Hi Tara, I
enjoyed reading your DNP project.  It is
a very interesting topic to me.  Being a
psychiatric nurse for the past 21 years, I had experienced workplace violence (WPV)
first hand both in inpatient settings and in psychiatric emergency room setting.

According to OSHA (2015), healthcare workers are expected to
be 4 times more likely exposed to workplace violence 4 times more than
non-healthcare settings. Employers’ commitment and employees’ participation are
essential elements of an effective WPV prevention program (OSHA, 2015).  Regulatory agencies expect employers to
assess their employees’ work environment for the risk factors they are actually
or potentially exposed to.  Although agitated and aggressive patients
can be found throughout healthcare settings, behavioral health services (BHS) are
expected to deal with those types of clients on a daily basis.  As an Office
of Mental Health (OMH) operated facility, our hospital use
the annual training program Preventing and Managing Crisis Situations (PMCS) to
provide specific skills for preventing, de-escalating and managing aggressive
behavior in behavioral settings.  It is
mandatory for all direct care staff of BHS to attend this initial two-day
program, and an annual one-day program training subsequently. Our hospital is
in the process of expanding PMCS training to the medical emergency room staff
including the hospital police.  PMCS,
which presents essentials of trauma-informed, recovery-oriented and
person-centered care, has proven to be a successful tool in enhancing the
safety of both staff and recipients in a emergency situation, with the main
focus on prevention through the development of staff competencies in day-to-day
effective interactions (OMH, 2001).  

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