Violence In The Emergency Room

While an active shooter occurrence in a healthcare setting is rare, the overall prevalence and complexity is steadily on the rise. There have been many studies performed researching the rate of occurrence, location, personnel affected, and possible motive. When it comes to an active shooter attack, it is difficult to prevent, so the focus of education should be placed on anticipation and preparedness for such an event.

If those who witness horizontal violence taking place or if the nurse being targeted does not speak up, it can keep occurring until the situation starts to have a negative impact on the targeted nurse. The effects can start to show up in the nurse’s work and in patient satisfaction. It can also lead to the nurse leaving their hospital for a new hospital to work for and it can even lead to the nurse leaving the nursing profession for good. Some nurses deal with this type of stress by seeing it as a challenge that they must endure in order to be become hardy and resilient

Excellent discussion on workplace violence in the health care setting. When this writer finished nursing school approximately nine years ago, the thought of being assaulted or abused by the patient or family member did not cross this writer mind. Most people think of nurses as being the most nurturing, caring indivdiual, whom assist the patient with restoring their health. Society has shifted in a direction within the current health care industry and there is not a level of respect being demonstrated towards the health care professional. This can create a barrier with building a therapeutic and effective nurse to patient relationship. When this wall has been established due to workplace violence resulting from the patient and family,

Tony York, the chief operating officer for Healthcare Security Services in Denver, Colorado, which monitors security at hospitals throughout the nation, says there has been an “explosion of patient-generated violence” in the past several years – both from patients themselves and, often, the people accompanying them to the hospital. “Those are things that have driven this industry immensely,” York

S (situation): Hi, my name Kelsey and I am a nurse in the emergency department. I am calling about Shannon O’Reilly’s most recent laboratory results.

Beaufort Memorial Hospital, Beaufort, SC is no exception to this rule. With much of Beaufort County and the surrounding counties being rural and with a high poverty rate Beaufort Memorial experiences a high level of underinsured and indigent care. In 2012 the Medicaid

Horizontal violence is a hidden pattern of individual behavior in controlling other individual that risk health and safety (Hinchberger, 2009). According to Roche, Duffield and Catling-Paull, violence can be describe as emotional abuse, threat, or actual violence in any health care setting. Although the definition varies according to situations and practice settings, there is agreement that workplace violence has a negative impact on the health and wellbeing of nurses and the delivery of quality nursing care (Hinchberger, 2009). Violence mostly occur in any health care setting, However, it mostly occur in emergency department, waiting room, psychiatric ward and geriatric unit on which people involved psychological situations.

Continual training is needed not only to educate personnel but also to remind personnel that although coming to work may be a daily routine for them, a trip to the hospital for many patients is far from ordinary. The security guard who was more concerned with the position of the car and talking to his buddy, than why the people in the car had drove up to the emergency entrance in the first place was mind boggling. With the exception of our initial phone call to the hospital, the security guard experience was our first impression as we entered the hospital. The actions of the security guard, the orderly's remarks, and the inexperienced resident set the tone for that first day's experience.

In reality, there are limited places that violence cannot happen, however, we are often surprised by some of the places violence does take place. One of the places many don’t expect violence to take place is in the hospital. Hospitals are designed to promote safety and provide medical care and nursing treatment for sick or injured people. Unfortunately, on January 12, 2016 a hospital security guard and a police officer endured near-fatal shootings by a drug-affected patient in Nepal. Rachel Olding, the author of an article written February 4, 2016 points out some concerns, thoughts, and ideas for improvement taken from hospital workers who have seen and experienced hospital violence firsthand. Hospitals need to be a place of safety for their patients, staff, and visitors.

