We Have Your Back - fha.org · WHYB: Promoting workforce safety as an organizational priority in...

We Have Your BackA Worker Safety Collaborative An Initiative of the Florida Hospital Association

WORKER SAFETY WEDNESDAY WEBINAR SERIES:

WORKPLACE VIOLENCE BUNDLE OVERVIEW

WEDNESDAY, MARCH 22, 2017

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WELCOME!

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WHYB: Promoting workforce safety as an

organizational priority in our hospitals

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FOCUS AREAS:

Safe patient lifting, handling and mobility

Sharps injury and blood exposure prevention

Workplace violence

Finding solutions to reduce work stress, fatigue, and

burnout

WHYB Timeline…

2016

•100 hospitals pledged to participate

•Virtual focus group webinars

•Worker safety bundle strategies

•Baseline data collection

•1st Annual WHYB Conference

2017

•Learning and Sharing Webinars

•Focus Area Bundle Strategies

•SME Resources

•Effective Practice Sharing

•Data Analysis

•ROI Calculation Instruction

•Networking

•Ongoing data surveys

September 19-20

• WHYB Conference

• Lake Mary, FL

• PLAN TO ATTEND

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Special Thank You to Our

Sponsors!

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What’s All

the Fuss

About?

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Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers. 2015. U.S. Department of Labor, Occupational Safety and Health Administration. OSHA 3148-04R 2015. Available at: https://www.osha.gov/Publications/osha3148.pdf

https://www.osha.gov/Publications/osha3148.pdf

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https://www.federalregister.gov/documents/2016/12/07/2016-29197/prevention-of-workplace-violence-in-healthcare-and-social-assistance


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• OSHA is considering whether a standard is needed to

protect healthcare and social assistance employees from workplace violence and is interested in obtaining

information about the extent and nature of workplace

violence in the industry and the nature and effectiveness of

interventions and controls used to prevent such violence. • This RFI provides an overview of the problem of workplace

violence in the healthcare and social assistance sector and

the measures that have been taken to address it.

• It also seeks information on issues that might be considered in developing a standard, including scope and the types of

controls that might be required.


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http://safety.blr.com/workplace-safety-news/equipment-and-process-safety/healthcare-safety/New-California-regulation-addresses-workplace-viol/

http://safety.blr.com/workplace-safety-news/equipment-and-process-safety/healthcare-safety/New-California-regulation-addresses-workplace-viol/

March 2017

Healthcare & Public

Health Sector

Coordinating Council

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Workplace

Violence

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Let’s Review

VIOLENCE: Any physical assault, threatening behavior, or verbal

abuse occurring in the workplace.

*Violence in hospitals usually results from patients and

occasionally from their family members who feel frustrated,

vulnerable, and out of control.

*The National Institute for Occupational Safety and Health (NIOSH)

What is Workplace Violence?

WORKPLACE: The workplace may be any location either permanent or temporary where an employee performs any work-related duty.

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Risk Factors in Health Care

Working directly with volatile

people, especially, if they are

under the influence of drugs or

alcohol or have a history of

violence or certain psychotic

diagnoses

Working when understaffed-

especially during meal times and

visiting hours

Transporting patients

Long waits for service

Overcrowded, uncomfortable

waiting rooms

Working alone

Poor environmental design

Inadequate security

Lack of staff training and policies

for preventing and managing

crises with potentially volatile

patients

Drug and alcohol abuse

Access to firearms

Unrestricted movement of the

public

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Types of Workplace Violence

Describes the relationship between the perpetrator and the target of workplace violence

• Type 1 - Criminal Intent

• Type 2 - Patient/Visitors

• Type 3 - Co-Worker

• Type 4 - Personal

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Legal Definition of “Assault”

1. The crime or tort of threatening or attempting to

inflict immediate offensive physical contact or

bodily harm that one has the present ability to inflict

and that puts the victim in fear of such harm or

contact

2. The crime of assault accompanied by battery;

specifically : sexual assault in this entry —called also

assault and battery

Merriam-Webster, Law Dictionary. 2017. Available at: https://www.merriam-webster.com/dictionary/assault

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https://www.merriam-webster.com/dictionary/assault

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N = 3022016 Healthcare Crime Survey. May 6, 2016. IAHSS Foundation. Available at: http://www.iahss.org/?foundationresearch

http://www.iahss.org/?foundationresearch

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N = 3022016 Healthcare Crime Survey. May 6, 2016. IAHSS Foundation. Available at: http://www.iahss.org/?foundationresearch


21N = 167

2016 Healthcare Crime Survey. May 6, 2016. IAHSS Foundation. Available at: http://www.iahss.org/?foundationresearch


22N = 167

2016 Healthcare Crime Survey. May 6, 2016. IAHSS Foundation. Available at: http://www.iahss.org/?foundationresearch


Effective

Workplace

Violence

Prevention Program

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ZERO Tolerance

ZERO TOLERANCE : A policy that states that violence, threats, harassment, intimidations, and other disruptive behavior in our workplace will not be tolerated; that is all reports of incidents will be taken seriously and will be dealt with appropriately. OSHA Workplace Violence reference and training materials library. Available at: https://www.osha.gov/SLTC/healthcarefacilities/violence.html

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https://www.osha.gov/SLTC/healthcarefacilities/violence.html

What is ZERO Tolerance?

In order to have zero tolerance, all management should to be committed to:

• Emotional as well as physical health of the employee.

• Appropriate allocation of authority and resources to responsible parties.

• Equal commitment to worker safety and health and patient/client safety.

