The health union has called for a greater security presence at Tamworth hospital following four violent incidents in recent weeks.
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Hospital management has played down the incidents and said the security corps is fully-staffed and ready to assist at any time.
The Health Service Union (HSU) general secretary Gerard Hayes has led the charge in the wake of the incidents and called for a staffing boost.
A paramedic was king hit in the unloading bay.
- Health union secretary Gerard Hayes
"Last week there were four separate incidents at [Tamworth hospital]," Mr Hayes said.
"In one incident, a security officer received a broken thumb while restraining a violent patient.
"A paramedic was king hit in the unloading bay, while a cleaner was also assaulted by a mental health patient in the Emergency Department."
Mr Hayes said workers had identified three factors which contributed to the injuries sustained in the recent incidents.
"There are problems with understaffing, the physical design of the Emergency Department, and procedures for accepting patients who may pose a risk - including the need for a safe environment in which to treat these patients," he said.
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"All of these issues have been raised with hospital management."
Tamworth hospital acting general manager Michelle Keir said, in a written statement, there was a zero-tolerance policy when it came to aggression toward staff.
Ms Keir said the holiday period "leads to additional stress for individuals and families".
"The clinical staff in Tamworth Emergency Department are skilled in managing challenging or aggressive behaviour and work as a team with security and NSW Police to de-escalate incidents as quickly as possible," she said.
"Tamworth Hospital recently had four presentations of individuals experiencing mental health concerns, with three of the presentations escorted to the Emergency Department by NSW Police.
"These presentations resulted in a request for security staff to attend, who were immediately available to assist police and our clinical staff."