The patient intended to commit suicide and knew the worker making his bed at Essentia Health-St. Mary's Medical Center in Duluth, Minn., stood in the way.

So he crept up behind the caregiver, grabbed the cord to the call bell and began choking her with it.

• Only chance saved her, recalled Tuan Vu, a longtime hospital worker who was on duty in another part of the facility that day, noting the woman's colleagues rushed to the rescue after the struggle inadvertently activated the call bell.
• The U.S. House just passed a bipartisan bill, the Workplace Violence Prevention for Health Care and Social Service Workers Act, to curtail the rising epidemic of assaults on doctors, nurses, certified nursing assistants, case managers and others on the front lines of care.

The legislation, now before the Senate, requires hospitals, clinics, medical office buildings and other facilities to develop violence-prevention plans that cover the unique needs of each workplace.

For example, Vu said, a plan requiring that only specially trained behavioral health workers care for suicidal patients would have been one possible way to avert the near-strangulation of his co-worker a few years ago. She was assigned to the patient's room that day even though she wasn't a mental health specialist.

Occupational Safety and Health Administration (OSHA)

would enforce the violence-prevention act and intervene if workers experience retaliation for reporting safety lapses.

"Having this type of legislation would put our safety at the forefront," explained Vu, a behavioral health technician at Essentia and unit president of United Steelworkers (USW) Local 9460, which represents thousands of workers at more than a dozen northern Minnesota medical facilities. "It's not something people should be desensitized to."

"I'm a big guy. I'm not so worried about myself," said Vu, who's had racial epithets hurled at him and endured bites, kicks, punches and inappropriate touches over the years. "But I worry about some of my co-workers."