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re: ER Doc says assaults against doctors and medical pros on the rise

Posted on 5/1/19 at 12:54 pm to
Posted by AZBadgerFan
Scottsdale, AZ
Member since May 2013
1801 posts
Posted on 5/1/19 at 12:54 pm to
From 1995-2000 I worked for a medical-device company selling cranio-maxillofacial implants used for primarily facial and head trauma injuries. One of our biggest customers was Maricopa County Hospital in Phoenix and I would invariably get called in to assist/observe the surgery in the middle of the night. There were a large percentage of patients brought in who were drug users who were jumped over a drug deal gone bad or jumped for their drugs. It is absolutely forbidden now for someone other than hospital personnel to help restrain a patient but there were many times they asked me to hold the patient down while they fitted him (or her) with restraints. One of those was former AZ Cardinal Pro Bowl OL Luis Sharpe. I can't recall the details but he was brought in after getting jumped and shot in the face and put up a fight. Thankfully, he was physically a shadow of his former self and went down easy. There was a surprising lack of security for a county facility, I'm sure it's changed now.

By contrast, I also called on UMC in Vegas (where they took Tupac after being shot), which was our largest customer in the country. They were known for their security personnel, a bunch of roided-out looking dudes who put up with no shite. Vegas being Vegas, they always had some good stories.
Posted by Bleeding purple
Athens, Texas
Member since Sep 2007
25343 posts
Posted on 5/1/19 at 3:19 pm to
#silentnomore


This is not new but it is increasing and tolerated by the current powers that be.

I have worked in healthcare for 20 years.
I am a male family medicine physician who does both clinic and hospital work.
I am 6'5" 225lbs
I have been pushed, kicked, punched, bitten, spit on, had objects thrown at me, cussed out, and recieved threats ranging from lawsuit to death.
I've been forced to physically defend myself several times.
The hospital or administrator for each situation sided with the patient or family member that was the assailant.
Only one of the assailants was arrested and only a few were committed.
The one arrested showed up in my clinic lobby with a gun after calling to tell us he was coming to get his hydrocodone even if he had to bring a gun.



This is a real problem.

Posted by jennBN
Member since Jun 2010
3242 posts
Posted on 5/1/19 at 3:48 pm to
Its not always a psych problem though. It can be neuro injury, dementia, hell even a UTI. Confusion can result in a fearful yet violent pt. A psych ER would not help much with that. Also the violence doesn't stop in the ER. Floors, units, procedure areas and even radiology deal with these issues.
Posted by Jim Rockford
Member since May 2011
104173 posts
Posted on 5/1/19 at 3:49 pm to
quote:

I am 6'5" 225lbs 


Now you need an eight figure net worth and a supermodel wife and you'll reach median OT status.
Posted by Jim Rockford
Member since May 2011
104173 posts
Posted on 5/1/19 at 3:57 pm to
quote:

Its not always a psych problem though. It can be neuro injury, dementia, hell even a UTI. Confusion can result in a fearful yet violent pt. A psych ER would not help much with that. Also the violence doesn't stop in the ER. Floors, units, procedure areas and even radiology deal with these issues


A dear, sweet, 76 year old female relative, 5-4, 120 lbs had a psychotic reaction to tamiflu. It took four nurses to hold her down. 24 hours later she was back to normal with no recollection of the event.
Posted by jennBN
Member since Jun 2010
3242 posts
Posted on 5/1/19 at 3:59 pm to
Exactly. I don't want to get hit at work but I also don't want her to be arrested, right? Its a tough problem without any good solution.
Posted by Cap Crunch
Fire Alleva
Member since Dec 2010
54189 posts
Posted on 5/1/19 at 4:02 pm to
quote:

I am 6'5" 225lbs

But what's your 40 time?
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 5/1/19 at 4:08 pm to
quote:

Floors, units, procedure areas and even radiology deal with these issues.


Even the pediatric floors deal with this. Mostly resulted from the parents. We had to have PHX PD stationed outside our unit for 3-4 days 24/7 a few years ago cause a father of a patient threatened to return to our unit with his gun and shoot the staff.

Posted by sonoma8
Member since Oct 2006
8069 posts
Posted on 5/1/19 at 4:32 pm to
(no message)
This post was edited on 5/16/19 at 10:28 am
Posted by Jim Rockford
Member since May 2011
104173 posts
Posted on 5/1/19 at 4:35 pm to
quote:

Luis Sharpe


Seems to have gotten his shite together LINK
Posted by Lithium
Member since Dec 2004
63940 posts
Posted on 5/1/19 at 5:38 pm to
The safest ER I’ve worked was Earl K Long. East Baton Rouge sheriff officers were security and they didn’t take crap from anybody. And police everywhere drop off drunks so they don’t have to deal with them.
Posted by Bleeding purple
Athens, Texas
Member since Sep 2007
25343 posts
Posted on 5/1/19 at 8:39 pm to
quote:

Now you need an eight figure net worth and a supermodel wife and you'll reach median OT status.


She is a supermodel but maybe not in the OTs eyes.

quote:

But what is your 40 time


At my prime......slow

Now with a bum knee bad back and another nearly 30 years....really really slow



Lol



Only added my size to point out if patients and family are willing to assault me, imagine the lack of hesitation for assaulting the many other less formidable healthcare workers.
Posted by Bleeding purple
Athens, Texas
Member since Sep 2007
25343 posts
Posted on 5/1/19 at 8:50 pm to
FWIW the list of verbal and physical attacks above were excluding instances of acute pathology induced delirium, dementia, and uncontrolled pain reflexes.

The 70 yr old lady with a UTI induced delirium who slaps, the 80 you old with dementia who throws things out of fear, the 2 yr old who bites when you try to swab his throat, 5 yr old boy who kicks when getting a shot, the 20 yr old linebacker who shoves you with his good leg by reaction when you test the integrity of his injured ACL, the drunk who cusses you like a sailor....

That is just all part of the job.

Like a vet getting scratched or bitten during an exam or a bee keeper getting stung.


But the intentional biligerant angry violent patients and family are something different all together. They are capable of better decisions and controlled actions but the permissive state of healthcare allows the abuse.
Posted by LSUERDOC
Member since Jul 2013
2608 posts
Posted on 5/2/19 at 1:53 am to
Happens often in my ED. I’ve had to defend myself and nursing staff on numerous occasions. Each and every time we’ve pressed charges the DA has refused to prosecute them. He said that it’s an occupational hazard and to find a new job if we didn’t like it.
Posted by mattchewbocca
houma, la
Member since Jun 2008
6504 posts
Posted on 5/2/19 at 2:23 am to
I was almost bitten by some jackass the other day. And yes drugs have EVERYTHING to do with it!
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27569 posts
Posted on 5/2/19 at 7:52 am to
quote:

The safest ER I’ve worked was Earl K Long.



Same is said of Ben Taub. Crawling with armed security. Police officers working extra job as security.

Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27569 posts
Posted on 5/2/19 at 7:56 am to
quote:

He was then placed swiftly and ever so gently on the ground by myself and a few other staff members. Ketamine and B52 later...


Tackling gets tougher as I get older.
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