Investigations by OSHA officials in two California Counties identified a nearly complete lack of security measures in outpatient facilities, leaving workers unprotected and vulnerable to abuse and assaults. McNeil et al found that police referrals were significantly more likely to have displayed violent behavior such as physical attacks and fear inducing behavior during the 2 weeks before coming to the psychiatric emergency service and during the initial 24 hours of evaluation and treatment.
Further, the violence which occurs in the emergency room is often shifted into the hospital when the patient is transferred to the receiving unit. Increasing numbers of health Discuss guidelines for health and safety and community service workers, as well as OSHA professionals have come to the conclusion that injuries related to workplace violence should no longer be tolerated.
At Clare Lodge we regularly meet as a staff group to take part in various group discussions, when staff start their shift a change over meeting is held this is where we have a 15 minute discussion to get an update feedback on what has been happening over the last 24hrs.
More acute and untreated mentally ill persons are being admitted to and quickly released from psychiatric hospitals and are in need of intensive outpatient treatment and services. Research on the causes and methods of prevention of violence in psychiatric facilities was funded by the California Department of Industrial Relations after the death of a psychiatric hospital worker in Keep and Glibert report that legislation is being proposed in California to make violence to emergency personnel reportable to local police and criminal charges pressed if there is sufficient evidence.
Additional costs may result from security or response team time, employee assistance program or other counseling services, facility repairs, training and support services for the unit involved, modified duty, and reduction of effectiveness of work productivity in all staff due to a heightened awareness of the potential for violence.
If this pattern were repeated for the remainder of the year, assaults could be expected with a staggering cost per year from medical treatment and lost time. Both Jones and Fineberg et al found that shortage of staff and the reduction of trained, regular staff increased the incidence of violence.
If it is required that a person needs to come onto Clare lodges premises who has not had the relevant checks they must be chaperoned around the unit by a staff member. Staff are able to access the advise needed to provide a comprehensive service for the children that they work with, if ammeter of staff is feeling stressed with their work load then they can talk to other staff members to help with managing issues.
This increased risk may be explained by contact with the public and the handling of money Kraus, Davidson and JacksonLanza and b and Poster and Ryan a reported that assaulted workers experience feelings of self-doubt, depression, fear, post-traumatic stress syndrome, loss of sleep, irritability, disturbed relationships with family and peers, decreased ability to function effectively at the workplace, increased absenteeism and flight from the health care profession.
Twice Monthly we meet up as group with the Clare Lodges psychologist this is where we are able to talk about the children as individuals to discuss any concerns we have with their behaviour and methods to correct it. The victim of assault is often untrained and unprepared to evaluate escalating behavior and to know and practice methods of defusing hostility or protecting themselves from violence.
These services are often lacking due to funding cuts. No employee can work at Clare Lodge without the above checks taking place and can not start until all required checks stated in the Homes Regulation have been completed.
Episodes of violence are often unreported. In addition, clients or their relatives and friends may direct their anger, which can be extreme or violent, at community workers.
Assaults were also noted at night when staffing Discuss guidelines for health and safety usually reduced. At Clare Lodge we have some young people that have been known to cause significant damage to them selves other persons or property and so Risk Assessments need to be completed on these factors, this could mean that certain precautions are taken when dealing with certain individuals this is to ensure safety for the young person other residents and staff.
It states in the National Minimum Standards All companies should investigate programs recently instituted by several convenience store chains or robbery deterrence strategies such as increased lighting, closed circuit TV monitors, visible money handling locations, if sales are involved, limiting access and egress and providing security staff.
Training, when provided is often not required as part of the job and may be offered infrequently. Lanza and Carifio in a study to determine causal attributions made to nurses who are victims of assault found that women are blamed more than men and that if injured, "the nurse must have done something wrong.
Work in high crime areas, at an isolated work station or working alone without systems for emergency assistance may increase the risk of assaults. This was evidenced in the emergency department shooting in Los Angeles were three doctors were shot by and angry dissatisfied and disturbed client.
Ryan and Poster b document the benefits of counseling for rapid recovery after assault. Environmental Factors Health care and community service workers are at increased risk of assaults because of increased violence in our society. Managers and administrators are being advised to make the provision of adequate measures to prevent violence a high priority.
When in supervision this is a good venue to discuss health and safety within the work place as it gives the supervisee and the supervisor an opportunity to voice their opinions on matters of health and safety in an environment which is free from disruption. However, using training as the sole safety program element, creates an impossible burden on the employee for safety and security for him or herself, co-workers or other clients.
While not exhaustive, these guidelines include philosophical approaches as well as practical methods to prevent and control assaults. Administrative controls and mechanical devices are being recommended and gradually implemented but the problems appear to be escalating.Visit the Silica Safety and Health Topics Page for the latest guidance.
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Guidelines. Three Department of Labor (DOL) agencies have responsibility for the administration and enforcement of the laws enacted to protect the safety and health of workers in America.Download