Shigo, Jody, RN, CMSRN

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Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingViolent Crimes in the Hospital Setting: SituationalAwareness and Nursing Empowerment Result inSafetyJody Shigo RN, CMSRNLehigh Valley Health Network, Jody.Shigo@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/patient-care-services-nursingPart of the Nursing CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtShigo, J. (2015,, March 25). Violent Crimes in the Hospital Setting: Situational Awareness and Nursing Empowerment Result in Safety.Poster presented at the Society of Trauma Nursing 18th Annual Conference, Jacksonville, FL.Shingo, J., (2015, October). Violent Crimes in the Hospital Setting: Situational Awareness and Nursing Empowerment Result in Safety.Poster presented at Pennsylvania Organization of Nurse Leaders Nursing Leadership Symposium in Gettysburg, Pa.Shingo, J., (2015, October 30). Violent Crimes in the Hospital Setting: Situational Awareness and Nursing Empowerment Result in Safety.Presented at Research Day 2015, Lehigh Valley Health Network, Allentown, PA.  Background•		Pre-Implementation Staff Survey																														June	2013	(n=26):	Over	74%	of	staff	thought	the	process	to	identify	a	DNA-VC	patient	admitted	to	the	unit	was	“unclear”	or	“very	unclear.”		•		CY2012 and 2013:	Increasing	number	of	employee	injuries	as	a	result	of	intentional	patient	assaults		“Do Not Announce-Violent Crime” (DNA-VC) Project:A	successful	initiative	utilizing	evidence-based	strategies	to	enhance	situational	awareness	and	ensure	a	safer	hospital	environmentCurrent StateAn	increase	in	threats	and	violent	acts	by	patients	and	visitors	prompted	staff	from	a	30-bed	medical-surgical	transitional	trauma	unit	(TTU)	to	evaluate	current	practices.© 2015 Lehigh Valley Health NetworkREFERENCES:1.		Danesh,	V.C.,	Malvey,	D.,	Fottler,	M.D.	(2008).	Hidden	workplace	violence,	what	nurses	may	not	be	telling	you.	The	Health	Care	Manager.	27(4),	357-363.2.		Gates,	D.,	Gillespie,	G.,	Smith,	C.,	Rode,	J.,	Kowalenko,	T.,	Smith,	B.	(2011).	Using	action	research	to	plan	a	violence	prevention	program	for	emergency	departments.	Journal	of	Emergency	Nursing.	37(1),	32-39.3.		Papa,	A.,	Venella,	J.	(2014).	Workplace	violence	in	healthcare:	Strategies	for	advocacy.	The	Online	Journal	of	Issues	in	Nursing.	18(1),	Manuscript	5.•		Unit-based	Nurse	Leaders		•		Clinical	Nurses•		Attending	physicians	and	extenders•		Case	ManagerInterprofessional Team•		Geriatrician•		Physical	&	Occupational	Therapist•		Nutritionist•		Security	TeamGoal: Determine how patients associated with violence are identified; managed from admission through discharge; and how safety is maintained at the bedsideImplementation Plan1.	 	Identification of Violent Crime Patients						Categories:  •		Cases	of	penetrating	trauma	 	 •		Physical	or	sexual	assault	 	 •		Child	abuse	 	 •		Recipients	of	a	threat	 	 •		Those	in	witness	protection2.	 	Interventions	 	 •		Environmental	safety	enhancements	 	 	 –		Emergency	pull	switches	 	 	 –		Directional	door	locks	 	 	 –		Signage	 	 •		Badge	system	for	non-employees	on	high	risk	units	 	 •		Replacement	of	receptionists	with	security	officers	in	high	risk	waiting	rooms	 	 •		Patients	flagged	in	electronic	health	record	(EHR)	as	DNA-VC3.	 	Standard Work	 	 •		Environmental	safety	assessments	 	 •		Enhanced	communication	 	 •		Education	processes Outcomes•		Post-Implementation Staff Survey	 July	2014	(n=25):	68%	of	staff	thought	the	process	to				identify	a	DNA-VC	patient	admitted	to	the	unit	was	“clear”			or	“very	clear.”•		CY2014:Lessons Learned•		A	heightened	sense	of	situational	awareness	prompts	nurses	to	recognize	elements	possessing	the	potential	for	violence.	•		Knowledge	empowers	nurses	to	initiate	appropriate	actions	to	maintain	a	safe	environment	for	themselves,	their	patients	and	visitors.		CY20120CY2013 CY20145891 92102030405060708090100Lehigh Valley Health Network, Allentown, PAViolent Crimes in the Hospital Setting: Situational Awarenessand Nursing Empowerment Result in SafetyDecreased Total Employee Injuries(caused by intentional assault by patient)ImplementationSept. 2013MagnetTM	Since2002

Violent Crimes in the Hospital Setting: Situational Awareness and Nursing Empowerment Result in Safety

Poster: Violent Crimes in the Hospital Setting: Situational Awareness and Nursing Empowerment Result in Safety

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Poster: Violent Crimes in the Hospital Setting: Situational Awareness and Nursing Empowerment Result in Safety

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Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health Network: LVHN Scholarly Works