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Workplace Violence (Prevention & Management). Romeo D. Camu AET/515, 25 Sept 13, Professor Todd. Overview. 2 million + of acts of violence occur Best line of defense are: Acknowledgment of warning signs Identification of warning signs Differentiate the following: Predisposing factors
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Workplace Violence(Prevention & Management) Romeo D. Camu AET/515, 25 Sept 13, Professor Todd
Overview • 2 million + of acts of violence occur • Best line of defense are: Acknowledgment of warning signs Identification of warning signs • Differentiate the following: Predisposing factors Precipitating factors
Predisposing Factors • Alcohol/drug abuse • Assaultive behavior history • Coexisting illness/pain • Dementia • Depression • Lack of support system • Mental instability • Pain, fear, embarrassment • Personality style • Restlessness/agitation • Schizophrenia • Stress (PTSD, other)
More Predisposing Factors • Organizational/Environmental Factors • Personality Style/Historical Factors • DSM IV and Other Diagnoses • Socioeconomic Factors
Precipitating Factors • Environmental stimuli • Financial stress • Lack of respect • Long waiting times • Institutional restrictions • Invasion of personal space • Lack of privacy • Being referred to as a number
More Precipitating Factors Institutional Factors: Interpersonal Factors: • Confusing environment Loss of control • Inadequate lighting Loss of identity • Noise and overcrowding Loss of privacy • Traffic and parking Loss of dignity • Inflexible processes Loss of independence • Long waits Loss of choices • Availability of a weapon Fear of pain • Climate of clinical unit Response to illness/ medication
Awareness is crucial • develop acute awareness of warning signs and situations • Your own emotional reactions to insults or threats will influence your ability to intervene effectively.
De-escalation • Remained calm • Addressed the person by name • Analyzed the person’s motivation • Maintained eye contact • Acknowledged the person’s feelings • Argued with the person
Reacting to your own anger • your emotional reactions may increase your own volatility • feel disgusted and outraged at demeaning comments • may be tempted to retaliate or avoid the patient • in struggling to conceal your own anger, you may become insecure about setting limits
Fear Factor • fear own safety • by experiencing pain, you may appreciate risk • fear can lead to errors in judgment
Effects of Violence • Violent behavior creates a high risk of physical injury • Psychological damage may also occur as a result of guilt while out of control • Decrease the sense of security
Crisis Intervention • Notify operator and activate the crisis intervention team or other applicable teams • Give location: building, floor, room number, and describe activity and the person • Station staff at unit entrance to direct intervention team to the situation.
Summary – Self Awareness and Safety • Pay attention to your “gut feelings” • Remain calm – recognize and gain control over your own feelings • Do not deny your anger or fear, but try to put your feelings aside • Learn to hear criticism without being defensive • Acknowledge what is true in the criticism while recognizing angry insults for what they are • Check personal space and exits
Summary – Verbal Crisis Intervention • Address customer by using his or her name • Introduce yourself and convey your concern and respect for the customer • Ask customer what is going on, and ask if there is anything you can do to help, or to make them feel better • Request customer to put down any object • Be calm, in control, and encourage problem solving • Be professional and courteous
Summary – Goals for management • Staying focused • Maintaining and utilizing a calm and controlled approach • Reducing and controlling the disturbed behavior while ensuring the customer’s dignity • Assisting the patient in regaining control of himself or herself • Protecting life and property
Reporting Procedures • Human Resources • Union • Emergency Room • Employee Health • Police • Other law enforcement officials
Conclusion Using the skills presented, you should now be able to: • Identify workplace situations that have potential for violence • Assess a situation and make appropriate decisions on how to handle a problem • Demonstrate verbal communication skills that will help diffuse a potentially violent situation • Take action to protect yourself and others in the event of a serious workplace problem
ReferencesNavy Knowledge Online. (2013). NMMPTEC NM-08-WVPM-1.1-Workplace Violence - Prevention and Management. Retrieved fromhttps://www.lms.prod.nel.training.navy.mil/ScormEngineInterface/defaultui/deliver.jsp?configuration=33en439ik5bc0u489km5qcof4clfaqovf4845j0k®istration=InstanceId%7C0%21RosterId%7C95328699&tracking=false&forceReview=true&cid=7 950