Date post: | 06-Nov-2014 |
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Workplace Violence Prevention Programs for Healthcare June 29, 2012 11:00 AM PST / 2:00 PM EST
Mark Mooring AVADE ® Guest Speaker
DIAL IN TO HEAR AUDIO: +1 516 453 0031
ACCESS CODE: 444-478-492
Hosted by
Dave Fowler AVADE ® Guest Speaker
Todd Courtney Healthcare Solutions Manager
Host
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Housekeeping Items
Recording of this presentation will be made available via email.
A link to a PDF of the slide presentation will be made available via email.
Submit questions using the question box located on the webinar panel of your screen
Join the conversation on Twitter referencing the hash tag: #VLSchat
#VLSchat
@learnatvivid
Guest Speakers
DAVE FOWLER Founder and President of PSTI Author of ”Be Safe Not Sorry”
MARK MOORING, CPP and CHPA Founder of Proper Authorities
Workplace Violence Prevention for Healthcare
REQUIRED
RESPONSIBLE
RELIABLE
Are more likely to be victimized by Workplace Violence than any other industry
Healthcare leads all other sectors in incidence of non-fatal assaults. Nearly 4x greater than all other sectors
Healthcare Workers are more likely to be attacked than prison guards or police officers
Nurses are most at risk, with female nurses being most vulnerable
Crime and Violence in Healthcare
US Bureau of Labor injury rate report: Private sector workers - 2 per 10,000 Healthcare service workers - 9.3 per 10,000 Social service workers - 15 per 10,000 Nursing and personal care - 25.2 per 10,000
US Department of Justice non-fatal violence:
All occupations – 12.6 per 1,000 Physicians – 16.2 per 1,000 Nurses – 21.9 per 1,000 Mental Health Workers – 68.2 per 1,000
Healthcare Workers
Presence of gang members *
High crime areas *
Access to pharmaceuticals/drug seekers
Drug and alcohol use among consumers
Distraught family members and visitors
Handling of money/transactions *
Public Access (often 24/7) *
Late and early work hours *
Home health and service worker visits
Healthcare Worker Risks
indicates risk factor for all industries *
Lack of staff training in recognition and de-escalation of workplace risks.
Working alone or in isolated areas *
(includes: examination and treatment areas)
Not using or having electronic safety measures
Contact with prisoner patients and the mentally ill *
Low staffing levels and increased consumer waiting
An increase and prevalence of weapons in society *
Healthcare Worker Risks
indicates risk factor for all industries *
It wont happen here!
There is nothing we can do about it.
Management and the Agency just don’t care.
The Myths of Workplace Violence
Law
Federal OSHA
State OSHA
Joint Commission
Required: Safe Workplace
Legal
Legislated directly for Healthcare
CA 1257.7 and .8 Health and Safety Code
WA RCW 49.19.020 and .030
Requires: Assess, Plan, Train
State specific guidelines/programs: Oregon, Wyoming, Iowa, Delaware, New York, New Mexico
OSHA
General Duty Clauses from most State OSHA – closely match general duty clause of Federal OSHA and often point to other guidelines (3148)
3148 (v.2004) Assess Plan Train (several levels and frequency) All staff
Directive Sept 2011 Inspection Type 2 includes Customer/Client/Patients
Type 3 Co-Worker
Type 4 Personal (Relationship)
High Risk Industries – Only Two listed: #1 Healthcare/social service
#2 Late-Night Retail
The Joint Commission
Security
Assessment
(Track + Trend)
Identify
Training
Program
Security
Management
Plan
Responsible: Safe Workplace
The effects of violence at work can be devastating and long lasting
A safe workplace improves work product
A safe workplace improves retention
A safe workplace is the “right thing to do.”
What keeps you up at night?
Where does the “buck stop?”
And where does the finger get pointed?
Reliable: Safe Workplace
Reliable
A Program that is active on all levels
Training staff
Who needs to be trained?
Who should be trained?
What levels of training in relation to requirements and providing information for prevention and mitigation of WPV
The subjects covered for meeting required and/or desired WPV prevention
AVADE®
The AVADE® Healthcare WPV Prevention training is designed to educate, prevent and mitigate the risk of violence to healthcare workers.
The AVADE® WPV Prevention training program for Healthcare meets the requirements of State and Federal guidelines and The Joint Commission regulatory compliance for maintaining a Workplace Violence Prevention Training Program.
Workplace Violence Defined
Workplace violence is any act of aggression, verbal assault, physical assault, or threatening
behavior that occurs in the healthcare environment and causes physical or emotional
harm to patients, staff, or visitors.
“
”
AVADE® Healthcare WPV Prevention Training
Is based on research from OSHA, FBI, ASIS, CDC, NIOSH, ANA, State WPV Laws, Department of Labor & Industries, The Joint Commission and more...
AVADE® Healthcare WPV Prevention Training
Introduction to the subject of WPV
Meeting training requirements
Meeting training responsibility
Reliable for consistency on the delivery of information critical to prevention of WPV
AVADE® Healthcare WPV Prevention Training Section Titles
Universal Precautions Against Violence
Characteristics of Aggressive and Violent Patients and Visitors
Verbal and Physical Maneuvers to Diffuse and Avoid Violent Behavior
Aggression and Violence Predicting Factors Related to The Assault Components
Strategies to Avoid Physical Harm
AVADE® Healthcare WPV Prevention Training
Three Elements of Effective WPV Prevention
Administrative
Behavioral
Environmental
The AVADE® Philosophy
A = Awareness
V = Vigilance
A = Avoidance
D = Defense
E = Escape
Characteristics of Individuals who Commit Violence
Strangers Patient/Clients Lateral Domestic
Interpersonal Communications
A transactional process through which people share their ideas and feelings by
simultaneously sending and receiving messages.
“
”
The Assault Cycle
Healthcare Emergency Codes
The use of codes is intended to convey essential information quickly and with a minimum of misunderstanding to staff, while preventing stress or panic among visitors to the hospital.
Hospital emergency codes are frequently coded by color, and the color codes denote different events at different hospitals and are not universal.
Healthcare Emergency Codes
Security Code(Gray)
To provide an appropriate response to situations involving an aggressive/hostile/combative or potentially combative person.
Armed Code (Silver)
To provide an appropriate response in the event of an incident involving a person with a weapon or who has taken hostages within the facility.
Active Shooter
The most extreme incidence of violence in today’s society is the active shooter who enters one’s home, work, school or public place and opens fire on innocent people.
Surviving an Active Shooter
Escape - only if safe to do so
Hide and Cover in place
Alert authorities (Police/Security)
Lock doors in your immediate area
Place barriers and remain absolutely quiet
If escape is not possible and danger is imminent, attack the attacker
When Law Enforcement arrives, obey all commands
Questions & Answers
How to submit questions:
Submit questions using the question box located on the webinar panel of your screen
Submit questions via Twitter by referencing the hash tag: #VLSchat, when tweeting about this webinar
Additional questions for Dave and Mark can be submitted after the webinar by contacting Todd Courtney Manaro at: [email protected]
Thank you for your participation!
Learn more about AVADE®
Contact Todd Courtney
Vivid Learning Systems
1-800-956-0333