OSHA Workplace Violence reference and training materials library. Available at: https://www.osha.gov/SLTC/healthcarefacilities/violence.html

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What is ZERO Tolerance?

• A system of accountability for involved managers and employees.

• A comprehensive program of medical and psychological counseling for employeesexperiencing or witnessing violent incidents.

• No employee reprisals for reporting incidents.

OSHA Workplace Violence reference and training materials library. Available at: https://www.osha.gov/SLTC/healthcarefacilities/violence.html

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Effective Workplace Violence

Prevention Program

The main components of any effective safety and health program can be applied to the prevention of workplace violence.

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Adapted from Department of Labor OSHA –Hospital e-tool Healthcare Wide Hazards Workplace Violencehttps://www.osha.gov/SLTC/etools/hospital/hazards/workplaceviolence/viol.html#saferroom

https://www.osha.gov/SLTC/etools/hospital/hazards/workplaceviolence/viol.html#saferroom


Prevention Program

• Management commitment and employee involvement

• Vulnerability risk evaluation

• Hazard control

• Workplace violence prevention policy

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Adapted from Department of Labor OSHA –Hospital e-tool Healthcare Wide Hazards Workplace Violence




Prevention Program



• Hazard control


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Prevention Program



• Hazard control


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Prevention Program



• Hazard control


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Prevention Program

• Employee training

• Record keeping system

• Program evaluation

• Violence prevention written plan

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Prevention Program





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Prevention Program





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Prevention Program





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Workplace

Violence

Bundle

Strategies

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Total # of Cases of Physical

Assault

363

212

Jan - Dec 2015 Jan - Jun 2016

Total # Cases of Physical Assault

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WHYB Survey Responses. N = 64

Average:

• 2015 – 5.8

• 2016 – 3.3

Total # of Cases of Physical

Assault

478

266

Jan - Dec 2015 Jan - Jun 2016

Total # Cases of Physical Assault with Injury

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WHYB Survey Responses. N = 64

Average:

• 2015 – 7.5

• 2016 – 4.2

WHYB – Workplace Violence

Bundle Strategies

Conduct an organization-wide

workplace violence vulnerability risk

evaluation.

Develop and implement a plan to

address workplace violence risk

factors.

Implement a “Say No to Violence”

program to engage front line

caregivers and to solicit input for

workplace violence reduction.

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Bundles



evaluation.



factors.





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Bundles



evaluation.



factors.





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Bundles

Adopt standard alert and

notification guidelines for

communication of violent event

occurrences.

Develop a workplace violence

prevention policy. Include a

“zero tolerance” statement in

your organization’s workplace

violence policy.

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Bundles

Adopt standard alert and

notification guidelines for

communication of violent event

occurrences.

Develop a workplace violence

prevention policy. Include a

“zero tolerance” statement in

your organization’s workplace

violence policy.

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Bundles

Adopt a workplace violence

prevention, response and

recovery policy for your

organization.

Implement de-escalation training

for your front line caregivers and

management staff.

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Bundles

Adopt a workplace violence

prevention, response and

recovery policy for your

organization.

Implement de-escalation training

for your front line caregivers and

management staff.

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Other Resources

American Hospital Association – Hospitals Against Violence

The Joint Commission – Workplace Violence Prevention Resources

U.S. Department of Homeland Security – Active Shooter Preparedness

OSHA – Healthcare and Workplace Violence

International Association for Healthcare Security & Safety – Guidelines and Research

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Other Resources

American Medical Association

American Organization of Nurse Executives

Emergency Nurses Association

American College of Emergency Physicians

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Going

Forward

Making workforce

safety an

organizational

priority.

Implementing the

worker safety

bundle strategies.

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Going

Forward

Making workforce

safety an

organizational

priority.

Implementing the

worker safety

bundle strategies.

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Going

Forward

Submitting

worker injury

data metrics to

FHA in order to

establish a

baseline and

measure

progress.

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Going

Forward

Utilizing the

WHYB resources

– educational

webinars and

tools

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Questions?

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Upcoming WPV Events

April 5 – Managing Violence in the Workplace

April 26 – Predicting and Preventing Violent Behavior: Critical Aggression Prevention System (CAPS) Training

FHA Corporate Office, Orlando, FL

May 24 – Building a Workplace Violence Prevention Program

July 26 – Healthcare & Public Health Sector Coordinating Council Active Shooter Planning and Response Guidance

September 19-20 – WHYB Worker Safety Annual Conference

The Westin Lake Mary, Lake Mary, Florida

Details and Registration at: http://www.fha.org/health-care-issues/workforce.aspx

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http://www.fha.org/health-care-issues/workforce.aspx

Webinar Evaluation Survey &

Continuing Nursing Education

Eligibility for Nursing CEU requires submission of an evaluation survey for each participant requesting continuing education:https://www.surveymonkey.com/r/WHYB032217

Share this link with all of your participants if viewing today’s webinar as a group

Be sure to include your contact information and Florida nursing license number

FHA will report 1.0 credit hour to CE Broker and a certificate will be sent via e-mail

We would appreciate your feedback even if you are not applying for CEUs!!

Web participants can stay logged in as the webinarcloses to be redirected to the online survey (the linkwill also be provided in a follow up email)

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https://www.surveymonkey.com/r/WHYB032217

THANK YOU!

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WHYB Questions and

Information –

407-841-6230

[email protected]

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mailto:[email protected]

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An Initiative of the Florida Hospital Association

We Have Your Back - fha.org · WHYB: Promoting workforce safety as an organizational priority in...

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