Hospital ban for abusive patients

  1. Hospital ban for abusive patients Jun 3 2004




    By Matt Withers Daily Post


    WELSH hospitals have been forced to turn to the courts in a bid to ban abusive patients.

    The revelation came as doctors warned reported violence against staff has reached an all time high.

    As a 53-year-old man became the first person to be banned from all NHS premises for unruly behaviour, it emerged at least two patients have been banned from Ysbyty Gwynedd, Bangor.

    Many other patients who have threatened staff or been physically or verbally abusive have been given "yellow card" warnings.

    And more than 2,000 patients were removed from GP lists last year at the request of the doctor, including 44 violent patients.

    York magistrates yesterday gave Norman Hutchins an interim anti-social behaviour order preventing him from entering, or contacting by telephone, any NHS establishment in England and Wales without lawful excuse or prior written permission.

    Such measures underline the attitude adopted across the NHS to deal with patients who threaten or abuse staff.

    Doctors last night said the continuing high level of violence was "unacceptable" and a drain on valuable NHS resources.

    John Jenkins, spokesman for the British Medical Association in Wales, said: "Most violent patients present themselves at A&E, and hospitals cater for such incidents by employing security personnel. "But every penny spent on security is money taken away from clinical care."

    Reported incidents rose by 8,000 in England and Wales last year, to a high of 116,000. But only 50 of these incidents resulted in prosecutions.

    Welsh hospital trusts are now forging closer links with the police - some have a resident police officer in addition to security staff - in a bid to prosecute offenders.

    North West Wales NHS Trust, which runs Ysbyty Gwynedd, has taken out at least two court injunctions against violent and abusive patients, banning them from entering any of the trust's premises.

    Their rights to emergency treatment are affected.

    Conwy and Denbighshire NHS Trust has introduced a "contract of care" system which spells out the duty of care the trust has to patients and the behaviour the trust expects from patients.

    Patients breaking that contract are issued with a warning, yellow card. Further incidents will result in a red card.

    Andy Scotson, spokesman for North East Wales NHS Trust, said: "If it comes to the point where people abuse the hospital and staff then steps have to be taken to protect them."

    http://icnorthwales.icnetwork.co.uk/...name_page.html
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  2. 28 Comments

  3. by   mattsmom81
    I think this is going to have to happen eventually here too. Too many abusive patients and families coddled into believing they have a 'right' to abuse healthcare workers.

    As long as we enable it, they will continue.
  4. by   brinaa
    :angryfire this needs to happen in the us NOW!!!!!!!!:angryfire
    Last edit by brinaa on Jun 5, '04
  5. by   barefootlady
    Doctors will never let this happen. I have been on the receiving end too many times, busting my butt for the patient, and just one relative gets an idea that something else needs to be done and I get a lecture or complaint. The doctor culture in this country needs to identify that nurses are to be treated with respect before hospitals will ever to this.
  6. by   SWFlorida
    There is no other profession other than Health Care in the US which will turn a blind eye on their members being assaulted and abused by the public. When will hospitals protect their employees properly? When will the ANA stand up for their members and say enough?
  7. by   MellowOne
    Quote from SWFlorida
    There is no other profession other than Health Care in the US which will turn a blind eye on their members being assaulted and abused by the public. When will hospitals protect their employees properly? When will the ANA stand up for their members and say enough?
    The ANA will write on pieces of paper that they don't like it when nurses are assaulted. Apart from that, they won't do much.

    I'm a house administrator for a large urban hospital. Verbal abuse is not uncommon, while physical attacks on our nurses are relatively rare. I have threatened patients who have threatened nurses with having them arrested as soon as they're discharged. I personally have no problem doing firm limit setting with patients and/or families who are exhibiting unacceptable behavior.

    Any supervisor, male or female, who is firm and fair in setting limits on behavior will usually get grudging respect and compliance from patients and family members. It's simply a matter of supervisors having the guts to do this, and administrations having the cajones to back up their people.

    Be well...

    The Mellow One
  8. by   mattsmom81
    Quote from MellowOne

    Any supervisor, male or female, who is firm and fair in setting limits on behavior will usually get grudging respect and compliance from patients and family members. It's simply a matter of supervisors having the guts to do this, and administrations having the cajones to back up their people.

    Be well...

    The Mellow One
    You are so right and I bet your staff appreciates you greatly...I would. So many times we call our supervisors and they will NOT back us up...even try to turn it back on the nurse :'you nurses must have done something or said something to incite this" or "you nurses didn't handle this right'. <sigh>
  9. by   Mama Val
    The hospital here in town will tresspass someone and the only way they can get back in is by ambulance or they walk in actively bleeding/ in distress.
    Why should we put up with the crap that some people dish out, if they can throw you out of the grocery store for being a total butt head then we should have that same right. Its not in my job description to be a human target for idiots.
  10. by   UK2USA
    Thank goodness for the Welsh!!! It is about time that us nurses can come to do our job without threat of physical harm. I salute the person who endeavoured to see this through the courts.

    We have had a family on a neighbouring unit who have had the softly, softly approach to their abominable behaviour, despite the nurses complaints that this would end in one of the staff being assaulted. It absolutely astounded me that the hospital management played the situation down. There report to the nurses... "it must be a very stressful time for them". I fully support intervention from the courts, the police, hospital security etc to forcefully eject these ignorant, fist - throwing yobs from the hospital.

    What I would give for an electric cattle prod!!! :angryfire :angryfire :angryfire
  11. by   SmilingBluEyes
    about %$#(^ time
  12. by   2ndgenerationnurse
    bump.... to give us all another look at what could become a good trend in nursing management (for once )
  13. by   Dr. Gonzo
    Would a healthcare worker just lose their job if they hit a patient that just assaulted them or go to jail?
  14. by   Nitengale326
    In my first year of nursing at the ripe old age of 19... a patient hit me and boke my jaw. He was admitted for "weakness". It took 3 security guards to get him under control. His issue... he wanted to be home for Christmas! (His family were friends with the doc and they wanted a respite for a family trip for the holidays). Fortunately, the docs didn't say "you must have...." and the hospital was great to me. But now, 25 years later.... the facilty support is not there and the MD support is not there. I (cynically) feel that families should for the most part be met at the door and told NO VISITING HOURS...AT ALL!!!! They cause so many more problems than the patients do. Especially in long term care. There have been times that our staff has been assaulted by family and patients and were threatened by administration that if they pursued legal action, they would be fired. We have plans in place for terrorists, and for robbers but nothing to protect the staff from getting beat up! I think this is an issue that the ANA should take on and force the legislation to address ... let us see something positive from those inflated dues!!!:angryfire

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