His evidence was . . . “Mancroft’s House of Lords Speech . . .”

“sexual boundaries” guidelines . . . dating patients. See, for example, “Guide to Patient Relationships,” The Times (London), January 22, 2008.

One in six U.K. nurses . . . “Nurses Risk Breaking Rules on Relationships,” Nursing Times, February 25, 2008. See also, for example, Morag Turner.

A British nurse received . . . they had sex. “Nurse Had Illicit Affair with Heart Op Patient.” Daily Mail (London), July 29, 2010.

between 1999 and 2009 . . . “constitutes sexual misconduct.” “Practical Guidelines for Boards of Nursing on Sexual Misconduct Cases.” National Council of State Boards of Nursing, 2009.

Oklahoma Nursing Board . . . broke up with him. Nolan Clay, “Nurse Loses License Over Patient Sex,” The Oklahoman, January 16, 2011.

Mayo Clinic . . . relationship was consensual. Warren Wolfe, “Male Nurse’s Sex in Psych Ward Didn’t Break Rules,” Star Tribune, August 3, 2009.

In Australia, a sixty-one-year-old . . . “ethical relationship.” Julia Medew, “Nurse Faces Disciplinary Action Over Relationship,” The Age (Melbourne), February 18, 2006.

Nurse and Midwifery Council investigated “NMC to Investigate Nurse Accused of ‘Inappropriate Relationships,’” Nursing Times, March 11, 2010.

“Cancer nurse bedded . . . ” John Kay and Alex Peake, “Cancer Nurse Bedded Three Victims’ Husbands,” The Sun, March 10, 2010.

divorced mother of two . . . his wife passed away. See, for example, Andrew Levy, “Macmillan Nurse Sacked for Having ‘Affairs’ with Patients’ Widowers Reveals Her Love for Man Whose Wife Died Last Year,” Daily Mail, March 11, 2010.

Some states, including Maine “Disciplinary Action and Violations of Law,” Department of Professional and Financial Regulation, State Board of Nursing, Chapter 4.

Arizona R4-19-403, Unprofessional Conduct, “Laws & Rules,” Arizona State Board of Nursing.

Washington State Washington Administrative Code, Title 246, Section 246-840-740.

Three weeks . . . sided with the hospital. Ed Canning, “Employee-Client Relationships are Tricky,” Hamilton Spectator (Ontario, Canada), May 6, 2006.

Lori Dupont tried to end . . . harassed her at work. See, for example, Doug Schmidt, “Daniel Turns to Blackmail,” Windsor Star (Ontario), November 9, 2006. Schmidt covered this story extensively.

When several nurses complained . . . Doug Schmidt, “Daniel’s Return Unsettling,” Windsor Star, November 10, 2006.

nurses took it upon . . . bent over to speak to him Ibid.

broke a nurse’s finger Doug Schmidt, “Daniel Turns to Blackmail.”

quiet weekend day . . . then killed himself. Doug Schmidt, “A Killing At Hôtel-Dieu: How a Workplace Romance Became a Deadly Obsession.” Windsor Star, November 4, 2006.

“an unforeseen event” Doug Schmidt, “Why?: Family, Friends Ask: Could Nurse’s Death Have Been Prevented?” Windsor Star, November 11, 2006.

Dupont’s family and coworkers . . . Colin Johnston observed. Ibid.

when Daniel was pursuing Dupont . . . “problems.” Doug Schmidt, “Dupont ‘Relentlessly’ Pursued,” Windsor Star, November 7, 2006.

Chapter 3

“The nurse takes appropriate” “The ICN Code of Ethics for Nurses.” International Council of Nurses, Geneva, Switzerland, 2006.

“Almost every single” Interview.

“If I had a dollar for every horny . . . ” Interview.

ER nurse in Sacramento . . . Interview with Dansby.

