Psychiatric Patients Assaulting Nurses. I will get right to the point, if you are Nurse employed at a facility that is eliminating physically restraining dangerous patients, then get your health and life insurance paid. These ludicrous decisions are made by the leadership who are not in harms way. Did these facilities suddenly come up with a new method to deescalate psychiatric patient who is abusive, threatening and violent? I think NOT!
Your Facility Leadership May be Placing You at Risks
Psychiatric Patients Assaulting Staff. Your leadership obviously doesn’t give a damn about your safety and welfare. If during a violent patient altercation, you sustain a traumatic brain injury or lose your vision is the leadership going to be there for you? Some genius who is not in harms way has determined that it was cruel and inhumane to physically restrain psychiatric patients who are out of control. Staff are now going to be conditioned to try to use verbal de-escalation on psychotic patient who is outside his mind and a potential threat.
I don’t like having to restrain someone but it beats getting physically injured by a dangerous patient. I am not referring to an elderly patient with dementia. I am talking about the 6 foot 250 adolescent or adult male who was brought in by police following smoking Wet (marijuana laced with embalming fluid) or the same size guy who has been off his meds for three months. You can put up any claim you wish that physical restraints don’t work. But I will tell you from having worked as a Registered Nurse in inner city emergency departments, that sometimes it is necessary to restrain patients, and the method is effective. Of course the Nurse has to routinely monitor the patient and check the physical restraints.
The reasons to physically restrain someone was due to a patient who is violent or self-destructive or whose behavior jeopardizes the immediate physical safety of him- or herself or another person may meet the behavioral health requirements for restraints. Examples of such behaviors include:
- hitting, kicking, or pushing
- pulling on an I.V. line, tube, or other medical equipment or device needed to treat the patient’s condition
- attempting to get out of a bed, chair, or hospital room before discharge, in patients who are confused or otherwise unable to follow safety directions.
Before using restraints, always explore alternatives for keeping the patient and others safe. When considering such options, discuss with the patient any conditions that may need to be addressed, such as pain, anxiety, fear, or depression. If distraction and other alternatives prove ineffective at calming the patient and he or she continues to pose a risk, consult with other healthcare team members.
Choosing the right restraint: https://www.americannursetoday.com/choosing-restraints/
Violence Against Nurses
Psychiatric Patients Assaulting Staff. Violence against nurses is occurring in the news every week. I do empathize that physically restraining a patient is dehumanizing. But given the danger and risks for staff injury, the necessity to physically restrain a patient is far better then the Nurse getting their ass kicked by a deranged patient. It goes right back to the people outside of harms way who are making these stupid executive decisions. If leadership is not going to put in measures to ensure that Nurses are protected then they get ready to be sued.
Its a fact that Nurses are more likely to be injured by assault then a Corrections Officer and Police Officer. Imagine that you the Nurse is working to care for patients and evidence states that you are more likely to incur injury from patient then law enforcement.
Studies show over and over again that violence against healthcare workers has become a rising epidemic.
Violence Against Nurses Higher Than Most Professions
The prevalence of workplace violence in health care remains higher than most professions.
- According to the Occupational Safety and Health Administration (OSHA), approximately 75 percent of nearly 25,000 workplace assaults reported annually in health care and social service settings.
- The National Crime Victimization Survey showed health care workers have a 20 percent higher chance of being the victim of workplace violence than other workers.
- The American College of Emergency Physicians reported that 70 percent of emergency physicians have reported acts of violence against them, yet only 3 percent pressed charges.
So many people don’t want to talk about it. They think they will be in trouble if they talk at work about being assaulted.
In healthcare, workers provide the safety and care for the patients. But they end up in a conflicted situation. They have to decide if they are going to protect themselves or their patients in certain violent situations, Simpson says.
Nurses feel like it is just part of the job to deal with abusive language, threats and the violence. But patients showing signs of agitation or aggression should be identified as high-risk to prevent an act of violence.
Nurses Say Violent Assaults Against Healthcare Workers Are a Silent Epidemic:
Nurses working in acute care facilities do not deal with steady stream of psychiatric patients and yet they are incurring violence. Can one imagine the frequency of violence that the Nurses working inside psychiatric facilities, which may incur with the advent of the new push to eliminate physical restraints?
Violence Against Nurses: The New Epidemic: https://htrsd.org/all-courses/