53
Teacher’s book
Narrator:
Nurses working in emergency departments at hospitals with policies regarding
violence reported experiencing fewer incidents of physical or verbal violence.
Elizabeth McCoy:
We’ve had our secretaries, our tax, our nurses trained, in several differ-
ent venues where the main one is the nurse safe training on that we have and it has been
very very successful. Everyone’s been very happy with that, because it teaches us how to
get out the whole how to get out restraints and you really don’t have to think about it.
This patient, who has an altered mental status, and increased aggression, and I was go-
ing to medicate her in order to calm her down and she grabbed my arm and in the nursing
training they teach us how to grab out their hand and pull out so that I can pull out away, so
I don’t hurt the patient but I’m able to get away.
The patient was trying to choke me. So one of the things we are taught to get away from
the choke is to take our heel and slide it down vision of the leg. We are going the opposite
direction of the nerve endings, so this elicits a lot of pain and should back away and let go.
I approach the patient in the room, her mental status and her aggravation level has increased.
She had clenched fists. She had her arms ready to hit me. The best thing to do is to get out
of the situation. The patient feels cornered, and the patient doesn’t feel like she is in control
anymore, so the best thing to do is always try to get out of the situation if you can.
Narrator:
The emergency department violence surveillance study also found that patients
and their relatives were the perpetrators of the abuse in nearly all incidents of physical vio-
lence. Additional information is available at ENA’s website, which is
www.ena.org.
Dr. Mary Kamienski:
A big goal is that it will be a felony offense in every emergency
department in the United States. It is in New Jersey it’s a felony offense if you physically
abuse or assault an emergency nurse or health-care worker.
Note:
ENA: Emergency Nurses Association.
Unit 10. Transporting sick and injured patients
Nick Tovo:
Critical care medical personnel in the Pacific, learning how to get patients ready
for air medical evacuation.
LtCol (Dr.) Linda Vu:
The teams are made up of three personnel typically a critical care
physician, critical care nurse, and a respiratory therapist or a paramedic.
Nick Tovo:
Medics practice operating intensive care equipment.
LtCol (Dr.) Linda Vu:
The ventilator, suction, monitor, defibrillator, bloody analyzer and then
triple-channel ID pump.
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