Hi Tara, I
enjoyed reading your DNP project.  It is
a very interesting topic to me.  Being a
psychiatric nurse for the past 21 years, I had experienced workplace violence (WPV)
first hand both in inpatient settings and in psychiatric emergency rooms. Healthcare
workers are expected to be 4 times more likely exposed to
workplace violence 4 times more than non-healthcare settings (OSHA, 2015). Organizations’
commitment and staffs’ participation are crucial elements of an effective WPV
prevention program (OSHA, 2015).  Regulatory
agencies expect employers to assess their employees’ work environment for the
risk factors they are actually or potentially exposed to.  Although
agitated and aggressive patients can be found throughout healthcare settings,
behavioral health services (BHS) are expected to deal with those types of
clients on a daily basis.  As an Office of Mental Health (OMH)
operated facility, our hospital use the annual training program Preventing and
Managing Crisis Situations (PMCS) to provide specific skills for preventing,
de-escalating and managing aggressive behavior in BHS.  It is mandatory for all direct care staff of
BHS to attend this initial two-day program, and an annual one-day program
training successively. Our hospital is in the process of expanding PMCS program
to the medical emergency room staff including the hospital police.  PMCS, which offers essentials of
trauma-informed and recovery-oriented care, has proven to be a successful tool
in enhancing the safety of both staff and recipients in an emergency situation,
with the main focus on prevention through the development of staff competencies
in day-to-day effective interactions (OMH, 2001).