Verbal Deescalation “Universal Behavioral 语言去升级的“普遍行为”.pptVIP

“Universal Behavioral Precautions”Techniques of Verbal De-escalation Vanderbilt University Medical Center Vanderbilt University Medical Center strives to provide a safe workplace, free of verbal or physical threat. Workplace violence is defined as any situation that may: Threaten the safety of an employee. Have an impact on any employee’s physical, emotional or psychological well-being. Cause damage to company property. www.ci.houston.tx.us/departme/police Healthcare is impacted by verballyand sometimes physically abusive patient, families and visitors. Verbal abuse often goes unreported and is thought to be “just part of the job”. 70% of Nurses are assaulted on duty during their career. The majority of healthcare worker violence takes place on evening and night shifts. OSHA [1996]. Guidelines for preventing workplace violence for health care and social service workers. Washington, DC: U.S. Department of Labor, Occupational Safety and Health Administration, OSHA 3148-1996. The Medically Ill Person The medically ill (physical or mental illness) person may pose a risk to others due to an illness (acute or chronic). This could be the patient, family or visitor. Cognitive problems due to delirium (which may be secondary to medications or aging), delusions (a misperceived thought process), or paranoid thinking may alter the person’s sense of reality. Purpose To help you recognize situations that impact potential verbal and physical abuse by a patient or visitor toward staff. To provide tools to help you de-escalate a volatile situation. Your safety and welfare are important to us. Defusing Anger,Frustration, and Conflict There is a need to effectively defuse the anger of a patient, family or visitor in a calm and professional manner. Not every threat of violence can be predicted or prevented. Patient Risk Factors Head trauma Psychiatric illness (especially mania, psychosis or paranoia) Substance abuse Young age; males Prior history of violence Why Increased R