violence prevention
DESCRIPTION
TRANSCRIPT
![Page 1: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/1.jpg)
WORKPLACE VIOLENCE PREVENTION
Health Care and Social Service Workers
![Page 2: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/2.jpg)
Definition
Workplace violence is any physical assault, threatening behavior, or verbal abuse occurring in the work setting
A workplace may be any location either permanent or temporary where an employee performs any work-related duty
![Page 3: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/3.jpg)
Definition Cont’d
• This includes, but is not limited to, the buildings and the surrounding perimeters, including the parking lots, field locations, clients’ homes and traveling to and from work assignments
![Page 4: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/4.jpg)
Workplace Violence Includes:
• Beatings• Stabbings• Suicides• Shootings• Rapes• Near-suicides• Psychological
traumas
• Threats or obscene phone calls
• Intimidation• Harassment of any
nature• Being followed,
sworn or shouted at
![Page 5: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/5.jpg)
Examples
• Verbal threats to inflict bodily harm; including vague or covert threats
• Attempting to cause physical harm; striking, pushing and other aggressive physical acts against another person
![Page 6: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/6.jpg)
Examples
• Verbal harassment; abusive or offensive language, gestures or other discourteous conduct towards supervisors, fellow employees, or the public
• Disorderly conduct, such as shouting, throwing or pushing objects, punching walls, and slamming doors
![Page 7: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/7.jpg)
Examples
• Making false, malicious or unfounded statements against coworkers, supervisors, or subordinates which tend to damage their reputations or undermine their authority
![Page 8: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/8.jpg)
Examples
• Inappropriate remarks, such as making delusional statements
• Fascination with guns or other weapons, bringing weapons into the workplace
![Page 9: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/9.jpg)
Types of Workplace Violence
• Violence by strangers
• Violence by customers or clients
• Violence by co-workers
• Violence by personal relations
![Page 10: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/10.jpg)
Statistics on Workplace Violence
• Homicide is the second leading cause of death in the workplace
• In 1997, there were 856 homicides in America’s workplaces
• Assaults and threats of violence number almost 2 million a year
![Page 11: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/11.jpg)
Statistics
• Most common was simple assaults: 1.5 million a year
• Aggravated assaults: 396,000• Rapes and sexual assaults: 51,000• Robberies: 84,000• Homicides: nearly 1,000
![Page 12: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/12.jpg)
Assaults and Homicides
0
200000
400000
600000
800000
1000000
1200000
1400000
1600000
simple assaults
aggravated assaults
rapes, sexual assaults
robberies
homicides
![Page 13: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/13.jpg)
Economic Impact of Workplace Violence
• Cost 500,000 employees 1,175,100 lost work days each year
• Lost wages: $55 million annually• Lost productivity, legal expenses,
property damage, diminished public image, increased security: $ billions $
![Page 14: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/14.jpg)
• Prevalence of handguns and other weapons among patients, their families, or friends
• Increasing use of hospitals by the criminal justice system for criminal holds and the care of acutely disturbed, violent individuals
Risk Factors
![Page 15: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/15.jpg)
Risk Factors (cont’d)
• Increasing number of acute and chronically mentally ill patients being released from hospitals without follow-up care, who now have the right to refuse medicine and who can no longer be hospitalized involuntarily unless they pose a threat to themselves or others
![Page 16: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/16.jpg)
Risk Factors (cont’d)
• Availability of drugs and money at hospitals, clinics and pharmacies, making them likely robbery targets
• Unrestricted movement of the public in clinics and hospitals
![Page 17: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/17.jpg)
Risk Factors (cont’d)
• Presence of gang members, drug/alcohol abusers, trauma patients, distraught family members
• Low staffing levels during times of increased activity such as meal and visiting times, transporting of patients
![Page 18: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/18.jpg)
Risk Factors (cont’d)
• Isolated work with clients during exams or treatment
• Solo work, often in remote locations, high crime settings with no back-up or means of obtaining assistance such as communication devices or alarm systems
![Page 19: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/19.jpg)
Risk Factors (cont’d)
• Lack of training in recognizing and managing escalating hostile and aggressive behavior
• Poorly-lighted parking areas
![Page 20: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/20.jpg)
OSHA’s Commitment
![Page 21: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/21.jpg)
OSHA has developed guidelines to provide information to assist employers in
meeting their responsibilities under the OSH Act.
