Post on 15-Oct-2020
We Have Your BackA Worker Safety Collaborative An Initiative of the Florida Hospital Association
WORKER SAFETY WEDNESDAY WEBINAR SERIES:
WORKPLACE VIOLENCE BUNDLE OVERVIEW
WEDNESDAY, MARCH 22, 2017
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WELCOME!
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WHYB: Promoting workforce safety as an
organizational priority in our hospitals
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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
WHYB Timeline…
2016
•100 hospitals pledged to participate
•Virtual focus group webinars
•Worker safety bundle strategies
•Baseline data collection
•1st Annual WHYB Conference
2017
•Learning and Sharing Webinars
•Focus Area Bundle Strategies
•SME Resources
•Effective Practice Sharing
•Data Analysis
•ROI Calculation Instruction
•Networking
•Ongoing data surveys
September 19-20
• WHYB Conference
• Lake Mary, FL
• PLAN TO ATTEND
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Special Thank You to Our
Sponsors!
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What’s All
the Fuss
About?
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Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers. 2015. U.S. Department of Labor, Occupational Safety and Health Administration. OSHA 3148-04R 2015. Available at: https://www.osha.gov/Publications/osha3148.pdf
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https://www.federalregister.gov/documents/2016/12/07/2016-29197/prevention-of-workplace-violence-in-healthcare-and-social-assistance
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https://www.federalregister.gov/documents/2016/12/07/2016-29197/prevention-of-workplace-violence-in-healthcare-and-social-assistance
• OSHA is considering whether a standard is needed to
protect healthcare and social assistance employees from workplace violence and is interested in obtaining
information about the extent and nature of workplace
violence in the industry and the nature and effectiveness of
interventions and controls used to prevent such violence. • This RFI provides an overview of the problem of workplace
violence in the healthcare and social assistance sector and
the measures that have been taken to address it.
• It also seeks information on issues that might be considered in developing a standard, including scope and the types of
controls that might be required.
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http://safety.blr.com/workplace-safety-news/equipment-and-process-safety/healthcare-safety/New-California-regulation-addresses-workplace-viol/
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March 2017
Healthcare & Public
Health Sector
Coordinating Council
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Workplace
Violence
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Let’s Review
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)
What is Workplace Violence?
WORKPLACE: The workplace may be any location either permanent or temporary where an employee performs any work-related duty.
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Risk Factors in Health Care
Working directly with volatile
people, especially, if they are
under the influence of drugs or
alcohol or have a history of
violence or certain psychotic
diagnoses
Working when understaffed-
especially during meal times and
visiting hours
Transporting patients
Long waits for service
Overcrowded, uncomfortable
waiting rooms
Working alone
Poor environmental design
Inadequate security
Lack of staff training and policies
for preventing and managing
crises with potentially volatile
patients
Drug and alcohol abuse
Access to firearms
Unrestricted movement of the
public
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Types of Workplace Violence
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
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Legal Definition of “Assault”
1. The crime or tort of threatening or attempting to
inflict immediate offensive physical contact or
bodily harm that one has the present ability to inflict
and that puts the victim in fear of such harm or
contact
2. The crime of assault accompanied by battery;
specifically : sexual assault in this entry —called also
assault and battery
Merriam-Webster, Law Dictionary. 2017. Available at: https://www.merriam-webster.com/dictionary/assault
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N = 3022016 Healthcare Crime Survey. May 6, 2016. IAHSS Foundation. Available at: http://www.iahss.org/?foundationresearch
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N = 3022016 Healthcare Crime Survey. May 6, 2016. IAHSS Foundation. Available at: http://www.iahss.org/?foundationresearch
21N = 167
2016 Healthcare Crime Survey. May 6, 2016. IAHSS Foundation. Available at: http://www.iahss.org/?foundationresearch
22N = 167
2016 Healthcare Crime Survey. May 6, 2016. IAHSS Foundation. Available at: http://www.iahss.org/?foundationresearch
Effective
Workplace
Violence
Prevention Program
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ZERO Tolerance
ZERO TOLERANCE : A policy that states that violence, threats, harassment, intimidations, and other disruptive behavior in our workplace will not be tolerated; that is all reports of incidents will be taken seriously and will be dealt with appropriately. OSHA Workplace Violence reference and training materials library. Available at: https://www.osha.gov/SLTC/healthcarefacilities/violence.html
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What is ZERO Tolerance?
In order to have zero tolerance, all management should to be committed to:
• Emotional as well as physical health of the employee.
• Appropriate allocation of authority and resources to responsible parties.
• Equal commitment to worker safety and health and patient/client safety.
OSHA Workplace Violence reference and training materials library. Available at: https://www.osha.gov/SLTC/healthcarefacilities/violence.html
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What is ZERO Tolerance?
• A system of accountability for involved managers and employees.
• A comprehensive program of medical and psychological counseling for employeesexperiencing or witnessing violent incidents.
• No employee reprisals for reporting incidents.
OSHA Workplace Violence reference and training materials library. Available at: https://www.osha.gov/SLTC/healthcarefacilities/violence.html
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Effective Workplace Violence
Prevention Program
The main components of any effective safety and health program can be applied to the prevention of workplace violence.