Medics brought in . . . able to revive Interview with Dansby. See also Jessica Garrison and Molly Hennessy-Fiske, “Violence Afflicts ER Workers; Incidents Often Go Unreported, but Some Evidence Points to a Growing Problem,” The Los Angeles Times, July 31, 2011.

Dansby left the patient . . . off of her. Interview with Dansby.

Shaken and injured . . . assailant is still free. Ibid.

When Dansby told her department Jessica Garrison and Molly Hennessy-Fiske; confirmed with Dansby.

Afraid of losing her job . . . “that hospital door.” Interview with Dansby.

“ward rage” See, for example Torri Minton, “Cry for Health: Poor Working Conditions Driving Nurses out of Hospitals,” San Francisco Chronicle, May 20, 2001.

On the rise See, for example, Staff Report, “Not in a Day’s Work,” National Nurse, November 2010; “Preventing Violence in the Healthcare Setting.” Sentinel Event Alert 45, The Joint Commission, June 3, 2010.

nine out of ten . . . “Emergency Department Violence Surveillance Study.” Emergency Nurses Association Institute for Emergency Nursing Research, November 2011. See also Jessica Gacki-Smith et al., “Violence Against Nurses Working in U.S. Emergency Departments,” Journal of Nursing Administration 39, no. 7/8 (July/August 2009); and Paula Zahn, “Nurses Under Attack,” Paula Zahn Now, CNN, July 11, 2007.

a quarter of ER nurses . . . past three years. “Emergency Department Violence Surveillance Study”; see also Jessica Gacki-Smith et al.

every nurse they know Interviews.

Experts have attributed the rise . . . crime or accident scenes. Interviews; see also, for example, “Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers.” U.S. Department of Labor: Occupational Safety and Health Administration; “Workplace Violence: Assessing Occupational Hazards . . .”; Jessica Gacki-Smith et al.

third-most dangerous profession An examination of the Bureau of Labor Statistics Survey of Occupational Injuries and Illnesses reveals that nurses rank behind only police officers and correctional officers in the number of nonfatal assaults that resulted in days off from work due to illness or injury. A separate set of BLS data that more explicitly specifies professions shows that the assault incidence rates (again resulting in days off from work due to illness or injury) for RNs, LPNs, and licensed vocational nurses rank behind only health technicians and health aides.

“nurses are nearly twice as likely . . .” Lois Berry and Paul Curry, “Nursing Workload and Patient Care,” Canadian Federation of Nurses Unions, 2012.

“the actual number . . .” “Guidelines for Preventing Workplace Violence . . .”

sixteen times more likely . . . See, for example, “Workplace Violence in Healthcare Settings,” Center for Personal Protection and Safety, August 2011; see also Alex Rose, “Protection Sought for Healthcare Workers,” Delaware County Daily Times, March 2, 2011.

In 2012, Douglas Kennedy . . . See, for example, Ann Curry and Carl Quintanilla, “Douglas Kennedy Speaks out for First Time Since Confrontation with Two Nurses,” Today, April 13, 2012.

hospital had not discharged . . . See, for example, “Statement on Northern Westchester Case Does Not Address Assault on Nurses,” Targeted News Service, April 4, 2012.

concerned maternity nurses . . . “through the air.” Ibid.

Kennedy went downstairs . . . welfare of a child. Ibid.

superiors told them not to report . . . Interviews.

Nurses who don’t keep . . . See, for example, Elizabeth Simpson, “Danger in the ER Health,” Virginian-Pilot (Norfolk), April 13, 2012; August Gribbin, “Hospital Health Hazard,” The Washington Times, February 10, 2002.

Tammy Mathews . . . hospital fired her. Lauren Auty, “Nurses Face an Epidemic of Violence in Hospitals,” Philly.com, December 1, 2011.

between 65 and 80 percent . . . “Workplace Violence in Healthcare Settings,” Center for Personal Protection and Safety, August 2011; Emergency Department Violence Surveillance Study, November 2011.