The phenomenon of doctors agreed by patients, uncontrollable. Policeman: “Doctors are self -sabotaging.” What would be solutions

The guard at the Hospital in Onești who was stabbed by a drunk and aggressive patient returned to work. The 35 -year -old man, who was urgently undergoing surgery, was admitted to the hospital for a week. “Although he was restored after the operation suffered, he was about to lose his life,” He explained for “Adevărul” Dr. Mădălina Purcaru Pletea, the medical director of the unit. However, the incident is not a singular one, because aggressions occur in most hospitals in Romania. Including ambulance doctors work under pressure.

Due to the aggressions from patients, many doctors refuse to work on UPU

We are in front of a phenomenon that has grown in the last period and which is only talking about when serious events take place. “We have come to come to work with fear, because you never know what kind of people you will deal with ”, said the doctor Purcaru referring to his colleagues who work in the Emergency Reception Unit. How could the situation be resolved? “First of all by the more active involvement of hospital managers ”, Consider Cosmin Andreica, the head of the Europol Union.

Doctor: “We come to the hospital with fear. You never know what can happen to you ”

The incident at the Hospital in Onești took place on January 17, when a 71 -year -old man in a state of intoxication was presented at the Emergency Unit. “The patient, a former policeman, stayed with us overnight. He was timed in the emergency, he was infusions, he received all the necessary care. In the morning he became aggressive, and the incident happened when one of the nurses wanted to change his linen. The man rushed with a knife to her, then to the doctor who accompanied her ”, Dr. Mădălina Purcaru Pletea, the medical director of the Hospital in Onești told us.

In the created chaos, the guard who was on the UPU hall intervened. “He tried to protect the doctor, but was stabbed in the thoracic-abdominal area. ” The wound, 7 centimeters deep, put the man to the ground. “The patient used a knife, which is why our guard is now alive. If not, he would have had cardiac injuries. That’s how only a spleen and a lung were affected. Was on the verge of death”, Explains the doctor.

In the next few minutes, the stabbed man arrived on the operating table. “It was undergoing complex surgery because it had internal bleeding.”

The guard has been working in the Hospital in Onești for four years, and until this incident was held in the UPU section. “He is a special man. He is about 35 years old, he is young, and that is why he has recovered so well and so quickly. He is one of our model employees, very involved in the emergency work ”states the medical director who adds: “As a result of what happened, we strengthened the guard in the hospital, and now in UPU we have two guards.”

Patients, aggressive in front of vaccination. “I say we want to kill them and steal their DNA.”

The Security within the Hospital in Onești is provided by a company with which the medical unit has concluded a contract. “And this is our luck: being a service provided from outside, outsourced, I was able to strengthen the guard asking for another man.”. What the doctor wants to say is the fact that the trench ordinance, by blocking the positions, would have made it impossible to hire an extra guard. “We are no longer allowed to make hires. The luck is that the guard is provided to us by a company. ” Currently, in the hospital in Onești there are three guards, one of them being at the gate, at the entrance to the medical unit.

Even so, the incidents are here the order of the day. Usually, patients or their relatives come with all kinds of requirements and dissatisfaction. “They are nervous, upset, they have no more wound, they are verbally aggressive. It does not happen every day, but it happens very often. For example, during this period, due to the increased number of respiratory viruses and flu, we set up a special visits program. Neither the hospitalized patients, nor the caregivers understand this and agree. And we have discussions. ”

Others are dissatisfied when they find out they have the flu. “I don’t think so. I actually believe neither in the flu, nor in Covid, nor in other viruses. As for vaccination, if you recommend it, and it is upset. I say we want to get them sick, that we want to kill them or steal their DNA. And there are old people, who would need immunization, but also children. But you don’t get along with their parents. Other recalcitrant patients are in a state of intoxication, they are drugged or suffer from certain mental problems ”, Explains the doctor’s situation.

Ambulance doctor: “I resuscitated a patient under threat of the knife”

Another shocking story comes from Iasi, where an ambulance doctor resuscitated a patient under threat of knife. Dr. Nicolae Puha told “Adevărul” that the incident took place in the autumn of last year, but only after the case of Onești decided to speak openly about it. “One night, we were asked in a residential neighborhood in the city center. I found at the address a man of about 50 years in cardio-respiratory stop. He had come to some friends on a visit and suddenly fell. I started the resuscitation maneuvers, during which time the patient’s relatives also appeared in the apartment ”.

