Workplace Violence Case Study
Change to reduce workplace violence in the Emergency Department
Workplace violence (WPV) has increasingly become common in the United States, and particularly in the health care setting. Among all health care settings, Emergency Departments (ED) have been identified as highest risk settings for WPV. Violence against ED health care workers has significant implications to the victims, patients, and departments. WPV in the ED is a preventable problem that needs effective interventions, and it needs to be addressed by ED clinicians and ED leadership.
Designing the change to reduce workplace violence
Ahmed Singer has been the executive director of Emergency Department for the past five years at Queens Hospital, but this year has been the most …show more content…
A screening checklist for early signs of potential escalation was developed and initially plan to be used for all ED patients as a means to communicate potential risk to other employees. Triage nurses should ask about the presence of weapons as part of the triage assessment. Triage nurses also communicated to other staffs by flagging patients with a history of violence or exhibiting signs of potential violence in computer-based charting or word of mouth. Patients and visitors may be frightened when witnessing an aggressive patient. The aggressor should be moved to a separate, quiet area with minimal stimulation to help diffuse the situation. More panic buttons were installed in ED. Clear instructions were developed to guide employees what to do in certain violent situations and care after …show more content…
I believe that the classroom training could help staffs translate the content better to their clinical practice. I will introduce the change by live training sessions be conducted by a nurse experienced in an emergency care setting. The online training was valuable but too long and troubled with technical problems for some staffs. I will suggest that the change should include a component explaining how to engage hospital managers, physicians to increase unit support.
Reporting violence and debriefing Clinicians were consistently knowledgeable as to the procedures for reporting a violent event. Clinicians reported that any debriefing that occurred was done informally with their
Workplace violence (WPV) has increasingly become common in the United States, and particularly in the health care setting. Among all health care settings, Emergency Departments (ED) have been identified as highest risk settings for WPV. Violence against ED health care workers has significant implications to the victims, patients, and departments. WPV in the ED is a preventable problem that needs effective interventions, and it needs to be addressed by ED clinicians and ED leadership.
Designing the change to reduce workplace violence
Ahmed Singer has been the executive director of Emergency Department for the past five years at Queens Hospital, but this year has been the most …show more content…
A screening checklist for early signs of potential escalation was developed and initially plan to be used for all ED patients as a means to communicate potential risk to other employees. Triage nurses should ask about the presence of weapons as part of the triage assessment. Triage nurses also communicated to other staffs by flagging patients with a history of violence or exhibiting signs of potential violence in computer-based charting or word of mouth. Patients and visitors may be frightened when witnessing an aggressive patient. The aggressor should be moved to a separate, quiet area with minimal stimulation to help diffuse the situation. More panic buttons were installed in ED. Clear instructions were developed to guide employees what to do in certain violent situations and care after …show more content…
I believe that the classroom training could help staffs translate the content better to their clinical practice. I will introduce the change by live training sessions be conducted by a nurse experienced in an emergency care setting. The online training was valuable but too long and troubled with technical problems for some staffs. I will suggest that the change should include a component explaining how to engage hospital managers, physicians to increase unit support.
Reporting violence and debriefing Clinicians were consistently knowledgeable as to the procedures for reporting a violent event. Clinicians reported that any debriefing that occurred was done informally with their