Violence in the Emergency Department: Tools & Strategies to Create a Violence-Free ED

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Overview

"

Violence in the emergency department (ED) is a critical, even life-threatening problem facing ED nurses and physicians daily. Emergency room personnel have repeatedly reported being threatened, harassed, and seriously injured by hostile patients, including psychiatrically ill patients, substance abusers, and criminals, as well as by patients' families and friends. During this nursing shortage, it is imperative that hospital administrators take the necessary measures to create a violence-free emergency room.

This book educates health care professionals and hospital administrators about all aspects of ED violence. The author provides all the essential tools and strategies for preventing violence before it starts, and managing it if it occurs. In this book, Allen provides practical guidelines for assessing the potential risk of violence in the ED and implementing a violence defense strategy and program.

"

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Editorial Reviews

Doody's Review Service
Reviewer: Anna L. Jarrett, PhD, ACNP-ACNS,(University of Arkansas)
Description: This book is a must for all emergency departments and a valuable resource for anyone scheduled to work there. It covers the history and evolution of violence in emergency departments and offers excellent exhibits for quick reference, i.e., general guidelines for communication and personal safety when assessing or treating potentially violent patients.
Purpose: The purpose is well stated in the preface, which notes there is scant information about the topic of emergency department violence. This book pulls together social work, psychology, nursing, and management tools to assist emergency department personnel. It does a fine job addressing the objectives.
Audience: The book is written for anyone who works in any role in any emergency department.
Features: Topics include the history and evolution of violence in our society and in emergency departments, reasons why emergency departments are targets, and plans to make emergency departments safe havens for all. The case study adds to the understanding of each section. I found the best part to be the discussion of the HITS (Hurt-Insult-Threaten-Scream) instrument to screen for intimate partner violence (IPV). The cost of violence is also covered, which is unique to this book. Although not a shortcoming, the gang violence discussion could have been a chapter in itself.
Assessment: This is a must-have reference for all emergency departments.
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Product Details

  • ISBN-13: 9780826110596
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 7/13/2009
  • Edition description: New Edition
  • Pages: 384
  • Product dimensions: 5.90 (w) x 8.90 (h) x 0.90 (d)

Meet the Author

Patricia B. "Nikki" Allen, MBA, BS, RN, has spent her entire career in diverse areas of health care management. She has created a violence prevention plan including violence prevention tools to help the multiple Emergency Departments (EDs) with which she has been involved. Since then, Ms. Allen has become increasingly interested in addressing the explosive but underreported incidence of violence occurring in Emergency Departments across the United States. She has been a regular invited speaker about violence in the Emergency Department at the Leadership Conference of the Emergency Nurses' Association (ENA). She is passionate about continuing her work in developing strategies to deal with violent individuals, to help protect
ED patients, and to help physicians, nurses, and ED staff protect themselves from harm. Ms. Allen's other passions are her three grown children, her daughter-in-law,
and her friends. One of her children is a health care professional in an environment that is high-risk for violence.

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chapter
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Table of Contents

PART I: THE EMERGENCE OF VIOLENCE IN
SOCIETY AND HEALTH CARE SETTINGS

1 The Sociology of American Violence

2 The Evolution of Health Care Delivery: Setting the
Stage for Violence in the ED

3 Why Are EDs Targets for Violence?

4 The Cost of ED Violence

5 Creating the ED as a Safe Haven

PART II: ASSESSING VIOLENCE IN THE ED: THE
VICTIMS AND THE PERPETRATORS

6 Assessment of Your ED: Identifying Your ED
Risk for Violence

7 Assessment of Your ED Patients: Recognizing

Your Patients as Victims of Violence

PART III: INTERVENTION IN THE ED: TOOLS AND STRATEGIES
FOR A VIOLENCE-FREE ED

8 Initiating Change for ED Violence Prevention

9 Communication Strategies: Intra-Institutional

10 Community Communication Strategies

PART IV: OUTCOMES AND FUTURE DIRECTIONS

11 The Benefi ts of Implementing Violence Prevention Strategies

12 Future Directions

APPENDICES

Appendix A: Recommended Web Sites for Violence Reduction Resources

Appendix B: Recommended Policies for Emergency Department Violence
Reduction

Appendix C: American College of Emergency Physicians: Emergency Department

Crowding and Boarding Strategies White Paper: Short-Term Solutions/Model
Practices

Appendix D: The American College of Emergency Physicians: The National
Report Card on the State of Emergency Medicine

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