EM Physician stabbed in the chest while on shift

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I read that he was stabbed outside of the ER randomly. Was this an actual pt that stabbed him in the ED?

But working in the ER can be dangerous. I had a rule to never actually touch a psych pt. if they are able to talk, normal VS then nothing on my exam will change anything. Feel bad for nurses who have to touch pt pts and had broken ribs.
 
Hospitals aren’t supportive enough in immediately discharging and escorting off the property people who show any disrespect for healthcare workers. Cops would be called and they’d be trespassed from Walmart so why not the hospital?
 
Hospitals aren’t supportive enough in immediately discharging and escorting off the property people who show any disrespect for healthcare workers. Cops would be called and they’d be trespassed from Walmart so why not the hospital?

Duude.
So much this.
GTFO of here, discharged patients.

Someone remind me later on to tell you about how discharging a regular who was faking stroke symptoms ended up in me having to explain to peer review how things actually are down in the ER, and how I ended up being sentenced to 2 CME credits on "communicating with the difficult patient".

Pencilnecks can't hack it in the pit, but wanna tell me how to do my job.
 
Hospitals aren’t supportive enough in immediately discharging and escorting off the property people who show any disrespect for healthcare workers. Cops would be called and they’d be trespassed from Walmart so why not the hospital?

Because that would require them to do their jobs. We had one make a scene in the ED, threaten my boss and I. Call PD, they escorted him out, he swings on them, winds up in a choke hold against the wall in the ambulance bay. THEY LET HIM GO!, Why? "Too much paperwork this early in the morning." Dude showed up that night, behaves himself, and gets D/C'd. Next Shift, shows up again, I met the ambulance in the bay and he starts his crap as soon as they open the doors and sees me. Jumps off the cot, rips his IV out and runs screaming down the street. They finally arrested him and take him to jail.

I tried to get our most nefarious POS, deliberately antagonizing (basically, like one of those people that go around to Police stations "auditing" and videoing) "patient" banned from the property after they spit blood in nurses faces to deliberately infect them with disease. They bring them from the jail for "seizures and withdrawal", I transfer them down the road. No one will admit them at my shop. Risk management says "we can't do that, we have to see them, PD will have to keep them in cuffs and stay with them until they leave"
 
In the last 2 weeks we had 2 OIS shootings at two different ERs. One in the ambulance bay and one in the ER lobby, both fatal. Luckily one has armed (real) security and one (VA) has federal police.
 
Hospitals aren’t supportive enough in immediately discharging and escorting off the property people who show any disrespect for healthcare workers. Cops would be called and they’d be trespassed from Walmart so why not the hospital?
In a lot of major cities the cops wont touch/trespass a ED patient because they're so heavily warned that they might be "abusing" a mentally ill person and the news media will latch onto it and make their life hell.
 
We have very minor issues – even as the busiest ED in NZ – but some nice folks just stopped by the other day and gave us a refresher on our rights under the Crimes Act, and let us know security was getting re-trained in hands-on techniques.

Turns out we can trespass anyone once their life- or limb-threatening health situation is sorted. Anyone lacking capacity, but a threat to person or property, can have their dysfunction medically managed.

Always helps to have a few tools available to make the day a little brighter.
 
We have very minor issues – even as the busiest ED in NZ – but some nice folks just stopped by the other day and gave us a refresher on our rights under the Crimes Act, and let us know security was getting re-trained in hands-on techniques.

Turns out we can trespass anyone once their life- or limb-threatening health situation is sorted. Anyone lacking capacity, but a threat to person or property, can have their dysfunction medically managed.

Always helps to have a few tools available to make the day a little brighter.

Our security isn't allowed to "touch the patient". No joke. What's even the freaking point?
They're also armed with either diabetes or emphysema; take your pick.
 
Wait what?

You heard me correct, homey.
The security at my place is "hands-off", and serves only to temporize, de-escalate, and call law enforcement as needed

By "diabetes/emphysema", I mean to say that they come in two flavors: too fat to be effective, or too old and smokey to be effective.
 
You heard me correct, homey.
The security at my place is "hands-off", and serves only to temporize, de-escalate, and call law enforcement as needed

Yes! This is how our security has been for the past few years – present, but impotent.

Turns out, we *can* tell them to put hands on a patient when medically necessary – or to remove the belligerent.
 
Lets go ahead and get the HCA Florida Palms West story on here too.

spark notes: Psych hold patient goes nuts in the ED. beats a nurse unconscious and to a point s/he (I forget the gender) needed to be transferred to a trauma center. Sprints out of the ED with a pair of scissors and escapes security. Hospital staff briefly loses sight of the psych patient and doesnt know if theyre in the hospital or have escaped to the streets. Did end up just running to a different floor and menacing people on that floor until police arrived.

Relevant part. Hospital CEO (some sources say administrator, but what I'm seeing is the CEO) calls 911 to request police to come. The dispatcher asks whats going on and if anyone is injured and the ceo casually says that a nurse has been beaten unconscious "but I'm not worried about that part. I need the baker act dealt with." And on further questioning the CEO says that their focus is to find the Baker act before he escapes the hospital. And the 911 dispatcher tries to redirect the conversation back to the status of the injured staff member and the CEO says "I'm not sure — she's probably going to die." and continues to ask for police to prevent the baker act from escaping.

The complete lack of care for human life and the severely inflated level of care for not having an operational 'oopsie daisy' of a baker act escaping is TERRIFYING.



 
The complete lack of care for human life and the severely inflated level of care for not having an operational 'oopsie daisy' of a baker act escaping is TERRIFYING.
Just wait until TJC shows up and cites the hospital for documentation timestamps that don't match the purported note times, or this nurse's note that is still unacceptably left in draft after so much time has passed.
 
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