![Page 22: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/22.jpg)
OSHA Guidelines
• Not a new standard or regulation• Advisory in nature and informational in
content• Intended for use by employers who are
seeking to provide a safe and healthful workplace through effective workplace violence programs
![Page 23: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/23.jpg)
OSHA Guidelines
Based on OSHA’s Safety and Health Program Management Guidelines published in 1989
![Page 24: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/24.jpg)
OSHA GENERAL DUTY CLAUSE: SECTION 5(a)(1)
Each employer shall furnish to each of his employees employment and a place of employment which are free from recognized hazards that are causing or likely to cause death or serious physical harm
This includes the prevention and control of the hazard of workplace violence
![Page 25: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/25.jpg)
OSHA General Duty Clause (cont’d)
OSHA will rely on Section 5 (a)(1) of the OSH Act for enforcement authority
![Page 26: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/26.jpg)
Workplace Violence Prevention Program Elements
• Management Commitment and Employee Involvement
• Worksite Analysis• Hazard Prevention and Control• Training and Education• Recordkeeping and Evaluation of
Program
![Page 27: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/27.jpg)
Management Commitment and Employee Involvement
• Complementary and essential• Management commitment provides the
motivating force to deal effectively with workplace violence
• Employee involvement and feedback-enable workers to develop and express their commitment to safety and health
![Page 28: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/28.jpg)
Management Commitment
• Organizational concern for employee emotional and physical safety and health
• Equal commitment to worker safety and health and patient/client safety
• System of accountability for involved managers, and employees
![Page 29: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/29.jpg)
Management Commitment (cont’d)
• Create and disseminate a clear policy of zero tolerance for workplace violence
• Ensure no reprisals are taken against employees who report incidents
• Encourage employees to promptly report incidents and suggest ways to reduce or eliminate risks
![Page 30: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/30.jpg)
Management Commitment (cont’d)
• Outline a comprehensive plan for maintaining security in the workplace
• Assign responsibility and authority for program to individuals with appropriate training and skills
• Affirm management commitment to worker supportive environment
• Set up company briefings as part of the initial effort to address safety issues
![Page 31: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/31.jpg)
Employee Involvement
• Understand and comply with the workplace violence prevention program and other safety and security measures
• Participate in employee complaints or suggestion procedures covering safety and security concerns
• Prompt and accurate reporting of violent incidents
![Page 32: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/32.jpg)
Worksite Analysis
• Step-by-step look at the workplace, to find existing or potential hazards for workplace violence
![Page 33: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/33.jpg)
Worksite Analysis (cont’d)
• A “Threat assessment Team”, Patient Assault Team, or similar task force may assess the vulnerability to workplace violence and determine appropriate actions
![Page 34: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/34.jpg)
Worksite Analysis Recommended Program
• Analyzing and tracking records• Monitoring trends and analyzing
incidents• Screening surveys• Analyzing workplace security
![Page 35: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/35.jpg)
Hazard Prevention and Control
• Engineering controls and workplace adaptation
• Administrative and work practice controls
• Post incident response
![Page 36: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/36.jpg)
Engineering Controls
• Alarm systems and other security devices
• Metal detectors• Closed-circuit video
recording for high-risk areas
• Safe rooms for use during emergencies
• Enclose nurses’ station, install deep service counters or bullet-resistant glass in reception area, triage, admitting
![Page 37: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/37.jpg)
Administrative and Work Practice Controls
• State clearly to patients, clients, and employees that violence will not be tolerated or permitted
• Establish liaison with local police and state prosecutors
• Require employees to report all assaults and threats
• Set up trained response teams to respond to emergencies
![Page 38: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/38.jpg)
Post-Incident Response
Provide comprehensive treatment for victimized employees and employees who may be traumatized by witnessing a workplace violence incident
![Page 39: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/39.jpg)
Post-Incident Response
• Trauma-crisis counseling• Critical incident stress debriefing• Employee assistance programs to
assist victims
![Page 40: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/40.jpg)
Training and Education
• Ensure that all staff are aware of potential security hazards and ways of protecting themselves
WorkplaceViolence Program
![Page 41: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/41.jpg)
Training and Education
• Employees should understand concept of “Universal Precautions for Violence”, i.e., that violence should be expected but can be avoided or mitigated through preparation
• Employees should be instructed to limit physical interventions in workplace altercations unless designated emergency response team or security personnel are available
![Page 42: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/42.jpg)
Training and Education
Training program should involve all employees, including supervisors and managers
![Page 43: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/43.jpg)
Training and Education
• Workplace violence prevention policy
• Risk factors that cause or contribute to assaults
• Early recognition of escalating behavior or warning signs
• Ways to prevent volatile situations
• Standard response action plan for violent situations
• Location and operation of safety devices
![Page 44: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/44.jpg)
Recordkeeping and Evaluation
• Recordkeeping and evaluation of the violence prevention program are necessary to determine overall effectiveness and identify deficiencies or changes that should be made
![Page 45: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/45.jpg)
Recordkeeping
• OSHA Log of Injury and Illness (OSHA 300)• Medical reports of work injuries assaults• Incidents of abuse, verbal attacks, or aggressive
behavior• Information on patients with history of violence• Minutes of safety meetings, records of hazard
analyses, and corrective actions
• Records of all training programs
![Page 46: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/46.jpg)
Evaluation
• Establish uniform violence reporting system and regular review of reports
• Review reports of minutes from staff meetings on safety issues
• Analyze trends and rates in illness/injury or fatalities caused by violence
• Measure improvement based on lowering frequency and severity of workplace violence
![Page 47: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/47.jpg)
Sources of Assistance
• OSHA Consultation Program• OSHA Internet Site www.osha.gov• NIOSH• Public Safety Officials• Trade Associations• Unions and Insurers• Human Resource and Employee Assistance
Professionals
![Page 48: Violence prevention](https://reader036.vdocuments.us/reader036/viewer/2022081518/5498ccafb47959995c8b4896/html5/thumbnails/48.jpg)
Contact us:- 011-25464531, 9818569476