Jan 032014

Today’s post is supposed to be about my bucket list. But I don’t have one of those. If I were to sit down and write one, I’m not sure what I would put on it. Most of the things I’ve wanted to do…… I did. Oh sure, there are a few things that I’d like to do that seem really out of reach to me:

1. Visit Tibet.

2. Visit India

3. Hang-glide

4. Roller skate again (boy, I sure miss skating…. It was a huge part of my life for so many years)

5. Own one of those $5,000 super-duper 400mm 2.8 lenses

I can’t really think of much else. I’m a pretty content person who’s lived a very full life thus far. In fact, I’ve lived enough and had such diverse experiences that I should be 97 years old ha!

So that’s all I have to say about that.

I’ve been enjoying my work more than usual the past few days. I’m doing a load of research and writing some papers about violence in the hospital setting. It’s not that the information is fun… because it’s not. It’s quite sad really. But doing the research and putting together a well written document, citations and all, that’s what I find fun. And then to distribute the documents and find they are well-received. It just doesn’t get much better than that. The project is actually a series of 4 installments to be distributed over a week’s time. Once that phase is done, the awareness phase, I move on to the training phase. Intensive response training. That will last a while because it’s going to be mandatory training and we have about 3700 employees to run through. Phase 3 will be some mock-up drills primarily focused on active shooter scenarios… makes sense because it’s so prevalent in the media these days. In the past month there has been at least 4 shooting incidents in hospital settings. I learned today that working in healthcare is the THIRD highest risk for workplace violence. Wow.

Take a gander if you’re interested: (if not, just scroll on down to see if there’s something below)

Gun Violence in Hospitals

Recent Examples

· September 2010 – Gunman upset over news about his mother’s medical condition opened fire inside Baltimore’s Johns Hopkins Hospital, wounding a doctor before fatally shooting his mother and then turning the gun on himself.

· January 2011 – Daniel Dominguez-Garcia, 21, entered the hospital room where a woman and her child were. An argument ensued. Dominguez pulled out a small-caliber pistol and fired one shot; nobody was injured.

· March 2012 – Gunman opened fire at a Pittsburgh psychiatric clinic, leaving two people dead, including the gunman, and injuring seven others.

· June 2012 – Buffalo, NY: A surgeon opens fire and kills his girlfriend on hospital grounds.

· December 2012 – A man opened fire in a hospital, wounding an officer and two employees before he was fatally shot by police.

· February 2013 – One person shot dead on the grounds of a Portland, OR hospital.

· March 2013 – A man in a hospice unit on a hospital campus shot his wife dead and then turned the gun on himself.

· November 2013 – Reno, NV: A former patient walks into a 3rd floor urology clinic on hospital grounds and fatally shoots his surgeon.

· November 2013 – Children’s Hospital of Wisconsin, police attempted to serve a warrant on a visitor. The suspect attempted to flee after a struggle and was then shot by police after pulling a gun during a chase in an empty hallway.

· December 2013 – Austin, TX: Brackenridge Seton security patrolling hospital grounds observed an altercation between two men. They heard two gunshots and began chasing the suspect. the victim was pronounced dead of a gunshot wound to the chest 50 ft. away from the entrance to the ED near ambulance parking. The hospital did not go on lockdown and hospital operations were largely unaffected because the suspect was in custody and weapon recovered so quickly.

Where do Hospital shootings happen?

· 59% Inside the hospital

o 29% Emergency Department

o 19% Patient rooms

· 41% Outside on hospital grounds

o 23% Parking Lot

Who Commits hospital shootings?

· Under 40 years of age

· Less likely to commit suicide

· Often in custody (forensic patient) and unlikely to have a personal relationship with the victim

· 23% use the hospital security officer’s gun


· Healthcare is the THIRD most workplace violence-prone profession

o Workplace assault rate is nearly 5x greater in healthcare

o 61,000 violent acts against nurses and 10.000 against doctors per year. Over 5,000 per year severe enough to require time off to recuperate

· About 3% of the nation’s hospitals experienced a shooting incident between 2000-2011

· Shootings happened in hospitals of all size, but they were more common in large hospitals (400 beds or more)

· Incidents occurred in all regions of the country

· Being in an inner-city, dangerous neighborhood, or border community did not appear to be a factor

The unmentionable issue I shared yesterday… I know, TMI…. Has resolved itself. Thank goodness. Sucks when it hurts to sit!

I did the boob-squishing mammogram this morning. I’m a bit nervous about the results. I had a chance to look at the images. I’m certainly not a radiologist but I spied something on the left girl that wasn’t there last time. I’m really hoping it’s a hamartoma, maybe a twin to the hamartoma living in the right girl. But it looks different. More dense, more white on the image. Ugh. I didn’t receive any ominous phone calls this afternoon so I’m telling myself that’s a good sign.

As for the squishing, it wasn’t as bad as last time. Although they have to squish the girls a bit, they don’t have to attempt to make them as flat as flap jacks like they did in the past. I guess new technology has helped us out.

Those dang idiot fools in the neighborhood are still blowing up fireworks. Beulah has made the space under the dining table her personal bomb shelter. Because we live in the tin can, the space is relatively small and enclosed on 3 sides. She crawls under there and gets behind my legs which gives her shelter on all sides. Goofy dog. She’s there now shivering and shaking.


Humor is reason gone mad. – Groucho Marx

Being an adult is like looking both ways before you cross the street and then getting hit by an airplane.

  2 Responses to “Kick-It!”

  1. I’m betting that even schools don’t rank as high as hospitals, although I did my best to make sure that mine was as secure as possible. some people thought I was nuts, but it didn’t stop me.

    • Schools are not far behind hospitals. The big difference is schools have really changed how they view security and the number of drills done in a school is outstanding! The various state education agencies really keep track of what’s being done in terms of preparedness on campuses.

      Emergency Management in healthcare is relatively new. My hope is that it will become more widely accepted in the near future.

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