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Ex-patient shoots dialysis center nurse [NY]



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No. 10
Old Sep 11, 2005, 12:04 AM

Default I agree
yes,
That is the truth. I work in a psychiatric hospital now, but I was hit by patients and more often than not abused verbally by patients and family members more often in an acute care hospital.. Its sad and very disturbing all together.


Originally Posted by DOING MY BEST
I find it very disturbing to hear about this. If you can step back and look over what the Nursing Profession has turned into you will see that WE HAVE TO SMILE AT ALL COSTS, NOT VIOLATE ANY HIPPA VIOLATIONS IN FEAR OF OUR JOBS!! NOT RESPOND TO INAPPROPRIATE BEHAVIOR BY STAFF, ADMINISTRATION, AND OR PATIENTS. Our Nursing profession has become a hospitality realated industry. Many times I have seen nurses be called in because they didn't smile at a patients family member, or when there were too many visitors in a room disturbing other patients we asked quietly if they could be alittle less noisey. The nursing supervisors always ask WHAT you did NOT WHAT was the problem. This puts nursing always on the defence, It's better to just SMILE AWAY. Sad thought, but our patient satisfaction is what matters not our skill as PROFESSIONAL NURSES!
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No. 11
from CVRNof4
Old Sep 12, 2005, 12:57 AM

Originally Posted by Psychtrish39
yes,
That is the truth. I work in a psychiatric hospital now, but I was hit by patients and more often than not abused verbally by patients and family members more often in an acute care hospital.. Its sad and very disturbing all together.
I work in an acute care setting-a CVICU. I have been hit, punched, spit at, and called all names you can imagine. At least in a psych. facility you can somewhat understand the behavior. It is not right anywhere for nurses to put up with what we do. I also worked in a dialysis unit for three years. We had many patients that were "kicked out" for non-compliance, not showing up, or abusive behavior. This was in a very urban facility also. Sure we were scared, but security was notified as well as the police dept. as to what was going on. When the pt. attempted to seek treatment at another local or not local facility we would inform them of our decision. Never had a pt. come back. This is a very sad situation and as nurses we have to start protecting ourselves. Recently at the facility I work at pt.'s have now found that if they are not happy with their care they turn around and try to sue. As a charge nurse I have taken action to have my nurses document all "crazy" behavior and have the family come in immediately! This protects us when they say "I was abused"...family is there to see the craziness and we are protected. I never thought my profession would be so volatile. Sorry if I am ranting..but this story disturbs me and there is no excuse for it!!!
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No. 12
Old Sep 12, 2005, 05:23 PM

Exclamation Glad our unit has a lock on the door!
About 3 years ago, the Fresenius unit I'm at put a lock on the treatment room/waiting room door. At the time, I was upset about it-- but over the years as more of these 'violent patient' stories have hit the news, I'm glad we've got a lock on our door. A person has to ring the buzzer and the nurses see who it is before they are allowed in.

We also had a knife-toting patient at our unit-- he kept flashing a double-sided hunting knife, which is ILLEGAL in my state. Even after I complained to the charge nurse about it, it took the unit another two months before they transferred him to another dialysis unit-- and that was only after repeated 'requests' for him to quit bringing the knife to dialysis. My cab-driver told me that he hates bringing this guy to his treatments because he's always threatening to stab or shoot someone.

I am pretty angry that my unit didn't report this idiot to the police-- he was committing a crime by having the double-sided knife, and should have been arrested-- not simply shifted to another dialysis unit! He is now a threat to the patients there. Dialysis patients deserve to be in a safe environment for their treatments-- no one should be allowed to bring weapons into the treatment area. Dialysis units need to start enforcing the no-weapons rule before more nurses and techs get hurt-- even if the violent patient is mad at another patient, the only ones they can reach while on the machine will be the nurses and techs.
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No. 13
Old Sep 12, 2005, 08:58 PM

Unhappy Actually you are right
CVRNof4,
You are right about it being expected in psych, and at least the persons I take care of there want help most of the time to control themselves and their behavior. I have mental health techs which are for the most part males. Yet another factor perhaps that the abusing doesn't go on. They only come to us for medication and someone to talk things out with... it gets tense at times but abusive behavior is dealt with instantly. I am sorry that this is going on everywhere and it is wrong in all care settings regardless. I had thought maybe it was me being a fairly new nurse but its everywhere.... hang in there...
Originally Posted by CVRNof4
I work in an acute care setting-a CVICU. I have been hit, punched, spit at, and called all names you can imagine. At least in a psych. facility you can somewhat understand the behavior. It is not right anywhere for nurses to put up with what we do. I also worked in a dialysis unit for three years. We had many patients that were "kicked out" for non-compliance, not showing up, or abusive behavior. This was in a very urban facility also. Sure we were scared, but security was notified as well as the police dept. as to what was going on. When the pt. attempted to seek treatment at another local or not local facility we would inform them of our decision. Never had a pt. come back. This is a very sad situation and as nurses we have to start protecting ourselves. Recently at the facility I work at pt.'s have now found that if they are not happy with their care they turn around and try to sue. As a charge nurse I have taken action to have my nurses document all "crazy" behavior and have the family come in immediately! This protects us when they say "I was abused"...family is there to see the craziness and we are protected. I never thought my profession would be so volatile. Sorry if I am ranting..but this story disturbs me and there is no excuse for it!!!
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No. 14
from kadokin
Old Sep 14, 2005, 09:41 PM

Originally Posted by sayitgirl
Instead of turning him away, why wasn't he referred to the local mental hospital? One of the requirements is "danger to self or others", they would have found a room for him, and this could have been avoided. Ignoring the problem does not solve it, only delays...
Big news on the public health front: "local mental hospitals" are few and far between these days. I am a psych nurse that works in an acute care inpt unit at a community hospital. We have 24 inpatient beds and draw from up to 6-8 counties in our region b/c there just aren't as many behavioral svc. inpt units as there used to be. Notice I wrote ACUTE care. Individuals w/severe and dangerous (to the public and themselves) mental illness that require long term stays have very few options here in my state and across the country. And, by the way, insurance co's do not want to pay for any of it. If someone should ask you (say, your local legislator) if we need to consider mental illness a serious public health problem that needs to be adressed and funded, please tell them yes, yes, a thousand times, YES! State asylums and LTC facilities for the mentally ill are rapidly becoming a thing of the past. Check it out, how many are currently operating in your state? And where do these pts go? Your home town. Just so you know. . .
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