Criminal Assault due to "criminal neglect"?

Nurses General Nursing

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The place where I work is instituting a new parking policy.

To get to the lot where we are to park, we have to exit the rear of the hospital, go past a row of big dumpsters, past a lot full of vans and fleet vehicles, cross a main down-town street, enter a huge and poorly lit lot that is about a quarter of a mile down the street from Suzi's XXX Adult Video Superstore. We know the lot is not safe because cars that are parked there are frequently broken into.

During the meeting at which the new policy was introduced, nurses asked about safety. Here is what the "safety" officer told us.

1) Yes, cars are broken into. No, we can't do anything about it. 20,000 car break-ins occur each year in our city. The police cruise the lot when they can. It's your responsibility to keep back-packs, purses, GPS units, etc. out of sight.

2) No, we cannot light the lot any brighter than it currently is because that would cost too much money.

3) No, we cannot have the lot on camera in real-time but only the scanning system we have now that is not continuously monitored. To do better monitoring would cost too much money.

4) No, we won't have a shuttle to take you to and from your cars except in very bad weather. To provide shuttles would cost too much money.

5) Yes! We will provide you an escort to your car. However, after hours we have only 5-6 officers for the whole 800 bed campus so you will have to wait. And while you're waiting, make sure you're clocked out.

In addition, there was a nurse who outran an attacker within the last month. Also, we're the major trauma center and have all the gang-bangers in our ER. We have no guards in the ER. We have no metal detectors. (It would cost too much money.) We had a deranged man shoot himself in the parking lot on the other side of the hospital last year.

I tried to do some quick research on attempted assaults on nurses, but only found articles related to work-place violence, a related concept, but not what I was looking for. It is my suspicion that it is not uncommon for nurses to be attacked going to and from hospitals at shift change but that it is not reported as such. For the police, it's an assault and would be recorded that way. For the hospital, there is every reason to sweep such incidents under the rug.

Does anyone have any anecdotal stories relative to assaults on nurses or know of any research on the topic? I am thinking about contacting our police and getting crime statistics for our area of the city, if they will give them to me.

Any other ideas out there?

Specializes in Army Medic.

Well I'd say, depending on where you live, that's a lot of people to be writing the City Counsel about a problem. If everyone feels as strongly about it as you do, I'd start to generate hype about taking it above the Hospital's head and getting the City to do something about it.

Maybe you'll get an even better response and have better lighting put into the parking lot, or get more police patrolling the area. It could affect everyone in the area in a better way, rather than just the employee's of the Hospital.

If you had 100+ employee's sending letters to a Council member every week, I think it would get some attention.

people of all occupations get assualted all the time to and from work, nurses are nothing special (no need for special nurse stats).

it's all about $$$ to your employer, nurses and other hospital staff are expendable.

bet you won't see the hospital executives parking where you're told to, ha.

On the contrary- my brother (a high ranking cop) tells me that the areas around large, metropolitan hospitals are sought out by specific types of criminals because they know nurses, who are mostly women, will be walking alone to their cars at all hours.

Specializes in burn ICU, SICU, ER, Trauma Rapid Response.
they informed us that the campus is strictly a "gun free zone" and anyone violating it would be summarily fired.

*** I wouldn't tell them I was armed.

I think this is Fire Arms 101 when you take your class for your permit. Don't ask, don't tell.

I've been reading debates at Allnurses.com about whether assaulting a nurse should be a different level of crime, whether nurses are somehow "special" cases.

No. Make your prosecution aggressive and you sentencing severe no matter who the victim is. BUT nurses ARE special targets. My very good friend who is a very savvy, very experienced forensic psychologist says that nurses are one of several images that swim around in the heads of sexual predators.

Specializes in Medic, ER, Flight, ICU, Onc.

IMHO you should take this up with Risk Management under the subject title ;Premises Liability Issues;. Whatever the opinion of the security officer, a business is responsible for the safety and security of it's employees to the outer limits of all company owned property. As long as an employee is on company premises while engaged in a legitimate activity (including coming and going from work) the company bears considerable responsibility. If a company also assigns employees a particular place to park their private vehicles, it bears an additional responsibility for ensuring that employees may come and go from those vehicles. If Risk Management is unable to convince your employer to improve safety in the parking lot, OSHA would be the next step. Keep copies of everything as it may be needed. And, should anyone be hurt while this is being worked out I'm quite certain that their attorney would be overjoyed to discuss it with management.

