Once upon a time it was safe to go to work. Maybe that was a fairy tale because the times have certainly changed. Increased violence has become part of our everyday life be it at home or at work. We read about it daily in the newspaper and are bombarded with violent stories from the television and radio.

Over the years I have met and worked with many people who were confident in various aspects of their lives but were terrified when it came to intervening in a crisis where there was the likelihood that it may turn physical. Even the possibility of physical aggression would trigger a fear response.

I have worked alongside colleagues who would “conveniently” lock themselves in the bathroom at the first sign of a potential crisis. Others, have had an “emergency” phone call that needed their attention, away from the action.

I recall Mary, a fellow nurse, who was an avid sky diver. Skydiving would be an activity that I would only undertake if I was pushed out of the airplane against my will. When situations arose that required physical intervention with a disturbed patient, she was crippled with fear. After taking the Crisis Intervention program and with further on the job practice to hone her skills, Mary was able to overcome her fears of physically intervening and became an effective responder in a crisis.

PROtect Yourself Now! Violence Prevention in Healthcare has been developed for all the Marys out there. PROtect Yourself Now! provides an integrative, non‑violent approach to dealing with physical aggression and verbal threat. Its method of information delivery is intended to help you develop greater awareness and vigilance, hone observational and judgment skills and to learn communication techniques to defuse potentially volatile situations. Physical interventions such as restraining techniques and break-away techniques may be mentioned throughout this manual but will not be expanded upon as they are beyond the scope of this manual.

The term “healthcare workers”, encompasses a large group of people, from nurses and nursing support staff to office staff, laundry, dietary and housekeeping. If you work with people, then PROtect Yourself! is for you.

Rae A. Stonehouse Author

In a professional nursing career that has spanned four decades, veteran nurse Rae Stonehouse RN shares sage advice for managing violence in healthcare settings.

PROtect Yourself! is a practical "how to" manual that will enable you to...

 assess and identify disturbed/aggressive behaviour

 provide effective therapeutic interventions for the benefit of your clients

 develop winning attitudes to prevent aggressive behaviour

 utilize communication & leadership techniques to avoid client escalation and prevent disturbed behavior

 recognize the effects of your body language in resolving a crisis

 identify the influence that health care staff have on violence by a client

 take a proactive approach in developing worksite violence prevention protocols

 recognize a bully at work and develop strategies to minimize their damage

 recognize and support a colleague that is experiencing the effects of a critical incident

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