Thursday, November 12, 2020

Violence is NOT part of the job, In fact ,workplace violence requires a specific response from employers ,law enforcement and the community according to the Department of Labor and the Federal Bureau of Investigation. Risk factots must be recognized, employees must be trained and a workplace prevention should be in place.

Have you been assaulted?

Anyone needing help please contact sheilaw6@comcast.net


We are there for you!

Sheila Wilson MPH BSN R.N.

President stohealthcareviolence

stophealthcareviolence.org 

Author The shocking reality of violence in healthcare and what we can do about it!


Wednesday, November 11, 2020

 Shouldn't we as healthcare workers feel safe ,and be safe from violent threats and physical harm in the workplace? Isn't it ,our legal right, under Federal Law ,to be safe from harm in the workplace? 

So why aren't we? Why is it so many healthcare workers are assaulted and still nothing gets done! 

What are we doing to each other when we dont make out incident reports? Why arent we marching up to the CEO'S office and addressing tha violence with her or him. This needs to change and it has to change with us!


Friday, May 8, 2020

It isn't easy!



 Speaking with Nurses that are working with the patients every day you can hear what is happening!

Healthcare workers are not equipped with the right equipment that they should be wearing to be safe
from harm. The question is still why didn't they have the right equipment and enough of it ?
Hospitals asked the healthcare workers to wear only one mask a shift (could be 8 hours or 16 hours) then put it in a paper bag or a tupper wear container and they would get sterilized. No one knows if the chemicals used  were safe to breath in?
 I wonder if down the rode the healthcare workers could develop lung problems?????? When the healthcare workers brought in their own homemade masks ,they were told they couldn't use them because they could cause a sinus infection! But they were given hospital masks that are for one use only, sterilized and worn again and again .The practice is unsafe.

"the lack of reliable information on these practices,as well as the potential safety risks of these decontamination procedures  pose risks to the health and safety of health care workers,as well as the general public at large require that these practices be halted" MNA position statement

Thursday, February 27, 2020




 Can we as healthcare workers change our mindset about being assaulted?


Changing  you mindset and changing your way of thinking!

We as healthcare workers have always given excuses to the patients that have assaulted us and accepted their wonderful apology of "I didn't mean to do that to you I am really sorry"
         Being assaulted in the workplace has to stop! the verbal and physical assaults are at a all time             high and are continuing without help from the powers to be.

    It seems as though a lot of facilities are going to study the problem of assault towards healthcare workers. 

WHAT is there to study? 

   

Wednesday, February 19, 2020

DO YOU KNOW ANYONE THAT LOOKED LIKE THIS ?

Is this anyone you know? Has this happened to you at work?

Do you know being assaulted is not part of your job?
it isn't in your job description, if it was would you take the job?
Not only do you have the right to a safe workplace THE LAW MANDATES IT.
OSHA law requires your workplace employer to MAINTAIN THE SAFETY of ALL healthcare workers.
If you don't write out incident reports,talk to the administration to let them know 'they can say I DIDN"T KNOW !

Don't allow anyone to harm you!









Friday, February 14, 2020

 https://youtu.be/-6RUZP4l6wM



                                                      STOPHEALTHCAREVIOLENCE.ORG
                                                                        
                                                                         HEAL THE HEALER


     So many of our healthcare workers are injured and going though so much pain and sorrow.
 
     We as an organization felt one of our missions should be ; provide support and advocacy for the
     victims. Surveys from ENA and MNA states 70-80% of healthcare workers get assaulted at work       by the patient,patients family or the patients friends. Healthcare violence against healthcare                 personnel is an alarming epidemic.

     Having an assault doesn't end when the bruised jaw heals or the black eye fads. It stays with you .       You wonder am I going to get hurt again? Everyone is busy taking care of patients, but they just         saw what happened to you! You put on a brave face and try to explain it away S/he didn't mean           it, saying quickly "S/he just apologized". That makes it go away RIGHT ? WRONG! You and             your coworkers will remember this for a long time. Have you seen a coworker picked up and               thrown across a room?,Heard the noise of a punch? Seen a coworker trip for no reason?
     We have put up with this for too long, we are not doing anyone any favors,the perpetrators, your          coworkers or yourself. So lets work together and stop the violence against healthcare providers.
      The program Heal the Healer is a support group run by Liz Dalton.
      I am putting on a video that she did with a woman Susie Berg a Certified Health coach.
      It is a well known fact that care givers don't take the time to care for themselves. I am hoping this         video will help someone.
   