Specializes in OB, PSYCH ER, MED ER, PSYCH/MEDICAL.

I worked psychiatric ER, 3-11 shift, for years in a large teaching hospital that was situated in what could best be described as a 'ghetto.' The car park was a good stroll from the hospital entrance, depending on where one found a parking spot.

The first few years, a security guard was posted for protection of the cars, staff escort at shift change.

This security measure stopped with no explanation.

From then on, car break-ins were the norm, nurses were often accosted in the parking lot, relieved of their wallets, harrassed, and in some instances, assaulted. I was chased to my car on two occasions by thugs. Luckily, I made it to my vehicle, snapped the locks on.

When we reported these security problems, no one seemed to care or take an interest in correcting the lapse.

First let me post a disclaimer that I have no personal knowledge of this, but I was given the information by someone who did. It seems hospitals have departments that weigh the cost savings versus the amount they would have to pay out in a lawsuit. This person told me (when I was complaining about staffing cuts) that the hospitals figure out how many lives will likely be lost due to staffing cuts per year, how much they will have to pay out per person in lawyers' fees and settlements, and how much they will save in salary/benefits. Then they make the decision. If they will lose more than they will save, no staffing cuts. I will bet they have figured out the same in deciding where they make you park (sorry to say all people are comodities in today's economy): electricity and security guards cost versus what they will have out pay in a lawsuit if someone is hurt/killed. Apparently the cost was higher for electric and guards' salaries.

Specializes in Army Medic.
First let me post a disclaimer that I have no personal knowledge of this, but I was given the information by someone who did. It seems hospitals have departments that weigh the cost savings versus the amount they would have to pay out in a lawsuit. This person told me (when I was complaining about staffing cuts) that the hospitals figure out how many lives will likely be lost due to staffing cuts per year, how much they will have to pay out per person in lawyers' fees and settlements, and how much they will save in salary/benefits. Then they make the decision. If they will lose more than they will save, no staffing cuts. I will bet they have figured out the same in deciding where they make you park (sorry to say all people are comodities in today's economy): electricity and security guards cost versus what they will have out pay in a lawsuit if someone is hurt/killed. Apparently the cost was higher for electric and guards' salaries.

All companies do that - it just becomes very sickening when the business revolves around peoples lives.

Specializes in Acute Care Psych, DNP Student.

Money and liability - what our culture has devolved into.

Specializes in OB, PSYCH ER, MED ER, PSYCH/MEDICAL.

LadysSolo;4146348 [snip] It seems hospitals have departments that weigh the cost savings versus the amount they would have to pay out in a lawsuit. This person told me (when I was complaining about staffing cuts) that the hospitals figure out how many lives will likely be lost due to staffing cuts per year, how much they will have to pay out per person in lawyers' fees and settlements, and how much they will save in salary/benefits. Then they make the decision. If they will lose more than they will save, no staffing cuts. I will bet they have figured out the same in deciding where they make you park (sorry to say all people are commodities in today's economy): electricity and security guards cost versus what they will have out pay in a lawsuit if someone is hurt/killed. Apparently the cost was higher for electric and guards' salaries.]

This is so disheartening. We are talking bottom line $ vs human lives here, which way the decision falls.

In the latter days of my career, I had my own office, a scheduling, supply ordering secretary/assistant, supplies delivered by a driver who brought them into the treatment room, stowed them away.

One day, out of the blue, the secretary was needed in another area. Poof, she was gone, never to return. This meant I had to patient schedule, though by QC productivity standards, had almost no time between appointments to accomplish this task.

The delivery/driver staff suffered cutbacks, meaning all 50 kgs of me had to haul in heavy cases of supplies left outside my door, stow them myself.

Out on the units, RNs quit, were not replaced by other RNs, but by less qualified personnel, meaning patients received less attention, decreased quality of care, felt less safe/comfortable.

Patients were actually signing out AMA, complaining that hands-on caregivers didn't seem to know what they were doing, that the RNs, spread too thin, were tired, cranky, working doubles or double-backs to meet 'one RN prepared staff on board' QA coverage.

Burned out and frustrated, I took two years early retirement after 40+ years of devoted practice to a profession I had loved all my life, but came to dread.

As you astutely point out, these things are about money, not care for fellow beings.

I take this personally, which of course, it is not. But, the realization that my career ended in this fashion is heartbreaking.

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