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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
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• 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.
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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
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The three phases
Prevention
Potential
Immediate
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Prevention• Occupational Violence Risk
Assessments
• Occupational Violence Prevention Training
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Occupational Violence Risk Assessments
• 400 Departments/Work Areas
• Standard Tool
– Includes training needs
– Flexible
• Staff consultation
• Ongoing reviews with live recording
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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
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Potential• Increased risk identified
• Plan developed
• Details added to Prevention elements for future
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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
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Immediate• Local “Code Black” Process
• Situation requires immediate controls and plans initiated
• Situation resolved
• Post incident
• “Immediate” elements now added to potential for future
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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
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How we monitor and evaluate?
Prevention
Potential
Immediate