scott trudgett - metro north hospital and health service
Post on 28-Nov-2014
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Metro North Hospital and
Health Service
A three phase approach to
managing violence in the
healthcare environment
Scott Trudgett
Coordinator, Occupational Violence Prevention
Metro North Hospital and Health Service, Q Health
• Staff: 12,706
• 200,060 people admitted to hospital
• 235,864 emergency attendances
• 865,077 people received care as outpatients
at 1,939 clinics
• 9,500 emergency and 28,012 elective
operations performed
• 20,967 children under age 19 were admitted
to MNHHS children’s wards and neonatal
units
• 8,068 babies born at our facilities
• 77,653 Mental Health client contacts
• 403,807 hours of direct primary care and
Home and Community Care services
provided in our community.
Manager, Protective Services
Occupational Violence Prevention
Team
RBWH (3 FTE)
TPCH (1 FTE)
Redcliffe (1 FTE)
Caboolture (1 FTE)
Security Services
RBWH
TPCH
Redcliffe
Brighton
Caboolture
Fire Safety
RBWH
TPCH
Redcliffe/Caboolture/
Kilcoy
The three phases
Prevention
Potential
Immediate
Prevention• Occupational Violence Risk
Assessments
• Occupational Violence Prevention Training
Occupational Violence Risk Assessments
• 400 Departments/Work Areas
• Standard Tool
– Includes training needs
– Flexible
• Staff consultation
• Ongoing reviews with live recording
Occupational Violence Prevention Training
• 5 Levels of formal learning
– Orientation
– Awareness
– De-escalation
– Basic Personal Safety (with refresher)
– Team Restrictive Practices (with refresher)
• In-services and Workshops
Potential• Increased risk identified
• Plan developed
• Details added to Prevention elements for future
Real case example
• Patient transferred to Geriatric Evaluation
and Management (GEM) Unit
• OVP Contacted prior to transfer
– 24 hours of security special
– Additional staff education and in-service
– Ongoing multi-disciplinary review
• OVP assists with D/C planning
• Positive outcomes
Immediate• Local “Code Black” Process
• Situation requires immediate controls and plans initiated
• Situation resolved
• Post incident
• “Immediate” elements now added to potential for future
18 323
30
31
12140
120
320 12
Security Service Response
Alarm Duress
Assault
Assistance Absconding Patient
Assistance Patient Aggression - No Physical Contact
Assistance Patient Aggression - Physical Contact
Assistance Patient Care - No Physical Contact
Assistance Patient Care - Physical Contact
Assistance Patient Transfer - No Physical Contact
Assistance Patient Transfer - Physical Contact
Assistance Remove from Complex
Suspicious Persons
How we monitor and evaluate?
Prevention
Potential
Immediate
Questions?
Scott Trudgett
Coordinator, MNHHS Occupational Violence
Prevention
Scott.Trudgett@health.qld.gov.au
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