Hi Tara, I
enjoyed reading your DNP project.  It is
a very interesting topic to me. I have been working in behavioral health
services (BHS) for the past 21 years and I had experienced workplace violence (WPV)
first hand both in inpatient settings and in psychiatric emergency rooms. Healthcare
workers are expected to be 4 times more likely exposed to
workplace violence 4 times more than non-healthcare settings (OSHA, 2015). Organizations’
commitment and staffs’ participation are crucial elements of an effective WPV
prevention program (OSHA, 2015).  Regulatory
agencies expect employers to assess their employees’ work environment for the
risk factors they are actually or potentially exposed to.  Although
agitated and aggressive patients can be found throughout healthcare settings, BHS
are expected to deal with those types of clients on a daily basis.  As an Office
of Mental Health (OMH) operated facility, our hospital uses
the annual training program Preventing and Managing Crisis Situations (PMCS) to
provide specific skills for preventing, de-escalating and managing aggressive
behavior in BHS.  It is mandatory for all
direct care staff of BHS to attend this initial two-day program, and an annual
one-day program training successively. Our hospital is in the process of
expanding PMCS program to the medical emergency room staff including the
hospital police.  PMCS, which offers
essentials of trauma-informed and recovery-oriented care, has proven to be a
successful tool in enhancing the safety of both staff and recipients in an emergency
situation, with the main focus on prevention through the development of staff
competencies in day-to-day effective interactions (OMH, 2001).