Workplace Violence Prevention Programs for Healthcare June 29, 2012 11:00 AM PST / 2:00 PM EST

Mark Mooring AVADE ® Guest Speaker

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Hosted by

Dave Fowler AVADE ® Guest Speaker

Todd Courtney Healthcare Solutions Manager

Host

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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: tcourtney@learnatvivid.com

Thank you for your participation!

Learn more about AVADE®

Contact Todd Courtney

tcourtney@learnatvivid.com

Vivid Learning Systems

1-800-956-0333