I am a nurse at a long term care facility. I have a patient with No history or clinical diagnoses that would warrant or cause/justify the behavior I am about to tell you. This patient is always rude and obnoxious, which I know comes with the job. My problem is that on 2 separate occasions when this resident did not immediately receive the answer he wanted to hear from me as his nurse he became verbally abusive towards me including slandering my name in ear shot of many other patients and witnessed by subordinates. This patient on both occasions began Yelling/Shouting at me "YOUR SO STUPID THAT IS THE ONLY REASON WHY YOU WORK HERE BECAUSE YOU CANT FIND A JOB ANYWHERE ELSE" "YOU ARE DUMBER THAN A BOX OF ROCKS" "HOW DID SOMEONE SO STUPID AND INCOMPETENT EVER EVEN GET A NURSING LICENSE, YOU MUST HAVE CHEATED" and many more derergatory accusations. There is no evidence that this patient has ever received anything less than all ordered nursing care professionally and proficiently from me. No med errors or injuries ever occurred. This patient has a history of touching nurses buttocks, making sexual innuendos and otherwise. Majority of sexual harassment behavior has stopped but I wonder if this is his reason for turning verbally abusive now? This kpatient is middle aged. No mental or emotional deficits. Patients primary diagnosis is what is obviously visible by almost anyone. Patient is in a wheelchair, with no use from his waist down. Upper body and all extremities and patients verbal skills are observantly visible to be at an above average to high Level of competency. I am purposely being vague as to not violate any HIPPA laws. Patient is documented to be non compliant with many of the facility rules and safety regulations. We are told constantly to document his behaviors and acts of non compliance rules but then we may be told to not by another senior staff member in position. Both of my incidents of abuse and slander were reported immediately to the director of nursing, in fact both occasions each one I had called into the building for fear of my safety. I work nights and there is a bare minimum of staff members available and often not available for help. I know continue to be in fear of this patient, my person and my property because he is allowed to be in and out of the facility at all hours of the night smoking. Said behavior is another that is a huge safety violation for this patient and again, we're told to stop him and document on him. He becomes angry or picks up so much speed in his wheelchair and then will roll by me so fast and so physically close to me as if in a threatening or challenging manner. This patient has yelled at the director of nursing and insisted that I be fired because I am so stupid and incompetent and director did not correct him. Facility is and has been aware of this and I have verbally been told of no counseling to this resident directly involving his actions towards myself. I have not seen in writing any changes put in place to alleviate this hostile workplace I enter either. Now since taking a stand, and not backing down when administration tries to convince me that his actions are not verbally abusive and that he hasn't slandered my name I now feel as if I shall be fired at any time. I believe this facility will not fire me in the midst of this unresolved situation but history proves I will be when I least expect it with no notice and for a reason that many other employees have done the same thing but were chosen not to be terminated. There are many employees ranging from the executive director(s)to (CNA)'s and everyone in between. This claim as all of claims in this letter that I am writing can easily be confirmed by access to facility documentation and/or verbal testimony while still protecting patients privacy. Please inform me if you believe I have any legal rights and if this facility that houses this patient has any legal responsibility to me as their employee to not allow abuse and slander, if you believe it is that in the eyes of the law? I am not looking for a huge lawsuit unless need be but my main objective is to force facility to have to transfer this patient out to allow verbally abusive free work place and with a written job security contract in place stating exact reasons only for termination or a 3-6 month severance package. I am only a 2 day a week employee. I would need that depended upon amount while looking for another job though. Please refer me to what type of attorney I should seek also. Please excuse spelling and grammar errors I have not been sleeping but 1-2 hrs per night due to this situation. I thank you in advance for any help and advice you can provide. Sincerely, XXXXX XXXXX
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