       Please if anyone has any ideas ,please email them to me at sheilaw6@comcast.net or comment           below.


                                              https://youtu.be/-6RUZP4l6wM


























Tuesday, February 11, 2020



         HOW LONG IS THE WAIT?



     Working in the Emergency room for many years ,you meet many different people. The       

     Emergency room is for sick people. The waiting room is for the people that can wait for a while.

     If the triage nurse feels a person is too ill to wait in the waiting she/he will bring that person to the 

     emergency room right away.A few examples would be, Chest pain, diabetic crisis, asthma 

     wheezing, seizures etc. Depending on the staff and how sick this person is ,the person could be 

     seen quickly by MD or not, however the nurse that is inside the ER will be checking you. 

     To walk in an Emergency room and be seen quickly is rare.

     Once the nurse evaluates you ,depending on your complaint s/he may draw blood,do a ekg, put in        
     an IV and run fluids possibly order an x-ray. This is not the whole list I am just giving you an 

     idea So when the Physician comes in all of these tests could be completed. This makes it faster

    and easier for you. The wait isn't so long.Waiting on the results of tests.

   The reason I am writing this is Two nurses were assaulted because a patient "got enraged at the 

   wait times"!!!!! This person had an IV in his arm and he probably had blood work and the rest of         
    the tests as mentioned above but he didn't want to wait now ,he wanted out! So he started 

    assaulting the nurses ,Two nurses were assaulted for doing their job! This has to stop

   This man was arrested, after the nurses finished his treatment. he was booked.I don't know the end 

    result I wish it was written, It would be nice to have him wait in a jail cell.


   So in conclusion how long do you think you should wait before you are seen in the ER? 
    
   



     

Monday, February 10, 2020




                             Tougher  Penalties for Patients who assault healthcare workers


     Many states have the felony law for assaulting healthcare workers, a total of 36 if
     
    I am correct. I was just re reading an article that was published by Hawaii tribune back in 2018.

    There were 1,075 assaults against healthcare workers in Hawaii hospitals, nursing homes ,and           
    patients homes in 2017.

    A hearing by the House Health and Human Services Committee was held Tuesday morning , The       
    Committee recommended unanimously that HB 1906 should pass.
   
    This new legislation does not apply to patients with conditions such as dementia,exacerbation of     
    schizophrenia or acute traumatic brain injury.

    This is a short read from the 2018 that was in the Hawaii news 
 \
    (https:www.hawaiitribune,com/category/hawaii- news)

     Congratulations to these lawmakers and the Healthcare workers that stood up and spoke out!





Sunday, February 9, 2020


          
Senator Michael Brady SB 838 And Representative Paul Tucker HB1578
bills went to study    WHY?


We want to let all know the status of HB 1578 and SB 838. 
These bills were sent to the Judicial Committee
  HB 1578
We went to the State House January 15th to meet up with Michael Brady to get an update on SB 838  At that time we were informed that the Bill was in the Judicial Committee for review.  We discussed the bill with Michael Brady’s Staff.  We asked that this bill not be sent to Study as this was the case in previous tries to get this bill passed.  Either the bill would be redirected to another committee or it would be sent to Study.  If sent to study the bill is dead. 
There is so much rhetoric when you speak to a legislator. Seems they are dancing around the subject you are looking for a response.  We just found out for these bills HB 1578 and senate bill 838 was sent to study.  These bills are dead in the water.  
There is always an excuse on why a bill is not passed.  At the last session the focus was on Health Care Reform.  I am guessing the bills we had perhaps would not have applied to the last session. 
There is always an excuse as to why the bills did not pass.   Do they really tell you the truth?  I doubt it. 
Inclusion, it does not matter that there are 36 states that have a felony law in place.   So the victim that has been injured is not in the equation.   We have been working on these Bills, for at least 6 years.  We have heard many comments on why these do not pass.  The only way in our opinion is if there is monetary value for the state that bill will probably be passed.  They forget there is a human being that has been injured in a hospital setting. 

