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Annual ed workplace violence.07.10


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Annual ed workplace violence.07.10

  1. 1. WORKPLACE VIOLENCE Promoting a respectful workplace. Minimizing the risk of violence at the University Hospitals.
  2. 2. What’s included as violence? <ul><li>Verbal abuse </li></ul><ul><li>Sexual harassment </li></ul><ul><li>Intimidation </li></ul><ul><li>False rumors </li></ul><ul><li>Assaults </li></ul><ul><li>Suicide </li></ul><ul><li>Rape </li></ul><ul><li>Threats </li></ul><ul><li>Domestic abuse </li></ul><ul><li>Stalking </li></ul><ul><li>Hostage taking </li></ul><ul><li>Sabotage </li></ul><ul><li>Terrorism </li></ul><ul><li>Kidnapping </li></ul><ul><li>Homicide </li></ul>
  3. 3. Basic types of workplace violence <ul><li>Committed by an “outsider”; usually involves theft; has criminal intent </li></ul><ul><li>Committed by a customer or patient </li></ul><ul><li>Worker to worker violence </li></ul><ul><li>Personal relationship violence (spillover of domestic violence) </li></ul>
  4. 4. How much violence are we willing to tolerate? <ul><li>In our hospitals, our policy is zero tolerance. </li></ul><ul><li>References: our hospital policies; OSHA Guidelines; JCAHO standards; Texas law; TDSHS hospital licensure standards </li></ul>
  5. 5. Elements in prevention <ul><li>Staff and leadership education </li></ul><ul><li>EAP awareness and utilization </li></ul><ul><li>Strong customer service approach </li></ul>
  6. 6. Warning Signs <ul><li>Type I (criminal intent): May be no signs; may be sudden. </li></ul><ul><li>Type II (patient/customer to staff): Early signs of anger (e.g., red face; raised voice) </li></ul><ul><li>Type III (worker to worker): Efforts to intimidate; blaming others; verbal threats; signs of drug or alcohol abuse </li></ul>
  7. 7. Warning signs, continued <ul><li>Type IV (domestic violence spillover): frequent personal phone calls; late/tardy/unexcused absences; injuries without explanation; disregard or obsession with personal hygiene. </li></ul>
  8. 8. Do we have these incidents now? More assaults occur in healthcare and social service industries than in any other . (Reference: OSHA, 2002)
  9. 9. Areas at potentially greater risk: <ul><li>Emergency Room </li></ul><ul><li>Admissions </li></ul><ul><li>Human Resources </li></ul><ul><li>Psychiatric Services </li></ul><ul><li>Hospital administrative areas </li></ul><ul><li>Women’s Services </li></ul><ul><li>Health Referral Center </li></ul><ul><li>Clinics </li></ul>
  10. 10. Hospital-wide approach <ul><li>Leadership & staff education </li></ul><ul><li>Risk assessment & plan for each area </li></ul><ul><li>Documentation & tracking, trending </li></ul><ul><li>Available assistance & knowledge of how to access them </li></ul><ul><li>Follow up as needed with staff </li></ul>
  11. 11. Elements of a unit-specific plan <ul><li>Risk assessment of the area </li></ul><ul><li>Staff training plan </li></ul><ul><li>How to get additional help </li></ul>
  12. 12. Key points in de-escalation <ul><li>Introduce yourself and offer to assist </li></ul><ul><li>Ask and use the person’s name </li></ul><ul><li>Do all you can to respond to requests, at the time, before leaving the area </li></ul><ul><li>Be ready to get/seek help. Stay alert. </li></ul><ul><li>Close the loop, in terms of requests. </li></ul>
  13. 13. How to respond? <ul><li>“Universal precautions” for violence (be prepared at all times) </li></ul><ul><li>Safety first /“hero” is not in the job description </li></ul><ul><li>Ask for help! </li></ul>
  14. 14. New Emergency Code! <ul><li>Code Silver is an overhead page that calls the police immediately to your work area. </li></ul><ul><li>Code Rush is the page for help with a patient. </li></ul><ul><li>Use this page if anyone is immediately under threat of violence, abduction or if there is any indication that there is a weapon present. </li></ul>
  15. 15. Documentation <ul><li>Note in the patient’s record any incident of responding directly to the patient, in a factual, behaviorally-based note </li></ul><ul><li>Report to HR any instances of workplace violence, even if already noted in the chart </li></ul><ul><li>Notify your director and/or the house supervisor right away (they also report these instances to HR) </li></ul>
  16. 16. Available Resources <ul><li>Your manager or supervisor </li></ul><ul><li>Human Resources/Employee Relations staff </li></ul><ul><li>Office of Equal Opportunity & Minority Affairs at UT Southwestern: 214.648.4344 </li></ul>
  17. 17. The hospitals’ goal: A safe, secure environment for our patients, their visitors, guests and our employees!