「モンスターぺイシェント」急増中

　自衛隊ではありませんが、某公立病院では、専守防衛で防犯カメラを受付と待合室に設置しています。そして、「防犯カメラ作動中」「他の患者さんに迷惑な暴力行為は警察に通報します」というステッカーもベタベタと。
　さすがに「厚労省に報告します」「所属する健康保険組合にも通報します」というステッカー案は却下されましたが（汗。
　公立病院も、コンビニや銀行並みの時代（トホホ。

最近は、”暴力に毅然と対する”を
標榜する病院も増えてきました。
とはいえ、そのような病院でも、相変わらずに現場のスタッフに対応を任せている所が多いです。

たとえ、いざと言う時には事務が対応します！
と言っていても、いざと言う時には尻込みして逃げます(涙
私が居た某有名病院でもその有様です。
私は救急担当の医者でしたが、
その病院を辞めた理由の一つは、
そういった、頻繁に生じる暴力に疲れ果てたのもあります。
自分だけでなく、部下（医師も看護師も）が暴力を受けた時も、対応は私がしなければなりませんでした。

医療に専念したかったのにとても残念です。

対応を考えてすら無い病院が多いのは言わずもがなです。
相変わらずの性善説に則った感覚しかない、
(社会の変遷についていけない）
オメデタイ経営者が多くて、現場は戦々恐々としております

私も、理不尽な要求を繰り返す一部の救急患者（？）には辟易しておりましたが、一昨年より警察OBの方が対応してくれるような体制になりすごく助かっています。
自分たちでは対応不能と思うときには、夜中でも連絡して来てもらうのですが、いつも快く来てくれて、感涙ものです。ご光がさしてみえます（ホント）。

ふにゃふにゃした病院職員とは全く違いますね。

いつも「どうしました？事情をお聞かせ願えませんか？」ととても丁寧な口調で始まりますが、立ち振る舞いと言うか目の光というか、独特の雰囲気を持っておられます。なにかトレーニングを受けるんでしょうかね。

病院内部の職員では頼りないですから、警察OBの方を新規に雇用されることをお勧めします。

警察ＯＢ雇用は良いアイデアだと思います。
パチンコとかも同様ですが、警察との関係を密にしておけば
間違いなくムチャクチャな逮捕や起訴も減るでしょうし・・・

＞なにかトレーニングを受けるんでしょうかね。

　都道府県警察官は、採用時から、警察庁警察学校・警察大学校、管区警察学校、都道府県警察学校などで、泊まり込み合宿形式で、職務質問要領、現場臨場要領、取り調べ要領、逮捕術、柔剣道、射撃術（小型武器使用要領）、護身術などについて、繰り返しトレーニングを受けます。
　その硬軟使い分けた紛争対処や苦情処理は、さすがプロだと思います。

「泊まり込み合宿形式」ですか。濃いですね。

その彼は、立っている姿勢や歩くスピード、首の振り方が違うんですよ。病院職員ではあり得ないんです。普通に私服の（ちょっと古めの−失礼）スーツ姿で登場するんですが。実に頼もしい。

警備員とは違うので、なんと呼ぶかいつも迷いますが、私は「保安員」と呼んでいます。病院の正式な呼称も特に決まってないそうですが、「保安担当の方」とか「トラブル担当の方」などと言われているようです。

今度、その方を講師として「とっさの時の身のこなし方」と題する講習会が院内で開催されますが、私は逃げるが勝ちと思っているので、「こうして逃げよう」と改めたほうがよいと思いました（笑）。

アメリカではガードマン（security guard）が対応していますね。多くはマッチョマンの様な感じです。
海外ドラマのERでも、「security！」と叫んでいる場面を良く目にします。

ウチは、刑事コロンボのような方ですよ。
マッチョマンとは正反対ですが、とにかく頼れます。

＞某救急医 さま

個人的に何人か警察関係の知り合い（定年後の年金生活者ですが･･･）が居ますが、皆さん一見ではユッタリとした物腰で柔らかな印象の方ばかりです。そうですね、踊りのお師匠さんとかホテルマンのような印象を受けます。