We would like to hear your comments on this issue of helping the medical community.   

Thursday, February 6, 2020


       

                                        WHICH FACILITY IS GOING TO DO SOMETHING?


     Maybe I have been at this for toooooo long, I just read about another hospital talking about the violence in their place.I think the jest of the story is yes they will look into it.
Look into WHAT? The solution is really simple
your employees are getting assaulted, they are on workman comp then disability. you no longer have a healthcare worker, leaving the facility understaffed. That means staff shortages,its effects on the workers,the public you are suppose to care for.
 
  Federal law: under federal law you are entitled to a safe workplace

  Your employer  MUST provide a workplace free of known health and safety hazards.
 
  Just a reminder VIOLENCE IS NOT PART OF YOUR JOB NO MATTER WHAT!

Why is it taking so long????????


Thursday, January 9, 2020

                                                         

                                                    Making Peace with God


                       Let’s talk about violence, assaults and homicide.
When we think of violence, violent attacks, or homicide, most people imagine street crime, a convenience store robbery gone very badly, or perhaps a lethal home invasion.
My topic is different: violence perpetrated against healthcare workers-nurses, physicians, emergency techs, medical assistants, x-ray techs and so forth-at the hands of patients, patient’s family members and patient acquaintances.

                                             A Population Under Attack


The healthcare employee population is, literally and figuratively, under attack and victims are losing their sense of freedom, safety, emotional stability, and in some cases their lives.
Nurses have been violently attacked by patients that they were taken care of. Beaten, stabbed, knocked out and a nurse was shot another nurse was raped.
Violent attacks on healthcare workers has become an out of control pandemic.

                                 “Have a Good Day, See You Later” 

I have been a nurse for over 40 years. As healthcare workers, we never know if we are going to get home without being injured-or if we are to return home at all.
When we kiss a spouse or hug a child goodbye before heading off to work, each wishing the other a good day, too many of us return home a completely different person, or never return home at all.
                                             
                                              “Just suck it up “

Despite the widespread and out of control occurrences of violence -perpetrated too 
 often, too frequently. And against too many of us-and despite the pervasive acceptance by victim and administrator alike that its “just part of the job” it’s a fact that being assaulted is not in any healthcare job description.
This bears repeating: being assaulted is not in any healthcare job description
Yet both victims and administrators are sweeping it under the rug.

                                   ONE VICTIMS TALE: MEET JANE

 Nurses everywhere need to read this account, even if you don’t believe it applies to you. Unfortunately, many healthcare workers will identify with this victim’s experience.
            I was sitting down charting/ documenting on my patient. Out of the corner of my eye I see a patient unsteady on her feet, coming right at me. I get up and try to steady her, and she falls into my chair. The patient grabs the back of my neck, pulls me down on her lap wrenching and twisting my neck and head. My back is slammed against the arm of the chair. She keeps wrenching and twisting my neck and head, I felt like I was losing (consciousness) My strength is ebbing, I am becoming weak and I am praying to God… I am making peace with my God. I thought I was going to die.
My colleagues are all over me, trying to help. One of the nurses is grabbing the patient’s hand as the patient strains to bite my hand; the other nurse has the patient’s other hand behind her back. The patient persisted in her attack until she heard the voice of the security guard to stop. It wasn’t until then that she put her hands in the air, and I was free. FREE!

                                                  Like an Onion

Jane’s physical assault is only part of her experience.
An assault is like the layers of an onion. First there is the actual event; then there is the physical, emotional and financial aftermath; and finally, there is the social, familial and employer response.
The emotional trauma following an assault is different for everyone, but for Jane she is forced to revisit the attack and the accompany terror she experiences pain or numbness. Today, Jane continues to battle with anxiety, severe stress, and inability to sleep as a result of her experience.
Jane has become hyper-vigilant of her surroundings and has suffered a loss of confidence in her abilities to respond without pause or hesitancy to emergency situations- a trait critical to her career as a healthcare worker.
As a result of theses physical and emotional repercussions, Jane has not been able to return to the same unit that previously employed her.
And. finally, there is perhaps the most disturbing aftermath to a violent event:
The victim’s coworkers, and sometimes family, just wants her to “get over it” get on with life and move on. “you’re alive, aren’t you? When are you going back to work? When will you stop moping around? What is the big deal? Stop being a Drama Queen!
Countless individuals have been in this situation, healthcare workers are hurt, disabled and scared to continue the only job they want to do.
 After being assaulted they are unable to continue. Someone took away their health, paycheck and career!
We need to have a call to action! We need to continue writing incident reports, call the police, become change agents Change the culture of your environment, stop enabling these people that assault us, don’t accept that being assaulted is part of your job! talk about the violence, support each other. Watch each other’s back.

