Module 12 Flashcards by Carolyne Edwards

Cyberbullying

A disruptive behavior using the internet

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JCAHO accredited hospitals must test the effectiveness of this two times a year

Emergency Operating Plan (EOP)

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Known to decrease a person’s tolerance to frustrating situations

Alcohol abuse

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Phase of disaster that begins 72 hours after the disaster

Recovery

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Emergency designation for a fire

Code Red

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Department of Homeland Security’s second recommendation if an employee is unable to evacuate with a shooter in the area

Hide

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Emergency within an organization

Internal

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What are the list of behaviors that are warning signs and predictors of violence called?

STAMP behaviors

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All types of natural and/or human terrorist events

All-hazard disaster

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When the # of victims is so large that multiple hospitals will be called to respond

Mass Casualty Event

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Emergency designation for a shooter

Code Silver

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Objects in a patient’s room that need to be removed to make the room safer and prevent violence

Environmental Risks

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Conflictual behaviors among peers

Lateral or Horizontal Violence

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The ability of the healthcare org to expand beyond normal demands (Hold pts in large conference rooms)

Surge Capacity

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Rude inconsiderate and disruptive behavior

Incivility

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Listening to your “gut feelings”?

Intuition

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Part of the EOP that deals with day to day requirements of essential services

Continuity of Services

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A REPEATED effort to offend, distress, and/or humiliate someone

Bullying

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The phase of a disaster that focuses on planning?

Preparedness

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Part of the EOP that deals with effective collaboration and cooperation with public

Communication

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Benefit for all employees who are having work related issues impacting job performance

Employee Assistance Program (EAP)

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The most common form of violence by patients

Verbal Abuse

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Department in hospital responsible for policies about preventing workplace violence

Human Resources (HR)

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Emergency designation for a newborn abduction

Code Pink

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Most significant cue to impending violence

Body Language

Emergency that indirectly impacts a hospital; tornado

External

A type of emergency that threatens a healthcare center's capabilities

Disaster

Last resort to try to incapacitate a shooter in the area

Fight

Part of the EOP that deals with severity of illness of victims brought to the hospital

Triage

Phase of a disaster where the emergency operating plan is enacted

Relief Response

Department of Homeland Security's FIRST recommendation with a shooter in the area

Run (Evacuate)!

If incivility is not addressed it can lead to what?

Bullying

Examples of HORIZONTAL violence

Verbal/emotional abuse Physical abuse Sabatoge Gossiping Withholding information

What can HORIZONTAL violence result in?

Low morale in staff Stress Sleep disturbances Health complaints Increased absenteeism Work related suicide Increased turnover rates

Common Nurse-Nurse Bullying Behaviors

Silent treatments Gossiping Sharing secrets (confidences) after saying you wouldn't Refusing to share information Using humiliation Negative comments and pretending to joke Not supporting b/c you don't like them

Interventions to DETER disruptive behaviors

Environment of mutual respect Model good behavior Avoid online remarks on socials Avoid making excuses for someone's disruptive behavior Policies limiting retaliation Staff education on code of conduct Reporting Systems Performance expectations

What resources should the LEADER implement to address workplace violence?

Be aware of culture on the unit Be open to reporting bullying Zero tolerance for bullying Responsible for providing safe work environment De-escalation training for employees

HR responsibility to address workplace violence

Actively participate in any type of incident management Screening applicants for employment Have employee assistance programs in place

Why is patient violence underreported?

RN doesn't usually report it unless it feels personal

Common triggers for patient violence

Expectations unmet Perceived loss of control/independence Upsetting diagnosis/prognosis History of abuse Long waits (1+ hour/s) Inadequate security personnel Time of day (3p-11p) Men

Behavioral cues to observe: STAMP Behaviors

S = staring or glaring T = tone and volume of voice A = anxiety M = mumbling P = pacing

TJC states hospitals need to ...

Respond on a local level first before utilizing state/federal; Be able to communicate and coordinate with each other

3 phases of a disaster

1. Preparedness 2. Relief Response 3. Recovery

Level 1 emergency designation

Localized disasters (ex. bus crash)

Level 2 emergency designation

Regional disaster (ex. Shelby County)

Level 3 emergency designation

National incident (Ex. Covid-19)

Emergency Operating Plan (EOP) KEY COMPONENTS: Command and control center

Where activity starts; each person has a designated role

Emergency Operating Plan (EOP) KEY COMPONENTS: Commuication

Must have clear, effective, timely, and good decision-making skills; Designated information spokesman

Emergency Operating Plan (EOP) KEY COMPONENTS: Safety and security

Someone in security directing patients to specific areas

Emergency Operating Plan (EOP) KEY COMPONENTS: Triage

Tagging or zoning patients by level of urgency (Black, Red, Yellow, Green)

Emergency Operating Plan (EOP) KEY COMPONENTS: Surge capacity

Hospitals must be able to take care of more patients; ability to expand

Emergency Operating Plan (EOP) KEY COMPONENTS: Continuity of Services

Ability to function normally; Run parallel to normal hospital patients and disaster together

Emergency Operating Plan (EOP) KEY COMPONENTS: Human resources

Implement a call tree to have adequate staffing

Emergency Operating Plan (EOP) KEY COMPONENTS: Logistics and Supply Management

Need to have enough linen and food to provide for patients previous in hospital and newly admitted from disaster

Emergency Operating Plan (EOP) KEY COMPONENTS: Post-disaster Recovery

Limit long term effects of disaster

Federal departments that get involved with disasters?

FEMA: federal emergency management agency DHS: Department of Homeland Security OEM: office of emergency management

Emergency designation for bomb threat

Code Black

emergency designation for medical emergency

Code Blue

emergency designation for severe weather

Code Brown

US Department of Homeland Security recommendation for active shooter

Run Hide Fight