Attack on staff by Royal Ottawa patient prompted security changes, trial hears

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The recovery program facility at The Royal Ottawa Hospital was remodelled after a violent “Code White” incident in July 2012, including adding stronger glass to windows that were shattered by an out-of-control patient.

Testifying Friday at the Royal’s trial for alleged worker safety violations, registered nurse Dale Evans described hearing a loud bang while she was working in another room of the unit.

The next thing she heard was another nurse yelling “Attack on staff!”

Evans went to the nursing station and called a Code White — hospital jargon for a violent incident — then returned to the hallway and saw two staff members running for the nursing station followed by an agitated patient, known in court as Patient X.

The “bang,” she later learned, was two panes of glass in a door to the staff “team room” being smashed by Patient X.

Evans watched as Patient X followed the nurses into the station and continued his attack, squeezing each in turn by the neck and punching their faces and heads.

During the attacks, Patient X was glaring at Evans, watching through the glass door.

“It was intense and profoundly threatening,” she testified. “It caused me to fear for my own safety. . . . I felt I was going to be next. I truly believed that.”

Evans retreated to a nearby medication room, regrouped, then came back out to help. That’s when two other patients on the ward arrived to help, one of whom spoke to Patient X in his own language. Patient X calmed immediately and Evans, by this time pinning his arms, “could feel the energy drain out of him.”

With Patient X secured, Evans consulted with a doctor and prepared a dose of tranquilizers in large-bore needles to sedate him.

The Royal Ottawa Health Care Group is charged with three offences under the Occupational Health and Safety Act relating to staff training and safety policies.

In addition to the stronger glass, the hospital has added a second door to the team room where the attack began and issued staff personal alarm devices, known by the trade name Ekahau, with which to call for help.

The recovery unit is used for low-risk patient who are taught social skills and prepared to return to the community. The day before the assault, Patient X had gone with some other patients to a nearby Walmart unescorted by staff, the trial heard.

Bcrawford@ottawacitizen.com
Twitter.com/getBAC

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