Assaulting A Nurse - Legal decisions stalled despite violence against health workers - 57 nurses assaulted daily in 3 months of this year
On May 12, hundreds of nurses packed Capitol Hill, demanding that workplace violence be reduced and that workers be protected. A week ago, emergency nurses and doctors met with lawmakers to support a bill that requires health workers to establish safety standards. In this report, we trace the events leading up to these two incidents and provide information on efforts to prevent domestic violence.
Assaulting A Nurse
Ryan McBride, executive director of the American College of Emergency Physicians Congress, said that unlike in the airline industry, footage of unsuspecting passengers ejected from planes can be released before the plane takes off. The field is hidden. ACEP).
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McBride said that while hospital violence has been a problem for decades, it's rarely reported because health care providers — including emergency doctors — assume doing so won't make a difference.
But this year has brought backlash for health workers who are starting to call for action.
"Nurses are being told by our employers to just take it," said NNU President Jane Ross, RN. Online press conference with lawmakers in early May.
"I think there's a growing sense that, no, it shouldn't be at work," McBride added.
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A large body of federal law exists to protect health care workers. Some have stiff penalties, while others offer no protection, McBride said. According to the American Nurses Association, eight states require employers to have workplace violence prevention programs in place, and at least 40 are punishable for assaulting a nurse. However, compliance may vary.
Because of that gap and the growing need for action, Congress is considering bills to help better protect health care workers from violence.
Violence against health workers is on the rise during the pandemic. In the United States over a period of 3 months in 2022, 57 nurses were assaulted every day on average - that is, two nurses every hour - according to an analysis by the National Archives of Nursing Quality Press Gainey.
Nurses who work in psychiatry and the ED have experienced the most attacks, but nurses in pediatric burns, rehabilitation, and surgery are also frequently targeted.
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An NNU survey from April 2022 found that 48% of nurses surveyed said workplace violence had increased - more than doubling from the previous year.
Emergency doctors also face violence. In a survey conducted by ACEP, in 2022, two out of three said they had done it in the previous year. At least two-thirds of respondents said the COVID-19 pandemic has led to an increase in violence and reduced trust between patients and doctors or other ED staff.
Restricted sick visitors or long waiting times for treatment have been cited as triggers for violent incidents by patients and family members, but there are many reasons behind these attacks.
In June, at St. Francis Health System in Tulsa, Oklahoma, a man shot and killed his doctor, Preston Phillips, MD, and three other people, according to another doctor, Stephanie Hussain, DO.
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In October, June Onkande, a psychiatric nurse practitioner, was allegedly stabbed by a patient at the Freedom House fertility clinic in Durham, North Carolina, ABC11 reported.
That month, Jacqueline Ama Pokuaa, a patient affairs manager, and Annette Flowers, a nurse, were shot to death in the maternity and pediatric care unit at Methodist Dallas Medical Center.
The suspected shooter was on parole after serving a previous conviction for aggravated robbery and was seeing his girlfriend. Out of jealousy, he allegedly told his girlfriend that they were both going to die that day and that he would shoot "anyone who walks into this room."
But not all abuse is physical, said Jennifer Schmitz, MSN, president of the Emergency Nurses Association.
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"I think when you say the word 'workplace violence' people get hurt physically, and the most common [type] is verbal abuse," said Schmitz, who sometimes acts as a nurse. can . "
In May, Sen. Tommy Baldwin (D-Wis.) reintroduced the Health Care and Social Worker Violence Prevention Act.
A similar bill was introduced in the House by Rep. Joe Courtney (D-Kan.) on April 16. It recommends that the Occupational Safety and Health Administration (OSHA) establish standards requiring medical care. and social workers to develop and implement programs to prevent workplace violence.
"Under the plan, employers will be required to work with employees to identify and correct incidents, establish procedures for reporting threats of violence and injury, provide training to employees and management, and educate employees about workplace violence." Avoid retaliation for reporting." Fred Redmond, secretary-treasurer of the AFL-CIO, said in an online press conference Ross gave in May.
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McBride said Republicans aren't "big fans of OSHA" or expanding regulations in general, and hospitals already on a "laundry list" of regulations may not be interested in adding to that list.
In addition, many hospitals reported that they are more committed to their employees and have measures in place to prevent violence.
Micah Ingram, DNP, RN, president of the North Carolina Nurses Association (NCNA), which was saddened by Onconde's "senseless and tragic" loss, said despite a 2015 state law criminalizing hospital workers for assault Despite the declaration, NCNA members. Don't feel supported while following these attacks.
"We need every court, district attorney, and judge to implement full-scale surveillance of health care workers."
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In June, Rep. Larry Bucshon, MD (R-Ind.) and rep. Madeleine Dean (D-Pa.) introduced the Preventing Violence Against Health Care Workers (SAVE) Act.
The bill, which came after providing protection to airlines and airport staff, "will punish the crime of assaulting or threatening hospital staff," according to the Buckson news agency.
Buckson's office says the bill includes "[e]ntentional penalties for assaulting and threatening hospital staff" as well as protections for those who may be "mentally ill or disabled by substance abuse." "There will be
It also calls for spending money to develop workplace violence measures that are tailored to each department's individual needs, McBride said.
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These funds can be used to train hospital staff in sanitation methods, to purchase new technology such as metal discs or panic buttons, and for patient and staff rooms,” Bill said.
McBride said the bill intentionally misses measures the department should use. For example, some EDs may not want metal detectors at their doors, as this could signal to patients that the department is a "dangerous or violent place."
While it has support from ED staff and hospital teams, the SAFE Act has not passed the House.
McBride expects the bill to be amended before it is reintroduced in the next Congress, but said adding a "legislative timeline" could be more palatable to Republicans.
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Todd Haynes, RN, BSN, council president of the Tennessee Emergency Nurses Association and a former law enforcement officer himself, said at a press conference in May, “It's a shame that Baldwin's bill stands.
But as for the protected legislation, "with bipartisan support," he said, "I think he has a case." A beeping IV. Six months on the job. A blow on the head. Life changed forever.
After six months on the job, Angela Simpson suffered a severe blow to the head from a dementia patient. Her IV had stopped pumping and it was hurting her, and she tried to help him.
I was surprised, so I went back. He was about to hit me a second time. Fortunately, he was able to avoid another hit. “It was scary and weird. But I realized that I had gone through the process of baptism, and I was no longer a new girl. He considered himself lucky because he walked away with a minor head injury.
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Because of her assault and continued violence against other health workers, Simpson founded and serves as the national director of the non-profit Silent No More Foundation.
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Although this story was originally published two years ago, not much has changed. Stories are emerging across the country about healthcare workers facing abuse not only from patients but also from co-workers.
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