Sheila Wilson MPH BSN R.N.
President;stophealthcareviolence.org

Author: “The shocking reality of violence in healthcare and what we can do about it”

Thursday, January 2, 2020


                                            IS IT POSSIBLE TO MAKE A CHANGE?

Did you know 70-80% of Healthcare workers get assaulted by the patients they are taking care of or the patients family or their friends. You say to your self how is that possible?
It happens every day here in MA. in every State and every Country. Healthcare violence is an epidemic!
And what are we doing about it and who are the players?
That is a great question ,one that I don't know the answer.
"Recently workplace violence has gained recognition as a distinct category of violent crime that requires specific responses from employers,law enforcement, and the community according to the Department of Labor,Federal Bureau of Investigation( 2004)
How is this working? Who has seen any good effects from these people?
There was one person that seemed to listen to the Healthcare workers and it was Gov. Duvell Patrick The Governor in MA. in 2010 he made it a law ,,if a healthcare worker was assaulted it could result in a misdemeanor.
Since that time their has been Bills filed by Senators and Representatives at the State House to make it a felony instead of a misdemeanor for assaulting healthcare workers. They have never been passed.
WHY?
Again MA. has two bills sponsored by Senator Michael Brady Senate bill 838 and Representative Paul Tucker House bill 1578
 "An Act Strengthening the penalty for Assault or Assault and Battery on an Emergency Medical Technician, Ambulance Operator, Ambulance Attendant or Health care Provider."
 One solution could be that this law gets passed this time.To do this we need everyone that supports these bills to call their Senators and Representatives.
Can this Happen????
To all that read this Thank You
Sheila Wilson R.N.BSN MPH
Pres. stophealcareviolence
stophealthcareviolence .org
Author "The shocking reality of violence in healthcare and what we can do about it"


Tuesday, December 31, 2019

Another Life Lost; Enough

Beijing Dr Wen YANG’s death is another reminder of the healthcare violence global epidemic. Going forward, we ought to take action.


Guest post by Dr. Li Li, MD, MBA
Global Medical Lead, Cardiovascular, Bayer AG, Berlin, Germany

Dr. Wen YANG was a 51-year-old ER physician, a mother, a wife, a daughter, working in Beijing Civil Aviation Hospital. On 24th, December 2019, Tuesday, one week earlier, she lost her life. That day was Christmas Eve. 

Dr. Yang was stabbed by a patient’s relative at her night shift, suffered from serious wounds to her neck, no breaths or heartbeats at the scene. The tragedy was recorded by the surveillance camera, a few seconds of murder was terribly brutal and cruel.

As a human, I was shocked by what I saw from the footage, just as most of us were. Dr. Yang was a caring, young woman, she had the nerve to apply her 27 years’ medicine knowledge to patients. Her death is another tragic reminder that there have been increasing reports, yet still underreported, of verbal, physical and psychological violence happening in the past years, not just in China, but worldwide.

The doctors, nurses and the staff work in health care are trained to take care of the ill, the injured and the people who come for help...the health care workers do not agree to be attacked, insulted, or murdered. 

Working in the health care profession is not easy; to treat and to care for patients is very challenging, it takes a life-long commitment. The medicine does not always work, some diseases so far are still not curable, a group of patients sadly has to face death no matter how hard they have fought. 

