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.