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The Arizona Nurses Association is collecting information to support a bill in the legislature to address assaults on health care workers in their workplace.

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* 1. Have you been assaulted by a patient who did not have serious mental illness(SMI) or dementia?

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* 2. What clinical setting(s) did the assault(s) happen?

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* 3. Were you injured?

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* 4. Did your injury/injuries require medical treatment?

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* 5. What year(s) did your assault(s) happen?

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* 6. Did you report the assault(s) to your employer?

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* 7. What action did your employer take?  If you do not know, please state "unknown".

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* 8. Did you report the assault(s) to the police?

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* 9. If reported, was there prosecution?

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* 10. Do you know  other nurses who have been assaulted?

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* 11. What clinical setting(s) did the assault(s) happen?

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* 12. Did their injury/injuries require medical treatment?

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* 13. In your opinion, have assaults on nurses increased?

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