We all know the reasons causing healthcare violence epidemic are not straightforward, combating the violence goes a long way ahead, same in America. One piece of advice shared by Sheila Wilson, President of Stop-Healthcare-Violence in one of her publications, “combating Healthcare workplace violence,” she wrote, “it is my belief that underreporting is due to healthcare worker misconception of workplace violence.” (1)

Some healthcare workers get used to the verbal abuse or mild physical attacks, seeing them as part of their daily work, they felt upset or angry when the attacks happened. But the victims did not deem it necessary or important to file an incident report, or perhaps no one or no channel in the workplaces available was to assist those victims. On the other hand, the phenomenon of healthcare violence epidemic, if released to the general public, seems to undermine the image of the hospitals. (2) 

Sheila suggested, “With an advocate in place, there would be a non-administrative point-person designated to check in with the victim frequently, communicate with staff, conduct ongoing education and outreach, and foster a sense of security and right to safety for healthcare workers.” Then the first fundamental step is to ensure healthcare workers clearly being aware of the process of the incidence reporting, and the risk management system should be in place.

The doctors, nurses and the staff work in health care are trained to take care of the ill, the injured and the people who come for help. Sometimes they enjoy the extraordinary, wonderful moments when they witness their patients getting recovered. They are proud of themselves and their endeavors. The public media also extolls the pleasures of the medical achievement and disease cure by humans.

However not always it is perfect, and very uncommon for the general public to listen to health care workers complaining, about their frustration, tiredness, depression. Remember please, the health care workers do not agree to be attacked, insulted, or murdered. 

Another life was lost when she was taking care of others. Violence again wins. 
Enough.


References
1. Wilson S. Combating Healthcare Workplace Violence. 
Available from bestnursingdegree.com 

2. Arnetz JE, Hamblin L, Ager J, et al. Work, 2015, 51(1): 51-9. 
Available from ncbi.nlm.nih.gov


About the Author

Dr. Li Li
Dr Li Li graduated from Peking University with MD degree in 2004, worked in Peking University Third Hospital, Beijing, China as a licensed Gynaecologist for 6 years.  Then she received MBA degree from the Chinese University of Hong Kong. Since 2012, she has been working in the global headquarter of Bayer AG. She has published about 10 papers in the scientific journals and several posters in the international congresses.

Dr Li Li has an interest in enhancing the medical communication & education across countries, and a passion of supporting the activities to improve people’s health & wellbeing worldwide.

Dr. Li Li may be reached by email at li.li9@bayer.com or wannalof@gmail.com.


Saturday, November 30, 2019


Again I am writing " Implementing lasting deterrents to Healthcare violence" There is a total of 17 deterrents to this.
There are a few that could cost the hospital a few dollars but not much.
Working with an emergency physician that knows what truly happens in the emergency room and will cover our backs as nurses, medical assistants, x-ray techs etc. is great,
Thank You DR. Charles Anderson for your help.

# 11 No Healthcare worker may be penalized for coming to the aid of another healthcare worker who           is being assaulted or abused.This would require a level of immunity.

# 12 Any healthcare worker who fears for the safety of another healthcare worker, a patient or a                  visitor may dial 911 at any time without fear of being disciplined by the hospital they work in.

 # 13 Any person that is deemed to be drug seeking by a physician may not be a candidate for a                   patient satisfaction survey,nor can a physician's decision not to prescribe                                               sedatives,tranquilizers.antibiotics or tests be used against him/her by hospitals.
         Physicians are  being forced to please drug seekers in the name of pleasing customers. A                     disproportionate number of violent people are under the influence of drugs or are drug seeking.
         High Press -Ganey scores mean that ED Physicians have given up doing the right thing. They             are ordering tests ,giving antibiotics ,and giving narcotics to get high scores.

# 14  An emergency physician may request the application of four point restraints by security of any            belligerent patient without the fear of retribution by administration. There would be guidelines.

#  15 The emergency physician may request that security personnel remain at the bedside of any                    patient the physician deems to be a threat.

# 16  All in-patient hospital and ED treatment area must wear identification badges.

# 17  An Emergency physician may request that security remove any relative,friend or visitor from               the premises of the hospital should the physician deem this person to be a threat of violence.

Thursday, November 28, 2019



Speaking with Dr, Anderson was so refreshing! He knows what goes on because he worked it! Only a couple of these suggestions would cost the hospital money. However if it saves a healthcare worker it really wouldn't cost anything!



#7.  Uniformed,armed security personnel must be allowed to use non-lethal deterrents without fear of prosecution ( pepper spray, Mace and taser),

#8  Hospitals must be required to provide legal support for healthcare workers who sustain significant injury, or at the request of the employee.

