PROtect Yourself!

Empowering Tips & Techniques for Personal Safety: A Practical Violence Prevention Manual for Healthcare Workers

by Rae A. Stonehouse  Available as a downloadable e-book.

 

 

Table of ContentsPROtect Yourself

Chapter One. - 2 -

INTRODUCTION.. - 2 -

Definitions:- 4 -

Chapter Two. - 7 -

Overview: The Problem of Violence in the Workplace. - 7 -

The Most Recognizable Forms of Violence Include:- 9 -

Violence also includes:- 9 -

The Impact of Workplace Violence on Workers. - 10 -

Assault/Abuse Directed Towards Care-Giver- 11 -

An Overview.. - 11 -

Definitions of Violent and Aggressive Behaviour- 14 -

Threats:16

Signs of Disturbed Behavior17

Quick List17

Signs & Symptoms of Aggressive Behavior18

Chapter Two Summary:23

Chapter Three. 24

ASSESSMENT. 24

Risk Assessment for Violence. 24

Purpose:24

History of Violence. 25

Assessment Questions:26

Diagnosis:27

Cognitive Impairment:27

Withdrawal Assessment:31

Mentally Ill Clients. 33

Risk Factors for aggression in elderly clients:34

Criteria: Environment/Milieu of Treatment35

Environmental Risks in Community Care:35

Criteria: Sensitivity to disruptive events:35

Criteria: Staffing/Staff Attitude. 36

Triggers for Aggression:38

Violence in the Workplace Self-Assessment39

Communication with a Disturbed Individual40

General Attitude and Approaches:40

Chapter Three Summary:44

Chapter Four45

CRISIS. WHAT CRISIS!45

Anatomy of a Crisis. 46

Indicators That Can Characterize. 47

A Crisis‑Prone Person. 47

Quick List47

Events That Can Precipitate a Crisis. 48

Quick List48

Back to the Anatomy of a Crisis …... 49

Specific Staff Attitudes or Approaches to be Used in the Four Levels of a Crisis. 49

Guidelines for Dealing with Verbal Aggression. 53

Types of Assault56

The Effects of Helper Body Language in Resolving a Crisis. 56

Physical Interventions/Self‑Defense Techniques:57

“Personal Space”. 58

Recognizing a Person in Crisis. 61

Common Signs & Symptoms of Psychological Reactions to Crisis. 62

Problem Solving Method to Deal with Crisis Situations. 63

Immediate Interventions. 63

Short Term Planning. 63

Long Term Planning. 63

Who should be a Team Leader?. 64

Questions a Team Leader should consider in planning intervention:66

Duties of the team Leader:67

Potential Problems Encountered by Team Leaders. 68

Legal Aspects and Documentation. 69

Incident Review & Post Event Debriefing. 70

A Safety Check (to be done on an ongoing basis)72

Information That Should be Given to the Police. 72

Stressors Specific to Working Shift Work. 74

Stereotypes of Male and Female Healthcare Workers in a Crisis. 75

Chapter Five. 84

CAREGIVER BURNOUT. 84

Signs of Burnout85

Avoiding the Flames (Avoiding Burnout)86

Fighting the Fire. 89

Chapter Six. 95

CRITICAL INCIDENTS. 95

Stress Survival Suggestions. 98

SELF-CARE POST TRAUMA.. 98

ADVICE TO MATES AND FRIENDS. 100

Post-Traumatic Stress Disorder101

Definition. 101

DSM‑IV diagnostic criteria. 102

Chapter Seven. 106

HORIZONTAL VIOLENCE.. 106

Seven Guidelines for Handling Conflicts Constructively. 112

Chapter Seven Review:114

Chapter Eight115

BULLYING IN THE WORKPLACE. 115

What is bullying?. 115

Why do people bully?. 115

As an Individual, What Can I Do About It?. 118

Intervention Process for125

Horizontal Violence & Bullying. 125

Legal Action. 125

Chapter Eight Summary:135

Chapter Nine. 136

WHAT CAN I DO TO PREVENT AGRESSION & VIOLENCE?. 136

Joint Occupational Health & Safety Committee (JOSH) Responsibilities. 137

Preventing Disturbed Behavior139

Quick List139

Preventing Disturbed Behavior140

Environmental Influences. 140

Quick List140

Prevention and Management of Aggression. 141

Quick List141

Actions to take with specific client groups:141

Intervention Techniques to Interrupt Hallucinations. 143

Alzheimer Patients. 143

Risk Assessment144

Chapter Nine Summary:145

Chapter Ten. 147

COMMUNICATION SKILLS. 147

Pitfalls in Communication:155

Personal Qualities/Attitudes/Approaches. 163

Chapter Ten Summary:164

Chapter Eleven. 164

CONCLUSION.. 164

About the Author:165

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