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DILEMMA
1. a situation in which you have to make a difficult choice
2. an usually undesirable or unpleasant choice
3. a problem involving a difficult choice
WHAT WE’LL COVER
1. What defines Workplace Violence?
2. What are our obligations in addressing Workplace Violence?
3. Common concerns with Workplace Violence Training
4. What methods can be utilized to train our staff?
5. What are the benefits of addressing Workplace Violence?
WORKPLACE VIOLENCE DEFINED
FBI Report, “Workplace Violence - Issues in Response”
Workplace Violence was a term that surfaced in the Summer of 1989.
While there is no precise measure of the full extent and cost of violence in the workplace, it clearly represents a major challenge, affecting an estimated 1.7 million employees directly and millions more indirectly every year. (Source: U.S. Dept. of Justice)
WORKPLACE VIOLENCE DEFINED
ASIS International:
Workplace violence refers to a broad range of behaviors falling along a spectrum that, due to their nature and/or severity, significantly affect the workplace, generate a concern for personal safety, or result in physical injury or death.
WORKPLACE VIOLENCE DEFINED
Four types of WPV
Type I - Criminal acts. Those events where there is no relationship between the business and the actor. For example, a robbery with or without associated homicide or assault.
WORKPLACE VIOLENCE DEFINED
Four types of WPV
Type II - Customer/client/patient violence Those events in which the actor is not an employee, but has a relationship with the business or organization as a customer,client, or patient, and becomes violent while receiving services, etc. For example, a patient assaults a healthcare worker.
WORKPLACE VIOLENCE DEFINED
Four types of WPV
Type III - Co-worker on Co-worker violence. Those events which occur during or after an employment relationship. An example would include current or former co-workers who harm or threaten to harm another employee. This would also include contractors and vendors.
WORKPLACE VIOLENCE DEFINED
Four types of WPV
Type IV—Violence stemming from a personal relationship. Those events which occur in the workplace and stem from a personal, or intimate, relationship with at least one employee. These “domestic” events can include threats, harassment or physical harm.
WORKPLACE VIOLENCE DEFINED
U.S. Bureau of Labor Statistics
Total of Private Industry Assaults
Red = Healthcare
Total of Private Industry Assaults
Red = Healthcare
WORKPLACE VIOLENCE DEFINED
The National Institute for Occupational Safety & Health :
Acknowledges the high rate of assault in healthcare and tells us they occur most often
during: Times of high
activity w/patients Meals Patient
transportation
When setting limits such as:
Eating or drinking Tobacco use Alcohol use
Or during involuntary admittance
WORKPLACE VIOLENCE DEFINED
Hospital Worker Injuries Resulting in Days Away from Work, by Event or Exposure
Source:OSHA “Facts About Hospital Worker Safety”
WORKPLACE VIOLENCE DEFINED
Causes of Injuries Resulting in Days Away from Work for Selected Healthcare Occupations - 2011
WORKPLACE VIOLENCE DEFINED
National Council on Compensation Insurance
Companies paid out $126 million in workers' compensation claims for workplace violence in 1995. In 2003, NCCI updated and extended its earlier analysis on this violence in the workplace. The following are among the key findings:
WORKPLACE VIOLENCE DEFINED
National Council on Compensation Insurance
Workers compensation claims involving a criminal act are 10 times more likely than nonviolence claims to involve a fatalityAmong high-risk-of-violence occupations, incident rates remain high, particularly in health care, the retail trade, and other customer facing industries
EMPLOYER OBLIGATIONS
OSH Act of 1970 29 U.S. Code § 654 (a) Each employer—
(1) shall furnish to each of his employees employment and a place of employment which are free from recognized hazards that are causing or are likely to cause death or serious physical harm to his employees;(2) shall comply with occupational safety and health standards promulgated under this chapter.
The General
Duty Clause
COMMON CONCERNS
Is it really necessary? How do we convince others of the need? Costs
In hiring a firm or organization In lost productivity to training time According to the Institute of Finance
and Management the average healthcare organization spends $5.50/employee on WPV prevention
Fear that staff may mishandle the training
COMMON CONCERNS
People (internal/external) may think we’re admitting to a problem
It’s too negative - we promote a positive atmosphere
There is too much liability incurred
TRAINING METHODS
In-house trainers Select an employee (or group) to develop
a program Train the Trainer programs
External organizations Often have expertise coupled with
knowledgeable trainers
TRAINING METHODS
Pitfalls… Don’t just “check the box” Inadequate instruction/instructors Allowing the program to be watered down
or letting instructors “pick and choose” what will be taught
Choosing an inadequate program/vendor Lack of support at the administrative level
BENEFITS OF ADDRESSING WORKPLACE
VIOLENCE Reduced exposure to liability
“If we would have had this program, we wouldn’t have paid out a penny”
Increased employee satisfaction “This is the first time I have ever had
training where I felt like…actually cared about me”
Reduced injury and time off of staff – not dealing with:
Lost wages Replacement worker Lower moral
BENEFITS OF ADDRESSING WORKPLACE
VIOLENCE Zero tolerance for inappropriate
incidents With the right program, staff members
can be trained in: Recognizing and Diffusing Conflict and
Aggression Safety awareness Legal issues Restraining violent individuals