This was quite a useful eye opener for the general public and i agree with Tony Bleetman, that staff in A&E require more extensive training in addition to conflict resolution which has been implemented by the NHS Security Management Services. I do however continue to have concerns that some nurses still adopt the same 'mindset' for all patients that may lose control and become aggressive. ie 'we are not tolerating this, get security and the police to take them away etc...' Each clinical presentation needs to be examined and managed carefully, otherwise we (nurses) run the risk of losing public sympathy by the very people we are supposed to being trying to care for. If my relative was admitted to the A&E dept in a toxic confusional state due to an underlying physiological condition and as a result started to behave violently i would expect a team of nurses to be able to continue to fullfill their duty of care by being proficiently skilled in safe restraint procedures;NOT just expecting the security or police to jump under these circumstances!! Any thoughts?

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