#9  No Healthcare worker may be penalized for reporting an assault or abuse.

# 10 All verbal and physical assaults must be reported, including those by family, friends and visitor.


To be continued!

Monday, November 11, 2019


                                       Implementing lasting Deterrents to healthcare violence


                     I am continuing with my interview with Dr. Anderson, we are on #3,#4 #5 and six.

#3 Signage : Prominent signs using the word "NO" must be displayed throughout every hospital describing behavior that is not tolerated.
    How many of you have this type of sign??????

#4 Every type of assault or abuse must have a measured response from the hospital.

#5 Every hospital must be required to supply uniformed  armed security in the ED at all times. The first principle of crowd control is a show of force. The uniform and the weapon are powerful deterrents necessary to do this job whether you like guns or not.

# 6 Uniformed ,armed security personnel be authorized to restrain any person they deem to be out of control or a danger to healthcare workers or patients.including the use of hand cuffs, of course there would be guidelines. of course ,a certain level of immunity from prosecution would be necessary in order to insure that security personnel are hands on  My point is that non ED dedicated non uniformed, unarmed security personnel who are fearful of touching anybody is the norm at this time.

How are we doing so far? Any comments would be appreciated . Thank You
                                                     

Sunday, November 10, 2019


                               Implementing Lasting Deterrents to Healthcare Violence




A while back I had an interview with DR. Charles Anderson on PWRN internet radio. We were discussing the violence in healthcare and what could we do about.I am writing the second of our list in Implementing lasting deterrents to healthcare violence.



Please give me your comments. 






#2 Rejection of the customer model of healthcare. This model has caused so many problems that it should be rejected by nurses and physicians. Patients are only customers in the eyes of ignorant marketers and greedy corporations. Medical decisions,the dispensing of controlled substances, the use of antibiotics,and the use of expensive and potentially harmful imaging procedures, should no longer be the prerogative of patients or customers.That is what Doctors are for.

Saturday, November 9, 2019

Implementing lasting deterrents to healthcare violence



A while back I had an interview with DR. Charles Anderson on PWRN internet radio. We were discussing the violence in healthcare and what could we do about.I am writing the first of our list in Implementing lasting deterrents to healthcare violence.

                                                       What do you think?
Re- education of nurses. In some cultures, suffering in silence is traditional. In some cultures self-flogging is a virtue. Nurses need to agree on a ZERO Tolerance Policy for verbal and physical violence. No amount of pain,or delirium,or intoxication,or organic brain disease should excuse a patient from responsibility for his actions,or from being reported as an offender.We cannot dismiss aggressive behavior because it was unintended or because no bones were broken or eyes clawed out.
All assaults must be reported so that perpetrators can have their charts flagged. When a perpetrator registers the next time,hospital employers will know immediately if there is a history of aggressive behavior. Without 100 percent reporting, future injuries cannot be prevented. Being assaulted is never a part of a healthcare worker's job. A nurse who doesn't report verbal pr physical abuse is making it easier for a co-worker to get hurt later

Sheila Wilson MPH BSN R.N.

Thursday, November 7, 2019

Is it Their Fault?

Whether or Not to Prosecute Someone with a Mental Illness

Guest post by Marie Miguel, writing and research expert with BetterHelp.com


Mental illness affects one in five people in the United States and one in 25 of them are serious mental illnesses. With so many that have mental health conditions, we need even more health care workers to take care of them. We need those nurses, doctors, and other healthcare professionals to care for those who cannot take care of themselves. Many of these people do not have anyone who can take care of them at home, or they are just too sick to be cared for by a layperson, no matter how much they want to be there for them. That’s why it is on healthcare professionals to do this important work.

You Just Want to Help People

Maybe you grew up always wanting to be a healthcare professional in order to help people and take care of them. You spend all those years working toward schooling and certifications to become the best you can be, and take your licensure tests and pass them with flying colors. Now, you’ve finally made it and are taking care of people like you have wanted to do since you can remember. Then you realize that even though you are supposed to take care of these patients, there may not be as much support to back you up if you get hurt – not in a workplace accident, but instead, by one of your patients.

