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We Have Your BackA Worker Safety Collaborative An Initiative of the Florida Hospital Association
WORKER SAFETY WEBINAR SERIES:
BUILDING A WORKPLACE VIOLENCE
PREVENTION PROGRAM
WEDNESDAY, MAY 24, 2017
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WELCOME!
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Special Thank You to Our Sponsors!3
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FOCUS AREAS:
Safe patient lifting, handling and mobility
Sharps injury and blood exposure prevention
Workplace violence
Finding solutions to reduce work stress, fatigue and burnout
Objectives
Discuss and review the workplace violence prevention program at
St. Anthony's Hospital.
Understand the threat of violence and its implications on building
and sustaining a violence prevention program.
Review specific tools and resources used to operate the program.
Understand what is required to make a workplace violence
prevention program successful; and what is needed to promote its
involvement in the culture of safety.
5WHYB: Promoting workforce safety as an
organizational priority in our hospitals
What is Workplace Violence?
WORKPLACE: The workplace may be any location either permanent
or temporary where an employee performs any work-related duty.
VIOLENCE: Any physical assault, threatening behavior, or verbal
abuse occurring in the workplace.
*Violence in hospitals usually results from patients and occasionally from their family
members who feel frustrated, vulnerable and out of control.
*The National Institute for Occupational Safety and Health (NIOSH)
6Let’s Review
Describes the relationship between the perpetrator and the
target of workplace violence
Type 1 - Criminal Intent
Type 2 - Patient/Visitors
Type 3 - Co-Worker
Type 4 - Personal
7Types of Workplace Violence
Conduct an organization-wide workplace violence
vulnerability risk evaluation.
Develop and implement a plan to address workplace violence
risk factors.
Implement a “Say No to Violence” program to engage front
line caregivers and to solicit input for workplace violence
reduction.
8Workplace Violence Bundle Strategies
Conduct an organization-wide workplace violence
vulnerability risk evaluation.
Develop and implement a plan to address workplace violence
risk factors.
Implement a “Say No to Violence” program to engage front
line caregivers and to solicit input for workplace violence
reduction.
9Workplace Violence Bundle Strategies
Conduct an organization-wide workplace violence
vulnerability risk evaluation.
Develop and implement a plan to address workplace violence
risk factors.
Implement a “Say No to Violence” program to engage front
line caregivers and to solicit input for workplace violence
reduction.
10Workplace Violence Bundle Strategies
Adopt standard alert and notification guidelines for
communication of violent event occurrences.
Develop a workplace violence prevention policy. Include a
“zero tolerance” statement in your organization’s workplace
violence policy.
11Workplace Violence Bundle Strategies
Adopt standard alert and notification guidelines for
communication of violent event occurrences.
Develop a workplace violence prevention policy. Include a
“zero tolerance” statement in your organization’s workplace
violence policy.
12Workplace Violence Bundle Strategies
Adopt a workplace violence prevention, response and
recovery policy for your organization.
Implement de-escalation training for your front line caregivers
and management staff.
13Workplace Violence Bundle Strategies
Adopt a workplace violence prevention, response and
recovery policy for your organization.
Implement de-escalation training for your front line caregivers
and management staff.
14Workplace Violence Bundle Strategies
Building a
Workplace
Violence
Prevention
Program
OTIS GATEWOOD, CHSP
MANAGER SAFETY, SECURITY
AND COMMUNICATIONS
ST. ANTHONY’S HOSPITAL
BAYCARE HEALTH SYSTEM
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Objectives - Workplace Violence
Prevention
Identify Team
Develop a comprehensive
workplace violence
program
Produce a model to be
used system-wide
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BayCare Health System
14 Hospitals
3,511 licensed beds
26,900 team members
Emergency Room visits
658,191
4 Surgery Centers
13 Urgent Care Centers
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Team Members
Sr. Leadership
Risk Management
Security
Quality Improvement
Human Resources
Front line staff
Employee Health
Behavioral Health
Education
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Where we started Past incidents
Security reports
Staff concerns
Annual Security Assessment
Near Misses
Code Gray’s
Homeless
The Problem…
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Examples
Verbal patient threats
Aggressive family
Patients throwing,
kicking, hitting
Patient attacks nurse from
behind
Patient chases pregnant
nurse down hallway
Patient running down hall
and stair to elope
New Lab tech attacked by
patient in semi-private
room
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Findings
Mentally unstable/
intoxicated patients
Panic Devices not available
Disruptive Family members
Staff felt not supported
Policy/Procedure not
followed
Security cameras lacking
Threats not reported
To many entry points
Uncontrolled doors
Education training
No Signage - Placard
Law Enforcement not supportive
Not using electronic Flagging
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Policy and Procedure
Workplace Violence Policy
Workplace Violence
Prevention Policy
Code Silver
Code Gray
Code White
Safety Acknowledgement
Threat of Violence
Code Gray Check list
Potentially Violent Banner
Code Gray Placard
Blue Gown
Uniform reporting system (Prizm)
Survey workers periodically
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Safety
Acknowledgement
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Code Grey
Check List
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Threat of
Violence
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Threat
of
Violence
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Code Gray Placard
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Workplace violence
prevention policy
Risk factors that cause or
contribute to assaults
Early recognition of
escalating behavior or
warning signs
Ways to prevent volatile
situations
Standard response action
plan for violent situations
Location and operation of
safety devices
Training and Exercise
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Ensure that all staff are aware of potential
security hazards and ways of protecting
themselves.
Team members should understand concept of
“Universal Precautions for Violence.”
Team members should limit physical
interventions to designated emergency response
team or security personnel.
Training and Education
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Team Member Involvement
Understand and comply with the workplace
violence prevention program and other safety
and security measures.
Participate in team member complaints or
suggestion procedures covering safety and
security concerns.
Prompt and accurate reporting of violent
incidents.
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Training and Education
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OLC
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Managers
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Employees
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Instructor lead training
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New Hires
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Safety Coaches
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http://wwwn.cdc.gov/wpvhc/Course.aspx/Slide/Intro_1
Case Study 1 – Psychiatric Patient in ED Unit 9
Case Study 2 – Aggressive Family Member Unit 10
Case Study 3 – Home Care Threat Unit 11
Case Study 4 – Cognitively Impaired Patients Unit 12
Case Study 5 – A Sexual Advance Unit 13
Case Studies
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Comments, Shared Stories
and Questions?
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July 11 – Critical Aggression Prevention System (CAPS) Training
FHA Corporate Office, Orlando, Florida
July 13 – Safety, Emergency Management and Security (SEMS)
Education Roundtable
Theme: Workplace Violence and Active Shooter
FHA Corporate Office, Orlando, Florida
WHYB Worker Safety Annual Conference
DATE – September 19-20, 2017
LOCATION – Orlando, FL
Details and Registration available online at:
http://www.fha.org/health-care-issues/workforce.aspx
34Upcoming Workplace Violence Events
Eligibility for Nursing CEU requires submission of an evaluation survey for each
participant requesting continuing education:
https://www.surveymonkey.com/r/5SWT95H
Share this link with all of your participants if viewing today’s webinar as a group
Be sure to include your contact information and Florida nursing license number
FHA will report 1.0 credit hour to CE Broker and a certificate will be sent via e-mail
We would appreciate your feedback even if you are not applying for CEUs!!
Web participants can stay logged in as the webinar closes to be redirected to
the online survey (the link will also be provided in a follow up email)
35Webinar Evaluation Survey & Continuing
Nursing Education
36Special Thank You to Our Sponsors!
THANK YOU!
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An Initiative of the Florida Hospital Association