Violence in the Emergency Department: Tools & Strategies to Create a Violence-Free ED [NOOK Book]

Overview

"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..."

--Doody's

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, ...

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

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Overview

"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..."

--Doody's

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.


Key topics discussed:


  • How to assess the potential risk of violence in individual patients
  • How to identify the types of patients that are most likely to be violent in the ED and why they are violent
  • How to plan and implement a violence defense program by increasing security, charging penalties and fines, announcing hospital-wide alerts, and more
  • How to improve communication strategies with both colleagues and violent patients in the ED
  • How to increase awareness of the the significant problem of lateral violence among healthcare personnel

Violence in the Emergency Department will not only help safeguard physicians and nurses from injury, it will serve as one more step toward healing the critical nursing shortage, increasing job satisfaction, and improving patient care.

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Editorial Reviews

From The Critics
Reviewer:Anna L. Jarrett, PhD, ACNS/ACNP, BC(Central Arkansas Veterans Healthcare System)
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: 9780826110602
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 7/13/2009
  • Sold by: Barnes & Noble
  • Format: eBook
  • Pages: 370
  • File size: 2 MB

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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Table of Contents

Preface ix

Introduction xi

Part I The Emergence of Violence in Society and Health Care Settings 1

1 The Sociology of American Violence 3

2 The Evolution of Health Care Delivery: Setting the Stage for Violence in the ED 27

3 Why Are EDs Targets for Violence? 57

4 The Cost of ED Violence 111

5 Creating the ED as a Safe Haven 129

Part II Assessing Violence in the ED: The Victims and the Perpetrators 141

6 Assessment of Your ED: Identifying Your ED Risk for Violence 143

7 Assessment of Your ED Patients: Recognizing Your Patients as Victims of Violence 183

Part III Intervention in the ED: Tools and Strategies for a Violence-Free ED 213

8 Initiating Change for ED Violence Prevention 215

9 Communication Strategies: Intra-Institutional 253

10 Community Communication Strategies 273

Part IV Outcomes and Future Directions 295

11 The Benefits of Implementing Violence Prevention Strategies 297

12 Future Directions 309

Appendices 335

Appendix A Recommended Web Sites for Violence Reduction Resources 337

Appendix B Recommended Policies for Emergency Department Violence Reduction 339

Appendix C American College of Emergency Physicians: Emergency Department Crowding and Boarding Strategies White Paper 341

Appendix D The American College of Emergency Physicians: The National Report Card on the State of Emergency Medicine for 2009 (The National Grade: C-) 345

Index 355

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