It happened here, RA killed by patient

Nurses General Nursing

Published

This week a mental health client got into a disagreement with a Residental Aide. It ended with him chasing her out of the building into the parking lot beating her down, slitting her throat and then stabbing her multiple times.

She was on the night shift, alone, by herself with at least 6 mental health clients. Now this man has past convictions of violent acts with a knife. How can any administration justify this staffing.

I work at the Detox Unit here in town and I work alone with 10-12 clients who are comming off drugs and/or alcohol and 1/2 of them have a psych history also.

No relief.

No security.

No cameras or a video tape so they can catch my assault on tape if it happens.

They are started back on their psych meds as soon as they are sober for us, never mind that they have been non-compliant for months prior and they will be again when they leave here. What a yo-yo effect that must have on a serotonin level.

I have told my boss how dangerous this place is, can get but she doesn't get it. She tells me "this is not the jail" (my other job). I feel safer there. I can count on one hand with fingers left over how many times I have seen her work the floor.

I just wonder what the $ number is that will make the admin people figure out that its more cost effective to put in a security system or hire another warm body than to pay off a family and their legal fee for a death.

After all its obvious its all about how much money they will have to spend, not about the lives that will change because of it.

Do any of you work in a Detox Unit and how do you operate. Does this sound to far fetched or am I really making to much out of this.

I do not know the woman that was killed but my heart and prayers go out to her and her family. Her husband had just returned from Iraq 2 months ago. So sad in so many ways.

That's just horrible, I think that's your sign to leave. Her life and your life are worth more than their budget.

Specializes in ICU-Stepdown.

Man there isnt ANY PART of that scenario that doesn't yell "GET OUT!". I'd run, not walk -and MAIL my resignation letter in (wouldn't hang around long enough to submit it).

Never have wanted anything to do with the mental patients. Too often they can turn wild and the healthcare provider pays the price. No thanks.

Btw, what IS MR/DD ??

Specializes in Telemetry/CCU/Home Health.

I worked as resident aide in a group home for paranoid schizophrenics and there was always two of us there, sometimes even three. I can't imagine being there by myself, in fact I wouldn't do it! My advice is to get out while you can, this woman's death was a wake up call for you to get out of there before you are injured or worse. No job is worth that, and I would venture to say that you would not have too much trouble finding another job!

jamie

Specializes in pure and simple psych.

so sad about the woman being killed. memo to group homes: lock up all knives.

refuse to work in unsafe conditions. there need not be two rns, but surely an aid, a security staff, off duty cop picking up a few extra dollars...good grief, don't wait to be the second statistic. tell your boss that you'll be back when it is safe.

Specializes in Utilization Management.

Btw, what IS MR/DD ??

Mentally Retarded/Drug Dependent?

Specializes in Diabetes ED, (CDE), CCU, Pulmonary/HIV.
man there isnt any part of that scenario that doesn't yell "get out!". i'd run, not walk -and mail my resignation letter in (wouldn't hang around long enough to submit it).

never have wanted anything to do with the mental patients. too often they can turn wild and the healthcare provider pays the price. no thanks.

btw, what is mr/dd ??

my guess is mentally retarded/developmentally disabled

Specializes in Utilization Management.
my guess is mentally retarded/developmentally disabled

bingo! i forgot the last two, but i know that is correct.

Specializes in correctional-CCHCP/detox nurse, DOULA-Birth Assist.

Thanks everybody

Yes I want to leave and their have allready been a few nurses who have quit. But my concern is the ones who will be left here when I am gone. I am sending a letter to my boss and her boss expressing my concerns, no plausable deniability there.

My big question I guess is there any rough standard to use for these places. How do you guys run your detox units down in America (the lower 48).

Specializes in pure and simple psych.
Thanks everybody

Yes I want to leave and their have allready been a few nurses who have quit. But my concern is the ones who will be left here when I am gone. I am sending a letter to my boss and her boss expressing my concerns, no plausable deniability there.

My big question I guess is there any rough standard to use for these places. How do you guys run your detox units down in America (the lower 48).

Southern Calif: OK, the farthest possible from you... but 28 beds, 1RN, 3 "aides" and jail for everyone who caused a problem. Police were quite willing to pick up folks once they had been invited to a 24 hour open house, ate itty-bitty sandwitches and had night-nurse-coffee.:smilecoffeeIlovecof All the sargents were personally invited, which made getting help much easier.

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

1. Leave

2.Call the police for escort-back up

3.Call the Media-papers, tv, radio etc.

4. Call the Governor

5. Call the state's Attorney General

6. Do not feel guilty in any way, shape, or form. This is a fool's idea of how to run a mental health system. Get Out!!!

I am assuming this is the case?

http://www.aksuperstation.com/news/local/6347332.html

Specializes in ICU, L&D, Home Health.

Yep, MR/DD is mental retardation/developmental disabilities...

I agree with everyone- give notice and leave, letting them know why. I would report any unsafe staffing to the overseeing state authority or licensing agency, and workplace violence concerns to OSHA.

We had a great series of articles written in the local newspaper about 6 years ago concerning poor living and working conditions in group homes that brought a lot of attention to the issue. When I worked in mental health and a younger client committed suicide at age 22, the newspaper did a series of articles at the instigation of his parents about poor resources for pediatric mental health cases. The media can be a real asset at times in bringing these conditions to light.

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