ImThatGuy, BSN, RN 2,139 Posts Dec 30, 2010 Thank you for the last two posts and bringing it back to the topic at hand regarding my initial post as well as answering my questions.The psych pt that attacked my co worker (non-nurse) and "gave" him a broken nose was totally out of touch with reality (paranoid schizophrenic). The pt spoke some english, but even when we did have an interpreter the pt's speech and thought process was very disorganized. He was highly unpredictable--smiling one minute and literally the next would attack you. No police report was filed (as far as I'm aware of), but my question was a general one--I wanted to know if it was possible or possible but "silly" to file a report on an assaultive psych pt since this topic was never brought up in nursing school and even working a year in a psych unit, I've never heard of anyone talk about it. All I know is that my DON told me that they had a nurse quit because of a pt (due to a similar issue) and she didn't want to see that happen to me....although not much was done to improve the situation. The pt was 1:1, but we hardly ever had an extra CNA to be a sitter...and of course they would be afraid to even get near the pt, plus we don't always have a male staff during our shift--it's usually just a bunch of petite women as staff.Ever since the broken-nose incident, the pt didn't show any other aggressive signs, but then again we all made sure to keep a good distance away from the pt so he couldn't attack us. Since many of our pts are frequent-flyers, I would not be surprised to see this pt again and I would like to bet that the pt will be back within the next 4 months (it only took about 3 months before the pt was re-admitted to our facility because of the same **** issue).If this happened to you then yes you could in fact contact the police for a report or fill out an affidavit. Like I said in my above post that doesn't mean anything will necessarily be done about it, but the documentation is there. Again, for whoever reads this, refer to my above post. In all honesty, the chances are slim to none that the prosecutor would refer charges. I dated a cute, petite girl...(reflective pause)...for a while who worked in a mental health clinic, and all of the employees there had been trained in some self-defense tactics that could be utilized to fend someone off without doing serious harm to them. They practiced them as a group every few months as well, and she could in fact use them. I experienced them firsthand, lol. For all readers, if you want to know the true answer to this then contact your local prosecutor's office. Many of you will call that the DA or district attorney. Even calling the police is unlikely to result in a satisfactory answer to your question. If you're that interested call the prosecutor, ask to speak to someone about an issue, and then say for the protection of yourself and your colleagues what avenues could you and they take after being assaulted (here battered) by patients be they competent or incompetent. I'd have no reservations about doing that if I were in your shoes. Just do it one day when you're off. Don't mention it to your supervisor, risk manager, or general counsel. It's nothing secretive, but to protect the organization you may get a shovel full of **** answers to assuage your concerns that don't in fact amount to any truth.