WEEK 8 - Violence Prevention SPECO

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22 Terms

1

5 things for Recognize Risks and Behaviours

  1. identify risk factors

  2. identify stressors

  3. identify signs of an emotional crisis and a behavioral emergency

  4. identify the relationship between threat and brain function

  5. identify self settling strategies

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2

risk factors

characteristics of a person that increase the potential that a violent incident may occur; cannot change or control a person’s risk factors

  • h/o violence, abuse, trauma

  • medical conditions

  • acute withdrawal

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3

stressors

events or conditions that can add stress and impact the risk of violence; can lessen impact of stressors

  • pain

  • lack of sleep

  • unmet needs

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4

emotional crisis

occurs when a person is no longer able to cope

  • no one is being physically hurt

  • there is time to settle or de-escalate them

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5

behavioural emergency

person behaving in a way that could cause immediate danger of harm or death to self or others

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6

fight, flight, or freeze response

an instinctive response to threatening or crisis situatons

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7

3 things to do for Assess and Plan

  1. complete PCRA

  2. decide if it’s safe to proceed the plan

  3. create behavioural care plans

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8

PCRA - point of care risk assessment

  1. person - change in behaviour

  2. environment - can i easily get help, safe exit, potential weapons

  3. task - does it have to be done right now

  4. yourself - am i settled enough, wearing anything that could be grabbed

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9

purpose of BCP - behavioural care plan

a tool used to inform all staff about a person’s violence risk, and to outline safety precautions

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10

four steps of BCP

  1. assess - identify target behavior and underlying cause

  2. plan - comprehensive, specific, consistent

  3. implement - clear communication, accessible, consistent

  4. evaluate

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11

3 things to do for Respond to the Risk

  1. perform de-escalation strategies

  2. determine when and how to call for help

  3. apply personal safety techniques

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12

when not to perform de-escalation strategies

  • there is immediate danger

  • you are escalated

  • person is unable to follow simple directions

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13

performing de-escalation strategies

  • effective communication

    • non-verbal (most essential)

    • vocal (speed, pitch, tone, volume)

    • verbal

  • providing time and space

  • redirection

  • distraction

  • providing options

  • providing co-workers support

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14

tension reduction

visible reduction in energy after a person has had a emotional crisis or behavioral emergency

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15

when to call for help

  • de-escalation strategies were ineffective

  • feeling unsafe

  • behavioral emergency

  • you don’t feel settled

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16

responds to damaging property

never endanger yourself or others to save property

  • clear others from area

  • give person time and space

  • isolate person if possible

  • call for help (code white, 911)

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17

responds to assault with a weapon

do not try to disarm a person

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18

when to call code white

  • equipment is being damaged

  • danger of physical arm to you or others

  • beyond your or co-workers ability

  • feel unsafe

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19

when to call 911

  • lives are in danger

  • beyong the ability of code white

  • there is a weapon

  • incident takes place outside your facility

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20

info to provide when calling for help

  1. state assault in progress

  2. state if weapon is involved

  3. provide location

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21

4 things to do for Report and Communicate Post-Incident

  1. use post-incident support resources

  2. report violent incidents including near-misses

  3. update and communicate risk of violence to others

  4. re-establish relationship with persons in your care

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22

documentation of violent incident

  • objective

  • accurate

  • detailed

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