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Adapted from Department of Labor OSHA –Hospital e-tool Healthcare Wide Hazards Workplace Violencehttps://www.osha.gov/SLTC/etools/hospital/hazards/workplaceviolence/viol.html#saferroom
Effective Workplace Violence
Prevention Program
• Management commitment and employee involvement
• Vulnerability risk evaluation
• Hazard control
• Workplace violence prevention policy
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Adapted from Department of Labor OSHA –Hospital e-tool Healthcare Wide Hazards Workplace Violence
https://www.osha.gov/SLTC/etools/hospital/hazards/workplaceviolence/viol.html#saferroom
Effective Workplace Violence
Prevention Program
• Management commitment and employee involvement
• Vulnerability risk evaluation
• Hazard control
• Workplace violence prevention policy
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Adapted from Department of Labor OSHA –Hospital e-tool Healthcare Wide Hazards Workplace Violence
https://www.osha.gov/SLTC/etools/hospital/hazards/workplaceviolence/viol.html#saferroom
Effective Workplace Violence
Prevention Program
• Management commitment and employee involvement
• Vulnerability risk evaluation
• Hazard control
• Workplace violence prevention policy
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Adapted from Department of Labor OSHA –Hospital e-tool Healthcare Wide Hazards Workplace Violence
https://www.osha.gov/SLTC/etools/hospital/hazards/workplaceviolence/viol.html#saferroom
Effective Workplace Violence
Prevention Program
• Management commitment and employee involvement
• Vulnerability risk evaluation
• Hazard control
• Workplace violence prevention policy
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Adapted from Department of Labor OSHA –Hospital e-tool Healthcare Wide Hazards Workplace Violence
https://www.osha.gov/SLTC/etools/hospital/hazards/workplaceviolence/viol.html#saferroom
Effective Workplace Violence
Prevention Program
• Employee training
• Record keeping system
• Program evaluation
• Violence prevention written plan
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Adapted from Department of Labor OSHA –Hospital e-tool Healthcare Wide Hazards Workplace Violence
https://www.osha.gov/SLTC/etools/hospital/hazards/workplaceviolence/viol.html#saferroom
Effective Workplace Violence
Prevention Program
• Employee training
• Record keeping system
• Program evaluation
• Violence prevention written plan
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Adapted from Department of Labor OSHA –Hospital e-tool Healthcare Wide Hazards Workplace Violence
https://www.osha.gov/SLTC/etools/hospital/hazards/workplaceviolence/viol.html#saferroom
Effective Workplace Violence
Prevention Program
• Employee training
• Record keeping system
• Program evaluation
• Violence prevention written plan
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Adapted from Department of Labor OSHA –Hospital e-tool Healthcare Wide Hazards Workplace Violence
https://www.osha.gov/SLTC/etools/hospital/hazards/workplaceviolence/viol.html#saferroom
Effective Workplace Violence
Prevention Program
• Employee training
• Record keeping system
• Program evaluation
• Violence prevention written plan
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Adapted from Department of Labor OSHA –Hospital e-tool Healthcare Wide Hazards Workplace Violence
https://www.osha.gov/SLTC/etools/hospital/hazards/workplaceviolence/viol.html#saferroom
Workplace
Violence
Bundle
Strategies
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Total # of Cases of Physical
Assault
363
212
Jan - Dec 2015 Jan - Jun 2016
Total # Cases of Physical Assault
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WHYB Survey Responses. N = 64
Average:
• 2015 – 5.8
• 2016 – 3.3
Total # of Cases of Physical
Assault
478
266
Jan - Dec 2015 Jan - Jun 2016
Total # Cases of Physical Assault with Injury
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WHYB Survey Responses. N = 64
Average:
• 2015 – 7.5
• 2016 – 4.2
WHYB – Workplace 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.
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WHYB – Workplace Violence
Bundles
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.
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WHYB – Workplace Violence
Bundles
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.
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WHYB – Workplace Violence
Bundles
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.
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WHYB – Workplace Violence
Bundles
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.
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WHYB – Workplace Violence
Bundles
Adopt a workplace violence
prevention, response and
recovery policy for your
organization.
Implement de-escalation training
for your front line caregivers and
management staff.
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WHYB – Workplace Violence
Bundles
Adopt a workplace violence
prevention, response and
recovery policy for your
organization.
Implement de-escalation training
for your front line caregivers and
management staff.
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Other Resources
American Hospital Association – Hospitals Against Violence
The Joint Commission – Workplace Violence Prevention Resources
U.S. Department of Homeland Security – Active Shooter Preparedness
OSHA – Healthcare and Workplace Violence
International Association for Healthcare Security & Safety – Guidelines and Research
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Other Resources
American Medical Association
American Organization of Nurse Executives
Emergency Nurses Association
American College of Emergency Physicians
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Going
Forward
Making workforce
safety an
organizational
priority.
Implementing the
worker safety
bundle strategies.
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Going
Forward
Making workforce
safety an
organizational
priority.
Implementing the
worker safety
bundle strategies.
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Going
Forward
Submitting
worker injury
data metrics to
FHA in order to
establish a
baseline and
measure
progress.
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Going
Forward
Utilizing the
WHYB resources
– educational
webinars and
tools
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Questions?
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Upcoming WPV Events
April 5 – Managing Violence in the Workplace
April 26 – Predicting and Preventing Violent Behavior: Critical Aggression Prevention System (CAPS) Training
FHA Corporate Office, Orlando, FL
May 24 – Building a Workplace Violence Prevention Program
July 26 – Healthcare & Public Health Sector Coordinating Council Active Shooter Planning and Response Guidance
September 19-20 – WHYB Worker Safety Annual Conference
The Westin Lake Mary, Lake Mary, Florida
Details and Registration at: http://www.fha.org/health-care-issues/workforce.aspx
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Webinar Evaluation Survey &
Continuing Nursing Education
Eligibility for Nursing CEU requires submission of an evaluation survey for each participant requesting continuing education:https://www.surveymonkey.com/r/WHYB032217
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 webinarcloses to be redirected to the online survey (the linkwill also be provided in a follow up email)
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THANK YOU!
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An Initiative of the Florida Hospital Association