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Policies and Procedures

Occupational violence

  • 1. Procedure description

    The Royal Children's Hospital (RCH) is committed to the provision of a safe and healthy work environment for all employees, contractors and visitors and the continuous development and improvement of its safety management system in order to:

    • Achieve best practice Workplace Health and Safety (WHS) performance for the health sector.
    • Identify, assess and control risks.
    • Incorporate WHS considerations into all work processes.
    • Consult with staff on WHS issues.
    • Provide WHS training and instruction.
    • Set WHS performance targets for the organization and management.

     RCH actively supports zero tolerance towards aggression and violence in the workplace. RCH will achieve this by establishing an environment that promotes identification of hazards, assessment and control of risks, preventative training and education, reporting and effective management of all incidents and incorporating safety into facility design. These harm minimising practices, and the active reduction in the use of restrictive interventions will assist RCH in achieving a safe and effective work environment. 

    This Procedure applies to all RCH employees, students and contractors. 

    Employee to employee violence, bullying or harassment is not included in the scope of this Procedure.  These behaviours are covered by the RCH Safe Workplace Behaviours Procedures. 

    2. Definition of Terms 

    Occupational Violence
    An incident in which an employee, student or contractor is abused, threatened or assaulted. This includes incidents of clinical aggression and family/visitor aggression and violence. It may include:

    • Verbal, physical or psychological abuse.
    • Intimidating or threatening behaviours.
    • Aggravated assault.
    • Threats with a weapon or object.
    • Sexual harassment and/or sexual assault.

    Assault as defined below 
    The direct or indirect application of force by a person to the body, clothing or equipment worn by another where the application of force is without lawful excuse and with the intent to inflict or being reckless as to the infliction of bodily injury, pain, discomfort, damage, insult or the deprivation of liberty and results in infliction of any such consequence. It is also an act that causes reasonable fear in another person of injury or intimidation.

    Code of Conduct  
    The agreed set of minimal standards of behaviour that all staff, patients, families and visitors are expected to comply with to ensure the RCH is a safe, professional and friendly environment. See Code of Conduct Procedure for details. 

    Identified Individual
    A patient, family member or visitor who has been identified by RCH as posing an ongoing risk of aggression and/or violence to staff.

    Aggression & Violence Prevention Committee 

    Formed to provide organisational leadership in the prevention, intervention and management of aggression & violence at RCH. 

    3. Responsibilites

    Chief Executive Officer

    • Ensure that the RCH program to manage occupational violence complies with all statutory and common law requirements.
    • Provide leadership and support for zero tolerance of occupational violence.

    Aggression & Violence Prevention Committee

    • Provides leadership in the prevention, intervention and management of aggression and violence at RCH.
    • Develops and review policies, procedures relating to occupations violence and aggression.
    • Review incidents of aggression and violence within organisation, and make recommendations following critical incidents.

    Executive Directors

    • Ensure compliance with governing policies and procedures of occupational violence.
    • Ensure that appropriate risk management actions are taken where risk of occupational violence is identified.
    • Ensure that all front line staff receive appropriate training and instruction.

    Department Heads /Unit Managers / Supervisors

    • Identify violence and aggression risks in your work area.
    • Ensure compliance with occupational violence policies and procedures.
    • Encourage staff to report all incidents of occupational violence and aggression through VHIMS. 
    • Investigate all incidents of occupational violence and aggression including risk controls. 
    • Promote a culture that does not accept violence and aggression. 

    Emergency Management and Planning Manager

    • Manage and maintain Code Grey/Code Black response capability at RCH in collaboration with the Clinical Nurse Consultant – Aggression Management/Code Grey Coordinator.

    Aggression Management/ Code Grey Coordinator

      • Coordinate and manage response to occupational violence during business hours (After hours response managed by After Hours Hospital Manager). 
        • Oversight of all incidents of occupational violence and initiates appropriate follow-up and investigation (as per critical incident review procedure).
        • Coordinate The RCH’s management of clinical aggression training.

        WHS Team

        • To ensure systems and procedures are established and implemented to effectively provide a proactive means of preventing and reducing incidents of workplace aggression and violence.
        • To provide guidance on hospital wide risks and means for control. 
        • To ensure that systems of harm reduction post event (EAP and trauma counselling) are made available to all staff exposed to occupational violence.

        Employees 

        • Comply with this procedure and RCH Emergency procedures. 
        • Participate in training in the management of violence and aggression in the workplace. 
        • Report all incidents and potential incidents of violence and aggression via VHIMS

        4. Procedure details 

        Risk Identification and Assessment

        • Incidents of occupational violence will be reported in accord with the Incident, Injury and Hazard Reporting procedure
        • Incidents of occupational violence will be managed in accordance with the Emergency Procedures, Code Grey and Code Black
        • Following incidents of aggression and violence with patients or families, a security alert on the Electronic Medical Record (EMR) should be considered.

        Risk Control

        • The establishment of an ongoing management plan for all patients/families exhibiting aggressive/violent behaviour.
        • This plan will be reviewed and modified regularly in order to implement appropriate risk control measures.
        • This plan should be developed by the lead clinician/treating team for the patient, in collaboration with the Clinical Nurse Consultant – Aggression Management (Code Grey Coordinator) as required

        Post-incident

        • A system to reduce harm resulting from exposure to occupational violence will be available to all staff.  This may include EAP and other internal or external services i.e. Critical Incident Debrief
        • If police are involved, appropriate RCH hospital management will be notified as required.

        5. Related Policies and Procedures 

        Critical Incident Review Process

        Terms of Reference - Aggression and Violence Prevention Committee

        Safe and Positive Workplace Behaviours

        Safe and Positive Workplace Behaviours toolkit

        Incident and Injury and Hazard Reporting Code of Conduct

        Code of Conduct

        Code Grey

        Code Black

        Emergency Behavioural Assessment Room EBAR

        6. References 

        Acute behavioural disturbance: Acute management Acute behavioural disturbance: code grey

        Victorian Government Department of Human Services (Final Report): Victorian taskforce on violence in nursing 2005

        WorkSafe Guidebook: Prevention and management violence and aggression in health services

        DHHS Organisational framework: Framework for preventing and managing occupational violence and aggression