ただ良ぉ～く観察すると動きに無駄が無いというか、周囲に対する目配りが尋常でない（ゴルゴ１３じゃないけれど背中側での出来事も機敏に察知出来る人を知っている）とか、何か違う部分が感じられます。

立ち居振る舞いにしてもユッタリしているようで、必要なツボはキッチリ押さえているとか、会話していても「先ほどはコレコレと言いましたよね」と言った私の方が失念していることを指摘されたり･･･。

多分医療など手先の技術職の世界でも、未熟者はやたらと器具を忙しげにガチャガチャいじくり回すが、無駄な動きが多くて時間が掛かるし出来が今一つ。逆に名人達人は音もなくササッとやってしまうが、短時間で行ったとは思えない丁寧な仕上がり。

その数人の警察関係者から私の受ける印象はこんな感じなのですが、どうでしょう、某救急医さまの病院におられる警察ＯＢの方も同じようなイメージですか？

まさにその通りです　＞　法務業の末席様

当初、私はその「保安員」の素性はまったく知らなかったのですが、すぐに病院職員ではないとピンと来ました。

日中は、トラブル事案とは関係なく院内を歩いているのを見かけますが、歩く姿勢が違いますね。歩きながら、病院廊下に放置されている医療機器（無数にある）のすき間や、ゴミ箱の中をチラとですが、観察しているようです。危険物の有無のチェックでしょうかねぇ。

「病院に爆弾を仕掛けた」という電話が数年前にあり、そのときは制服姿の警備員が院内を回っていましたが、こちらは「見せる警備」というのでしょうか。

「見せる警備」と、さりげない「コロンボ刑事」のコンビで、本当に助かっています。

こういう体制作りによって、職員の勤労意欲がたかまります。今後、こういう体制のない病院では、働けないです。

　前線配備の警備（セキュリティ・ガード）の要点は、「柔よく剛を制す」、「当初は柳に風でチャリン」だそうですよ。最悪は、「バンバンマン（すぐ拳銃をぶっ放すランボー者）」だそうです。（ただし、要人警護だけは、「鋭い目付きで見回して拳銃所携を見せびらかす威圧警備」だそうです。）
　これを米国大使館の本国派遣の米国人警備員（海兵隊特殊部隊？）から聞いた時、突っ込んで聞いてみると、「日本のジュードーとチャンバラ（剣道）からのパクリーだよｗ」と種明かしされてました。

＞某救急医 さま

返信が遅れました、m(_ _)m

ヤッパリ！、というのが偽らざる心境です。
でも私の本業である労務管理の目で見ると、同一の警察ＯＢの警備職員が勤続可能な期間は、年齢などの制約から長くて６～７年ほどと見込まなければなりません。今の方が経験して積み上げた無形のトラブル処理ノウハウが、将来の退職と代わりの警察ＯＢの採用によって、上手く継承されずにその人限りになってしまう恐れがあります。

こうしたトラブル処理のノウハウは、文書化したりマニュアル化することが難しい業務です。警察ＯＢの職員枠が２人以上であって、年度をずらして退職＆交替要員の採用となれば、経験の積み重ねもノウハウの伝承も上手く行きます。加えて警察ＯＢ職員が複数であれば、交替シフト勤務でのトラブル対応可能な時間も増やせますので、病院職員の安心安全確保により望ましいのですが、病院経営の経費面からはアレもコレも多くを望めませんよね･･･。

思いついたので書き込みます。

「なんでも相談窓口」を病院の中に設けるべきではないか。全てをモンスターペイシェントと初めから決めつけることは良くない。モンスターペイシェントが存在するのも事実。

保険点数にはならないが、医師が貴重な時間を割かれるより、相談受付専門員を配置して、対応することが、病院全体としては効率的になる。一方、患者の側も、歓迎する。相談受付専門員は、病院の規模に応じ、他の仕事を兼務していても良いのであり、何とかなるのではと思うのですが。

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