Townsville Hospital Revises Safety Policies After Nurse Assault, Admits Systemic Failures

Introduction
Townsville Hospital and Health Service (THHS) has overhauled its workplace safety policies after a 2024 sexual assault of a nurse exposed systemic gaps in staff protection and incident management. An independent investigation revealed procedural failures and a cultural tolerance of unsafe patient behaviors, prompting four reforms to prevent future incidents.

Investigation Findings
The August 2024 assault occurred when a patient with a documented history of verbal and physical aggression—but no prior sexual violence—attacked a nurse on a Townsville University Hospital ward. The patient remained on the ward until allegedly assaulting another patient’s family member days later. Key findings included:

• No formal risk management plan existed for the patient despite prior aggression.
• Staff lacked clear protocols for escalating sexual violence incidents.
• Some employees normalized unsafe behaviors as “part of the job.”
• Limited awareness of the hospital’s Sexual Assault Response Team (SART) among staff.

Policy Reforms and Apology
THHS CEO Kieran Keyes apologized unreservedly to the nurse, admitting the hospital’s response “fell short” of expectations. The health service accepted all four recommendations from the independent review, led by a workplace safety lawyer and SART representative. Key reforms now include:

• A standardized critical incident response protocol to guide staff during emergencies, including immediate risk assessments and victim support.
• Mandatory training for line managers on preventing and addressing sexual harassment, with updated modules reflecting recent incident learnings.
• Service-wide risk assessments for sex and gender-based harassment, conducted quarterly to identify vulnerabilities.
• Cultural initiatives to challenge the normalization of aggression, including staff workshops and leadership accountability frameworks.

Union and Stakeholder Reactions
The Queensland Nurses and Midwives Union (QNMU) criticized THHS for delayed action, noting workplace safety obligations under the Work Health and Safety Act 2011 were already clear. Secretary Sarah Beaman stated:

“It is deeply disappointing that it took a severe incident to prompt these changes. Proactive compliance could have prevented this trauma.”

Police declined to press charges against the assailant due to their impaired mental capacity, redirecting scrutiny to systemic accountability.
Broader Implications
THHS Board Chair Tony Mooney emphasized the reforms aim to protect both staff and patients, stating:

“We have a paramount responsibility to ensure safety. These changes will embed a zero-tolerance approach to occupational violence.”

The hospital has begun implementing reforms, with mandatory manager training to roll out by June 2025.
Conclusion
This case highlights persistent risks in healthcare settings, where 85% of Australian nurses report experiencing occupational violence (ANMF, 2024). THHS’s reforms set a precedent for addressing cultural complacency, though advocates stress nationwide adoption of similar measures is critical.