222 - A Perioperative Risk Management Strategy in Workplace Violence Prevention Training
Description: The increasing prevalence of workplace violence in recent years demonstrates that substantial threats to safety can occur at any setting. Numerous studies have determined that nurses view these threats to personal safety as part of the job and thus underreport incidences of assault, physical, or verbal abuse. While workplace violence prevention training has the potential to be an integral component to address this problem, most healthcare institutions provide training through online learning formats that do not foster active learning. In addition, the content within these trainings rarely provide information that directly pertain to the perioperative setting. The University of California at Los Angeles (UCLA) Ambulatory Surgery Center and UCLA Stein Eye Institute thus adopted a strategic framework to create violence prevention training specific to the perioperative landscape. The training was divided into three sessions: Prevention, Preparation, and Response. Session #1 focused on correcting environmental vulnerabilities as well as recognizing warning signs and highlighting suggested responses to an imminent or actual threat. Session #2 featured scenario-based interactive training exercises that utilized the building map to develop better egress planning. Session #3 involved having the staff participate in a simulation that examines the management of an altercation that escalated to an active shooting in the perioperative area. Focused debriefing sessions immediately following the simulations provided the participants with an opportunity to discuss their decision-making processes and allowed the debriefing experience to underscore the guiding principles that were discussed in the training sessions. This combination of classroom learning and simulation training has been effectively implemented. As a result of this targeted training program, perioperative nurses are able to learn and practice workplace violence prevention skills in a controlled setting to optimize perioperative team member and patient safety.