Ms Sylvia Chambers:

Absolutely. A collective approach is needed. It cannot only be left to the emergency department CNM to manage aggression. Security has also been mentioned. Our security has a high turnover of staff. They are not familiar with HSE policy or what they need to do. We do not have one person dedicated solely to the emergency department. The security staff may be off dealing with something else in the hospital and we are then left without staff in the emergency department. We have to deal with that. I have often dealt with it myself when no security officer is available to me at that time. That is totally inappropriate.