The injured employee was performing a one-on-one watch of a patient who had been brought to the emergency room. The patient became agitated while in the patient room. Security personnel provided assistance to de-escalate the patient s behavior. The patient lunged for a security guard s handgun and a struggle ensued between the patient and two security guards. The patient was able to place his hand on the weapon and it fired while still inside its holster. The injured employee was struck in the abdomen by a bullet while standing at the door opening. The employee was hospitalized.