trainer2070

I took them online from the same college. I also took BIO 201 in person as well, so I could see what I missed from the in person lab component. PC uses the cadaver lab, so I got much more from the in person class than I did the online version. If I were you I'd take it in person for the lab experience. I got A's in both the online version and the in class version.

It depends on the facility. I've worked at hospitals where as security, I had to "assist medical staff in applying the clinical restraints". The facility I currently work at, when clinical restraints are ordered, security applies the restraints and the medical staff observes and we both have to sign off on the restraint application documentation form. I do know that almost every time I've been called to anywhere besides ED and ICU, the nurses typically have no clue how to apply clinical (leather) restraints, which is an education issue.

I think its a joke how most hospitals don't take security seriously. I understand the customer service and friendly environment, but you need to keep people safe too. I work at a level 1 trauma center in the middle of a high crime area, I have more then enough tools including a firearm to keep myself and the staff safe. However, even with my tools, I've been assaulted 9 times since January, 3 of which went to the County Attorney as Agg Assault. Only 2 of those assaults were one on one encounters between me and a prick. The other 7 were in defense of staff members in the ED. So I sympathize with your situation. I'm at the point where I'm getting ready to get out of hospital security, but I know when I'm done with nursing school, that the security measures a hospital has in place will be taken into consideration when and where I apply for jobs.

Things can happen in any ED across the country. This is a town of 24,000 people in the middle of Nebraska, not exactly a crime hot spot. http://www.kearneyhub.com/news/local/article_45bbfa53-298c-5404-a15e-7adfb9901efd.html As far as I'm concerned hospitals need to do 2 basic things with their security departments. 1) Hire qualified individuals that have security and people skills that are also physically fit. The people skills are extremely important for talking people down with out the desire to just go in an escelate things are turn physical right away. 2) Equip them with the necessary tools to help ensure their safety and the safety of the staff. Personally I'm all for K-9 units. There's nothing like going into the room of a combative individual with a K-9, unless the guy is hopped up on something or is just plain stupid, a K-9 will deter 99% of them from doing anything and actually gives them a quick attitude adjustment. Just like any other tool they have their downsides. I've seen a K-9 ignore his handler and bite and not release. It can happen anywhere, it's just a little more dramatic and probelmatic when it happens in an ED to a patient. As far as tasers, firearms, batons and oc spray are concerned they all have benefits and drawbacks. OC shouldn't be used anywhere inside the hospital ever, but it can be a great tool if I'm in the parking lot and get in a situation. A person even with cardiac issues has a better chance of surviving a wet or dry tase then they do if I fire 3 rounds center mass from my firearm. To me batons are pointless. To some the clicking sound made when you expand a baton is similiar to when you rack a pump shotgun, it's distinctive and most people in their right mind won't do anything. However, if I deploy my baton and use it on someone in an appropriate use of force scenerio, then odds are the patient is left with broken bones or other severe injuries. I agree 100% that it's more important to have a high quality, LEVEL HEADED, physically fit staff with lots and lots of training.

Unfortunately, I don't think most hospitals take security seriously. Personally, I think hospital security officers should have more training and should also have fitness standards. They should also be provided with the tools necessary to keep themselves and the staff safe.I see way to many out of shape and or geriatric officers that are physically unable to get around the hospital when needed and are then unable to deal with the individual when they finally do get there. I'm a security officer at a level 1 trauma center and I carry a firearm, baton, oc spray and handcuffs. In addition we also had tasers, however they decided to temporarily take them away pending a position statement from the AMA and the state hospital association. We also wear level III body armor, so I definitely have the physical tools necessary to keep myself and the staff safe. At the same time I'm torn on the armed vs unarmed topic. We've had 1 incident on my shift in the last year where an officer drew down on a subject. Technically that draw was also a violation of our use of force policy and use of firearm policy as it was classified as a hostage incident and the policies clearly indicate that we are not allowed to ever draw our firearm in a hostage situation. Inside the hospital there are too many things to worry about when drawing and using my weapon such as the person in the next room, medical gas lines in the walls, o2 cylinders and when and where my bullet is actually going to stop after I fire it. Plus you also have to be alot more aware of weapon retention when 4 pointing a combative in ED. Normally, you can just go in take em down and strap em to the bed. But with the firearm it seems that once someone gets a glimpse of it, thats all they have on their mind. Most of us agree that 99.999999% of the time we would rather have a K-9 unit then firearms, but at the same time none of us want to be put in a position where we need our firearm and no longer have it.

Clinicals will be the difficult part. This is much the same scenerio as several years ago when colleges frowned on student athletes being athletic training students. While it's pretty easy to work around your off season schedule, it is nearly impossible to work around your in season schedule. What sport do you play? When I worked with athletes at the D1 level by the time you added up sport, practice, training room and competition they were easily at 70-80 hours during the competition season. That would leave no room if your clinicals fell during the season.

The LEO's we work with will bring the patient back only if they have physicians orders saying the person for x reason can not leave the hospital ie if they're being petitioned and bolt during the process. If the orders do exist then they want a faxed copy before they will do anything with the person. For the IV in place on the eloped patient they simply do a welfare check to inform the person they can go back to the hospital to have the IV removed. Then the officer will make contact with us and let us know if they were able to get a hold of the person. My dept works with them so much that we have a list of their policies that we deal with on a regular basis.

Thanks for all the replies. I'm actually a security shift supervisor while I finish up nursing school and we had a pt elope with IV still in place. Our policy is PD is notified when someone elopes with IV in place, however our house supervisor didn't think it was necessary and actually got ****** when I asked them if they were going to call. I coverd my a** in my report in case it comes back to bite us, I was just curious what everyones else policies stated. And I definitely agree that LEO's have better things to do than chase down eloped pt's with IV's, but policy is policy.

I know but whats your policy if they are gone and still have the IV in place?

I need to clarify, the patient left with IV still in place. I've always been under the impression that were still liable for them and PD is notified. But someone higher up isn't concerned with them leaving with the IV still in place.

I know it very's from hospital to hospital, but what's your general policy regarding patients going AMA who still have their IV in place?

Cant you file a formal complaint with the state board of EMS?

Here our shelters are full and the over flow shelter is just as full. We deal with dozens of homeless everyday and a a few hundred for the weekly total. Its the same people time and time again. They have the system down pat, I have chest pain, SOB or I want to kill myself, now take me back give me a bed a blanket and some food until you kick me out. I can tell you for a fact that the average homeless person gets about 2 minutes to enjoy the comfy ED lobby chairs before we kick them out or tresspass them. We have some housekeepers that feel sorry for them and give them their food and money. Then they wonder why the same person comes back everyday looking for them? I'd be compassionate if it were one or two every now and then, but here its a full time battle keeping them at a distance or our lobby would turn into its own homeless shelter.

Anyone have any information on what Albuquerque's like? I'm going to be moving there in the next few months to finish school and I'm trying to get a feel for what its like.

You also have to take into consideration the population she works with. Not saying the OP doesnt have a right to be angry and hurt, but the statement of putting a chain through the windshield and pulling someone through it to use as a punching bad mixed with her specialties of geriatrics and home health I would never hire her or let her near those populations again. Someone who can do such an act and then go work with a population that can't defend themselves is a bad mix.