The most influential governments and human rights agencies in the 21stcentury are now focusing their efforts on human health and security. In many presidential campaigns todays reducing the mortality rate of children, the youth and the old due to diseases is among the main manifesto of the contestants. This shows how life are being valued by our government through bills like the Obama medical bill. As a result of the advancement in technology and the computerization of many operations, hospitals are not an exception in this movement. Today, we have full automated and computerized hospitals where manual operations and other complicated operations are being done by the help

It was Saturday night while I was just starting on my shift and getting the handover report from the outgoing nurse, when the public address system announced a “Code Black”. A code black in the hospital setting means that there is an emergency situation involving personal threats to the safety of staff and the public including assaults, confrontation, hostage situation but mostly threats of personal injury or attack. The hospital is in partial lockdown and nobody can get in and out for fear of violent retribution from both the perpetrators and victims’ family; the patient being brought in the emergency room usually with stab injuries or gunshot wounds. It has been a fairly normal occurrence nowadays that nobody was unfazed with the announcement. We have seen recently on the news about the Orlando massacre where 49 people were killed and 53 injured due to gun violence influenced by a terrorist intent. If the congress will not do any substantial changes with the law and its implementation to curb this violent act of terrorist and mentally deranged individuals, then it wont be long before it will reach an epidemic proportion that it can happen to us in our own backyard. It is happening now in our community, sporadic incidence as it seems, it is very concerning and cannot be ignored. Because a lot of people, both men, women and children are dying everyday from gun violence, and the current

At 9:50 Am, in the heart of the Chicago banking district, on July 28, 2014, the CEO of the technology supply company Arrow Stream, Steven LaVoie, met with his longtime employee and friend, Tony DeFrancis, to discuss his recent demotion. The demotion was part of a downsizing initiative pursued by the company that affected many Arrow Stream employees. Mr. DeFrancis, an employee at the company for over fourteen years, carried a gun into this fateful meeting. Struggling briefly, Mr. Lavoie was shot twice, once in the stomach and once in the head. The shooter, then used the same gun to kill himself. At the time of the shooting, ten other employees of Arrow Stream were nearby (Eltagouri, Chachkevitch, Rodriguez, 1). The Bureau of Labor Statistics (BLS), provides statistical data on fatal workplace injuries in the United States. Between 2006 and 2010, the BLS counted a yearly average of 518 deaths related to workplace violence (“Workplace Homicides from Shootings”). These statics highlight the fact that workplace violence can occur in large companies as well as small companies, like Arrow Stream. Workplace violence is a real threat to all businesses. Security managers must employ a wide array of measures to reduce the risk of workplace violence and protect their employees should workplace violence erupt.

In the documentary “Code Black” explained an understaffed emergency room in Los Angeles, California, as they dealt with the amount of patients waiting in the emergency room, which can be overwhelming and overcrowded in the emergency room at the Los Angeles County Hospital. The documentary “Code Black” defines as an dying or severe emergency, such as bomb threats, personal threats to others or their self, and a severe weather conditions that patient need the treatment right away. In the documentary, “Code Black” demonstrates patients waiting in the emergency room for at least 18 hours being untreated and uncared for. It also demonstrates patients interacting with each other as well as a few who wore face mask. In the emergency room nurse assistance

To better understand the epidemiology of fatal violence in the health care setting, Goodman and colleagues examined death certificates over a 10¬year period (1980–1990). During this time, 522 health care workers died of work-related injuries, 106 of which were homicides. Twenty-six of those killed were

This paper will discuss workplace policy on violence, policy analysis, and interview to a DNP prepared nurse on workplace violence. Organizational stressor is one of the many factors that can contribute to workplace violence. This factors include, inadequate staffing, emotional exhaustion, long working hours, or lateral violence. According to Raynolds, Kelly, & Singh-Carson, 2014) lateral violence is the act that transpires between peers or nurse-to-nurse where verbal abuse, aggression, incivility, or bullying occurs. Health care settings should be places that perpetuate tranquility, respectful and collaborative environment. Hence, a work place where the environment is positive and safe denotes that the principle of non-maleficence exists (Morrison, 2011). Given to this, the writer conducted an interview with a professional colleague; Doctor Sarah Oba to get her opinion pertaining to work place violence against nurses and