Physically abused by resident

Nurses Relations

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Last night a resident slapped me in my face and called me some endearing terms. Think of the "c" word that rhymes with runt and she told me to go "f" myself. She was calm and then she went bananas without any rhyme or reason. She is unpredictable and volatile and this is not the first time she has gotten physical with staff. I am sick of it. In any other arena, the police would have been called and assault charges would have been filed.

Let's be real, in any other situation, if someone had hit me, I would have swung back...hard. :smokin: I. am. no. saint. I was pretty mad and shocked. I walked out of her room, told the charge nurse, took a break, came back in and filed an event report. A lot of good that will do. She has an obnoxious amount of event reports filed...yeah, a lot of good those do.

Why the heck is this behavior acceptable as a work hazard? Why? Someone tell me. What the heck am I missing? I know there have been numerous posts addressing this issue. I did not get it either until it happened to me. I feel let down and just I don't know, I feel violated. I hate being hit.

Specializes in Surgery, Tele, OB, Peds,ED-True Float RN.

We had a psych patient do this to the nurses on our Mental Health Unit for years and the Psychologist (who thinks these ppl are his children) told them that they can't do a thing about it 'cause the patient can't "learn" from any "consequences" that punishment might bring. The pt ended up moving to his own house with "workers." The first week he was there he pulled this **** with them and he ended up in jail. Just goes to show Nurses put up with a lot of crap that we really shouldn't!

Specializes in Telemetry.

I think it's obvious...get a new job, no one at your facility sounds like they are going to help you. When you find a new job post every where you can what a horrible work enviornment your current job is for nurses so no one else has to put up with that crap. Private pay or not, if there are enough incident reports and pictures to back up your story the manager should go to the family and put down the law: "Psych consult or find her another home. We are here to care for her, not get abused."

Specializes in Rehab, LTC.
I think it's obvious...get a new job, no one at your facility sounds like they are going to help you. When you find a new job post every where you can what a horrible work enviornment your current job is for nurses so no one else has to put up with that crap. Private pay or not, if there are enough incident reports and pictures to back up your story the manager should go to the family and put down the law: "Psych consult or find her another home. We are here to care for her, not get abused."

I'm hoping to hear back today about an interview then I'm getting the heck outta there!

Specializes in Infectious Disease, Neuro, Research.

Definitely a difference in perspectives here. I've given a psych pt a full-bore elbow strike between the eyes to keep from being bitten. I do not/have not worked in an LTC, though I've had many pts from them.

1) You do not have to "put up" with much of anything. Sorry, State Codes supercede facility policy, within certain limitations. Fundamentally, if the individual is aware, any level of force required to stop the assault is appropriate. Learning effective and appropriate ways to deliver that force is key.

2) "Endangerment" is your friend. If violence is a concern in the workplace, spend $50-100 for a retainer/consult, and talk with an attorney.

Your hands are your friends, as is distance. If someone is close enough to slap you, they are too close. Personally, I'm not their significant other, teddy bear or biach, if they want to be close enough to grope & cuddle, their needs will remain unfulfilled. If you must be close, learn to use your arms and hands as a shield. The Karate Kid "wax-on-wax-off" sweep works beautifully against grabs and slaps, and it is in no way assaultive.

I'm aware of the new psych paradigm of "allowing expression". It is espoused by those who self-stimulate with Brillo-pads and steel wool and those who do not directly deal with violence. Violent personalities are restrained by the threat (and appropriate application) of superior force. Period. End of story. Violence is an endorphine and catecholemine releasing state/activity. These people are getting high. When pain exceeds the pleasure, they will stop. I'm speaking in very generalized terms, here, not referencing dementia, psychotic states, or self-destructive behaviors.

I feel your pain, I truly do. I have been trying to get my facility's admin to understand that just because we are caregivers and that our residents have Dementia and/or Alzheimer's doesn't mean we don't have rights and shouldn't be abused by them. There is one resident I struggle with right now. Every time I toilet him (especially at night), he grabs my wrists, bends my fingers back and/or slaps me in the ear. I can handle quite a bit of abuse but when it comes to being physically hit NO! I understand he can't help it because that's where his mind is at but it doesn't mean I should HAVE to be subjected to it either without something put in place to help the issues. This isn't a frail man either; he is a big guy and very strong. I'm at a loss on what to do.

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