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