posted by eriksoln View Post
U R better than me. I guess maybe people just assume it cause I am a male nurse...........a LARGE male nurse.

Anyone lays a hand on me, I perform a "laying of the hands" of my own, and not the clerical kind........license be damned..........I can do something else.

Same goes with verbal or emotional abuse. Don't start with me unless you are very confident you can finish. Having a mouth that cashes checks the body can't cash is a dangerous habit.

I know, it's a childish approach, but...........I don't tend to get abused. Thats my goal, and mission accomplished.

See I wouldn't know how not to react when assaulted by a family member because my gut reaction would be to respond as I've been taught in Krav Maga. I'm just not one to be messed with. Maybe it's the way I carry myself, because one rude out of line word brought to me by a family member gets a very stern glance and then ignored.
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No. 8
from Lacie
Old Oct 28, 2009, 11:08 AM

Default Re: Customer Violence
I recently left a chronic outpatient dialysis clinic position where verbal abuse to the staff was ignored. A patient even pushed one of my staff members into the wall because she wasnt "getting her way". Admin told us "you anticipated this pt was going to be an issue therefore you asked for it"!!!! Basically profit making dialysis company didnt want to loose a pt by either discharging them or take the chance on them leaving to another clinic. We have become waitresses, maids and punching bags. I agree with a No Tolerance policy and even though we had one implemented it comes down to "the administration actually following thier own polices".
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No. 9
from eriksoln
Old Oct 28, 2009, 11:09 AM

Default Re: Customer Violence
Originally Posted by goyavo View Post
Good luck with that. My wife's finger was bitten off by a "customer" two years ago and we just found out today that the guy was found not guilty by reason of insanity. No jail time for biting off a finger!! You can "not tolerate" violence all you want, but it will still happen and our justice system is too impotent to do anything about it.
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.
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