Like a War Zone

Some days are better than others, and there are those days when you question your career path or even fear for your life. You may get slapped, punched, verbally abused, and / or threatened with death threats. It may feel like you are more of a police officer or soldier at war, but you are simply trying to help people as a healthcare professional. Whether you work in a nursing home, emergency room, or psychiatric ward with mentally-ill patients, there are going to be times that they act unpredictably, and you can get hurt. But what are the laws to protect you in these different cases of on-the-job abuse? When do they apply? Are you protected only if you have serious bodily harm? What if you are providing medical care outside of a medical facility? These different scenarios can be confusing.

Protecting Those Who Protect Others

Most patients do not intend to hurt you. They may be in a lot of pain, or have a mental condition that confuses them and makes them unable to regulate their emotions, actions, or both. That’s not to say that there aren’t those who really do want to hurt you, but they are few and far between, luckily. Whether your patients intend to do it or not, what are your protections from getting hurt on the job by your patients?

Is it Their Fault?

Less than 30% of medical personnel who are abused by their patients ever report their abuse, but the number of reports is still alarmingly high, as 75 of every 25,000 assaults in the workplace are medical professionals. Every year, more than two million people with serious mental illnesses are put in jail. As a healthcare professional, how can you know whether the patient is capable of being held responsible for their actions and able to be prosecuted? Most times, unless you are a psychologist or psychiatrist, you are not really able to make that decision. That is when it is time to call in a mental health care expert. Even the patient who seems quite docile and “normal” can have a mental illness without you knowing about it. This is especially true if this is a patient that is new to you.

Checking Their Records

A patient who is abusive or violent toward you is likely to have a record of being abusive or violent in the past. Getting their records and talking to people that have provided care for them in the past can often help you to determine whether they need mental health treatment or a police escort. Patients who seem quite “normal” one moment and then harm someone for seemingly no reason is usually suffering from some type of mental health disorder.

Symptoms of Different Mental Illnesses

An example of a common mental health diagnosis for patients that may be more likely to cause harm to others around them is bipolar disorder, and there are several types. Those that are diagnosed as having Bipolar I Disorder have at least a week of manic symptoms, alternating with at least two weeks of depressive episodes. Those with Bipolar II also have the depressive symptoms, but not as marked or intense manic episodes as those with Bipolar I.


If you have a patient who has a history of being full of energy and feeling like they’re on top of the world one day, and then has periods of sadness and not wanting to get out of bed on other days, you may need to have them evaluated by a mental health care professional, if they haven’t been previously.

Talk to a Professional

Many medical professionals and lawmakers are trying to pass laws to make it a felony for patients to harm those who are trying to take care of them, although these may not cover those who have mental illnesses. If you have a mental disability, you need medical treatment, not jail time, in most cases. But sometimes that is not possible.


If you are a caregiver who is in need of mental health support for yourself due to what you have been facing in your workplace, or have other personal issues where you could benefit from a mental health care professional’s expert opinion, consider contacting www.betterhelp.com for help today. You don’t need an appointment. In fact, you don’t even have to leave your home.



About the Author 


Marie Miguel has been a writing and research expert for nearly a decade, covering a variety of health- related topics. Currently, she is contributing to the expansion and growth of a free online mental health resource with BetterHelp.com. With an interest and dedication to addressing stigmas associated with mental health, she continues to specifically target subjects related to anxiety and depression.

Wednesday, November 6, 2019


It isn't easy trying to get information and actually believing what I do get. A simple question can lead to some serious discussion and all I want is a simple answer,
So here goes!
1. What is the difference between contract guards and guards that are employed by the facility.

2, Who is responsible for the contract guards ? the facility? or where they are contracted from?

3.What is the level of training if they are contracted?

4.How do we as healthcare workers know what they can do and not do? Our lives depend on that!

5. How many guards are assigned to the facility? is it the same for contract ?

6.Who gives this information to the charge nurse of supervisor?

7.What if they are short staffed? Does that make it more dangerous for us?

8.How do we know if they are hands on or hands off?

9.Do any guards carry weapons? Tasers,pepper spray,mace How do we learn that?

 I am just curious if things have changed! I think it is important that we know what everyone is doing in this time of  this violence  epidemic against healthcare workers!