2.50
Hdl Handle:
http://hdl.handle.net/10755/306558
Category:
Abstract
Type:
Poster
Title:
Effectiveness of a Collaborative Approach to Reducing Workplace Violence
Author(s):
Kelly, Sharon; Faraone, Lou
Lead Author STTI Affiliation:
Non-member
Author Details:
Sharon Kelly, MSN, RN, NEA-BC, sharon.kelly@atlantichealth.org; Lou Faraone, BSN, RN, CEN, NEMT-P
Abstract:

Evidence-based Practice Abstract

PURPOSE: Workplace violence can present itself in different ways and is continually on the rise in healthcare settings. The Virginia Tech shootings in April 2007 were a critical reminder that an active shooter situation could occur at any time. Since there was limited information available with regards to Active Shooter Programs in healthcare settings, a decision was made in conjunction with security services, to develop a program.

Design: This project was a safety initiative that would assure ED staff the knowledge and skills needed to handle all potential violent situations, as well as provide a safer environment for both staff and patients. The plan would include a detailed assessment, an implementation program with staff training and community outreach.

Setting: The ED is located within a suburban teaching facility, seeing approximately 60,000 visits. With its 24/7 accessibility, different types of patient populations, presentation of high stress level situations and availability of narcotics, the ED tops the list of high risk hospital departments where violence may occur.

Participants/Subjects: By completion of a thorough assessment with law enforcement, 2 areas were identified that needed further improvement, ED staff training and access control. A “Code Lockdown” training program was implemented, followed by training throughout the hospital. In addition, Nurse Safe training which educated staff in violence de-escalation was provided to all staff.

Methods: Risk assessments were completed which analyzed risk factors and identified patterns of violence. The goal was to address what the response and recovery would be if an active shooter situation occurred in the ED, as well as addressing pre-event emergency preparedness including, active shooter identification, staff training for all potential violent situations, technological improvements and community outreach with exercising. In addition, the following violent situations were also tracked: patient to employee, visitor to employee, physician to employee and employee to employee.

Results/Outcomes: Grant funding was sought and awarded to improve ED access control. The ED is now capable of fully locking down and restricting access as needed. The foresight to develop and implement a “Code Lockdown” program has made the medical center one of the first in the state to have such a program in place. The training program empowers all staff and raises their awareness to all potential violent situations that may occur. The completion of this program is also a requirement of all newly hired staff followed by annual competency training during skills day.The ED training plan is ongoing and monitored by a multidisciplinary workplace violence steering committee. Annual review includes evaluation of work place violence prevention training content and methods. Following the implementation of Nurse Safe, data has shown a 36% decrease in employee injuries from violent patients as well as a decrease in Code Whites, which are codes called for a violent patient incident.

Implications: This data demonstrates increased ED staff awareness which leads to a safer environment. With replication of similar training programs and a successful violence de-escalation plan in place, leadership staff can provide a safer and more secure environment for both patients and staff.

Keywords:
Workplace Violence
Repository Posting Date:
9-Dec-2013
Date of Publication:
9-Dec-2013
Conference Date:
2013
Conference Name:
2013 ENA Leadership Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Ft. Lauderdale, Florida, USA
Description:
2013 ENA Leadership Conference Theme: Shape the Future. Held at the Greater Fort Lauderdale Broward County Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.titleEffectiveness of a Collaborative Approach to Reducing Workplace Violenceen_GB
dc.contributor.authorKelly, Sharonen_GB
dc.contributor.authorFaraone, Louen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsSharon Kelly, MSN, RN, NEA-BC, sharon.kelly@atlantichealth.org; Lou Faraone, BSN, RN, CEN, NEMT-Pen_GB
dc.identifier.urihttp://hdl.handle.net/10755/306558-
dc.description.abstract<p>Evidence-based Practice Abstract</p><p>PURPOSE: Workplace violence can present itself in different ways and is continually on the rise in healthcare settings. The Virginia Tech shootings in April 2007 were a critical reminder that an active shooter situation could occur at any time. Since there was limited information available with regards to Active Shooter Programs in healthcare settings, a decision was made in conjunction with security services, to develop a program.</p><p>Design: This project was a safety initiative that would assure ED staff the knowledge and skills needed to handle all potential violent situations, as well as provide a safer environment for both staff and patients. The plan would include a detailed assessment, an implementation program with staff training and community outreach.</p><p>Setting: The ED is located within a suburban teaching facility, seeing approximately 60,000 visits. With its 24/7 accessibility, different types of patient populations, presentation of high stress level situations and availability of narcotics, the ED tops the list of high risk hospital departments where violence may occur.</p><p>Participants/Subjects: By completion of a thorough assessment with law enforcement, 2 areas were identified that needed further improvement, ED staff training and access control. A “Code Lockdown” training program was implemented, followed by training throughout the hospital. In addition, Nurse Safe training which educated staff in violence de-escalation was provided to all staff.</p><p>Methods: Risk assessments were completed which analyzed risk factors and identified patterns of violence. The goal was to address what the response and recovery would be if an active shooter situation occurred in the ED, as well as addressing pre-event emergency preparedness including, active shooter identification, staff training for all potential violent situations, technological improvements and community outreach with exercising. In addition, the following violent situations were also tracked: patient to employee, visitor to employee, physician to employee and employee to employee.</p><p>Results/Outcomes: Grant funding was sought and awarded to improve ED access control. The ED is now capable of fully locking down and restricting access as needed. The foresight to develop and implement a “Code Lockdown” program has made the medical center one of the first in the state to have such a program in place. The training program empowers all staff and raises their awareness to all potential violent situations that may occur. The completion of this program is also a requirement of all newly hired staff followed by annual competency training during skills day.The ED training plan is ongoing and monitored by a multidisciplinary workplace violence steering committee. Annual review includes evaluation of work place violence prevention training content and methods. Following the implementation of Nurse Safe, data has shown a 36% decrease in employee injuries from violent patients as well as a decrease in Code Whites, which are codes called for a violent patient incident.</p><p>Implications: This data demonstrates increased ED staff awareness which leads to a safer environment. With replication of similar training programs and a successful violence de-escalation plan in place, leadership staff can provide a safer and more secure environment for both patients and staff.</p>en_GB
dc.subjectWorkplace Violenceen_GB
dc.date.available2013-12-09T16:59:45Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T16:59:45Z-
dc.conference.date2013en_GB
dc.conference.name2013 ENA Leadership Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationFt. Lauderdale, Florida, USAen_GB
dc.description2013 ENA Leadership Conference Theme: Shape the Future. Held at the Greater Fort Lauderdale Broward County Convention Centeren_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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