At one point, tells the doctor, one of the grandchildren of the man rushed to him by threatening death. “He told me that if the uncle dies, I die. That he has a bomb. Obviously I didn’t believe it. But after a few other minutes, he returned and told me that if the man did not recover, he puts the knife in me. And went to the kitchen. It was a pretty delicate moment for us ”Dr. Nicolaie Puha told us. While ventilate the patient, and his colleagues – the ambulance and the assistant – were dealing with other resuscitation maneuvers, the doctor was waiting for what is worse. “It was a bigger panic moment when the one went to the kitchen and started to shake his hand, heard metal noise, knives or forks, something like this. Good luck jumped one of his friends and stopped. But even so, our emotions were intense. We continued to resuscitate the patient under the threat – indirect, which is right – of the knife ”.

Psychologist: “Such trauma can push you to suicide”

Psychologist Radu Leca explained that whoever goes through such an experience needs therapy to help to overcome the trauma. “The guard at the Hospital in Onești, although it may not be aware, needs psychological counseling. Such an event marks you. He needs help. ” The psychologist said that, indeed, we have to deal with more and more numerous attacks lately. “We are not just talking about physical attacks, but also about sexual harassment that certain patients apply to both doctors and nurses. We are dealing with a proliferation of hatred for medical staff in general. People are angry and dissatisfied. “

This aspect was also mentioned by Dr. Mădălina Purcaru Pletea, the medical director of the Hospital in Onești, who believes that the doctors have been lately denigrated in the press. “And this has fueled fear and even hatred.”

The guard attacked with the knife and stabbed under the eyes of the doctors will certainly enter the depressive or anxious episode, continues the psychologist Radu Leca. “It needs specialized treatment of long -term psychotherapy. He is an affected man and will be affected for a long time. ”

When a doctor goes through such a trauma, the psychologist continues, colleagues will try, at least a period, to protect him. “He, in turn, will try to do his job correctly, professionally, but he may not succeed. Finally, he could give up. Many of those who get to be suicide are also part of this category: there are victims who go through all kinds of fear, and then they are no longer adapted to society, family, work, etc. They come to believe that they are not good enough, smart or correct. These people need therapeutic support so as not to get suicide ”.

A method that would help doctors to cope with the pressure exerted by patients and belongings would be the existence in hospitals of several clinician psychologists, who are currently dealing with children. „ȘAnd doctors are people, they need support, understanding, help and a clinician psychologist would help a lot. “

Policeman: “Doctors need panic buttons”

We are talking about the phenomenon of aggressions that take place in hospitals and the policeman Cosmin Andreica, the head of the Europol Union, who was very sharp. According to him, the situation can only improve if the managers of the medical units take preventive measures. “And I refer here to measures that have effects, not just for the sake of saying they have done something. “

The policeman believes that prevention is more important than combating the phenomenon itself. “Hospitals have a security companies that provide their security. But, many times, these contracts on which a lot of money is spent are made of vitiated. In the sense that the respective companies deliver employees who are not prepared to cope with such incidents ”.

Then the security stations that exist in hospitals are too few. There were many situations in which the medical unit needed five security stations, but there were only two: at the front and rear entrance of the building. “The rest … only on paper. And again someone received some consistent commissions: either the managers or the local administration ”. In conclusion, doctors, says Cosmin Andreica, sabotaging each other by accepting compromises. “Those in the first line, who make directly contact with patients from UPU, should all have panic buttons in their pockets. Small devices to alert the hospital security agents, in the event of an incident. It costs 10, 15 lei such a device ”, supports the policeman. “In this way many situations would be relaxed, and the doctor would thus avoid being spit, hit, threatened, etc. ”.

Then, it is obvious that in certain hospitals the guard and protection must be strengthened, but this is decided after a risk analysis. “And on the basis of it it must be decided by how many security points it is necessary in the respective hospital.”

Third, such aggressions should be punished more harshly by law. “To introduce a 50%penalty increase, say. In case of hitting and other violence, which is punished and by up to two years of prison, There should be tougher penalties of up to four years in prison ”, Cosmin Andreica also stated.