(Deemed to be University)

(Accredited by NAAC with a CGPA3. 64 on a four- point scale at ‘A++’ grade)

DR. D.Y. PATIL COLLEGE OF NURSING PIMPRI, PUNE-18.

ASSIGNMENT ON ICU WORK

VIOLENCE

SUBMITTED TO SUBMITTED BY
MRS. PUJA SAHA MISS. PRIYANKA KOLAGE
(Clinical instructor of Dr. D. Y. Patil 1ST YEAR NPCC
college of nursing)

SUBMITTED ON
4/05/2024
 INDEX

SR.NO TOPICS

1 Aims and objectives

2 Introduction

3 Definition

4 Violence to words hospital in ICU (Doctor & nurses)

5 Effects of violence

6 Prevention strategies for employees.

7 Safety tips for hospital workers.

8 Summary and conclusion.

AIM :-

 Effect of workplace is one of the most important reasons for leaving the
nursing profession.

 This study aimed to assess the vision of intensive care nurses about
workplace violence.

OBJECTIVES :-
 1. To identify scope of workplace violence in the healthcare setting identify
the role of professional nursing organizations describe violence in
psychiatric and home care setting interventions for reducing workplace
violence.

INTRODUCTION :-

Violence by suppressing ethic economical social religious educational

sexual occupational and age boundaries have broken out as an epidemic issues of
effective on society health assist was not left therapeutic Care resonance .

Workplace violence was become a working universal phenomenon whose

real response is not known as the data available which shows our knowledge has
been the iceberg of it.

Replace violence is reflection of grooming all aspects of violence is

reflection of in every part of social life which are seen differentiate parts of
society.

Several definitions and categorization methods have been suggested for

workplace violence.

DEFINITION :-

According to WHO Award Ed organization and International

counselling Wagner says definition is workplace violence takes place when
employees are subject to misbehaviour threatening or offensive situation related
to their job at workplace or the way from to work.

 So this event makes explained or potential difficulty for their safety or

health in every aspect and feeling of comfort or welfare.
  Violence in job careers which are directly in contact with people having
mental and physical disorder in so common that has wrong with it as a
myth many think that is an invisible part of their job.
 Characteristics of healthcare system especially in developing countries
have vertical effect on outbreak of violence in workplace. Some of this
effect are lack of human sources feeling of threat in some geographical
region or specific workplace constricts in workplace working shifts and
other aspects of working in healthcare section.
 In work place violence case have no little effects even taking advantages
of the best educational system institution management policies and
planning related to human sources through hospital in consider as safe
sniffer for all to get come and attention at least temporary regarding
increasing growth of violence in society and the transmission to social
organization hospitals has lost its safe and respected setting.
 Moreover according to two experimental evidence this investigation which
boils being restricted to emergency and psychiatric unity is not true any
impact violence is making ahead to other units and consequently.
 Violence may table place anywhere in the hospital and according to be a
report from United States occupational safety our health administration
2004 it is more prevalent in psychological and behavioral excitement
emergency unit waiting rooms the elderly unit and long time care facilities
however recently boilers behaviour have been seen and are increasing in
adult neonatal. paediatric intensive care units.

VIOLENCE TO WORDS HOSPITAL ICU DOCTOR NURSES :-

VIOLENCE :-

 Rough or injurious physical force action on treatment and others.

 An adjust or unwarranted exertion of force or power as against rights and
laws.
Work place violence :-

 Violence often take place during times of high activity.

 Interaction with patients such as administration in emergency word patient
transportation patient in voluntary adventure burning hospital rails.

During admission:-

 Explaining Grand situation

 Bad prognosis
 Costly surgery or treatment
 Anaphylactic reactions.
 Consequences of the treatment.
 complication with unwanted procedure
 Death

Patient transportation or shifting :-

 Assaults may occur when services derived.

 Maybe a doctor is not accomplishing during shifting.
 Patient dies during work before shifting.

Billing :-

- Not understanding the billing procedures

- Claiming or charging
- Claiming unexplained oral unmuted charging
- Inability to pay charges
- Denial by hospital for teaching the patient or giving the dead body for non
payment.

Hospital rule :-
 - Advanced payment heavy number of deposits.
- Office permission
- Par charges from only hospitals.

What is a work place violence :-

- Offensive language and appears

- threats of absolute
- physical assaults
- distraction of building property and medical equipment
- medical attach.

Examples :-

Threats :-

Expression of intense to cause harm including verbal threats threatening body

language and writing threats.

Physical assaults :- Violence.

Non – harmful :- slapping, blackening the face, spitting, pulling hair, shaving.

Harmful :- From beating for rape, homicide

Attack – You are as weepers such as firearms bombs.

WHO IS AT RISK’S ?

Pathologist
radiologist

Word boys and

hence keeping
 Doctor
nurses

RISKS

Security gorges Reception’s and

and watch man office staff

Others peoples
with (patients)

WHERE VIOLENCE MAY :-

Occurs :-

Violence may occurs any where in the hospital but it is most frequent in the
following.

Areas :-

- Emergency rooms
- Doctors room
- Nursing stations
- Waiting rooms
- Billing counters
- Reception counters

Effects of violence :-

- Miracle intensity and influence the following

 - minor physical injury
- series physical injury
- temporary employment and physical disability
- psychological trauma
- death
- negative organizational outcomes such as
- low worker
- increased job stress
- increased worker to turnover
- reduce tactile management and co-workers
- hostile working environment.

The risk factor for violence :-

Where is the hospital to hospital depending on location size and type of came

Common Risk factor :-

Working directly with volatile people, especially if they are under the influence
of drug or alcohol or have a history or certain psychiatric diagnosis.

- Working understaffed specially during meal times and visiting hours.

- Transporting patients.
- Long waits for services.
- Overcrowded, uncomfortable waiting rooms.
- Working alone.

ENVIRONMENTAL DESIGNS ;-

 Develop emergency signalizing alarms and monitoring system.

  just all security devices such as metal detectors to prevent arm person
from entering the hospital.
 just all other security devices such as cameras and good listening in
usually.
 Provide security escorts to the parking lots.
 design waiting areas to accommodate and assist visitors and patients who
may have a delay service.
 design criteria and other public areas to minimize the risk of assault.
 provenance staff restrooms and emergency exists.
 install and decide persistent stations.
 Install Deep Services Council for bullet resistance and shelter proof plus
endosaurs in reception areas.
 Arrange furniture and other objects to minimize their use as weapons.

ADMINISTRATIVE CONTROLS :-

 Design stopping patterns to prevent personal from working alone and to

minimize battle waiting time.
 Restrict the movement of the public in hospital by card control access .
 Develop a system for attentive severity personal when violence is
treatment.

BEHAVIOUR MODIFICATION :-

 Provide all workers with training in recognizing and managing.

 assaults resolving conflicts and maintaining hazard awareness and under
actually the particle and legal consequences of the behaviour.
DEALING WITH THE CONSEQUENCES OF VIOLENCE :-

 Violence may walkers in the workplace in petite of preventive measures.

 Employers should be prepared to deal with the consequences of this
violence by providing an environmental that promotes.
 open communication and by developing written procedures from reporting
and responding to violence.

SAFETY TIPS FOR HOSPITAL WORKERS :-

 Watch the signals that may be associated with impeding violence

 verbally expressed anger and frustration.
 Body language such as threatening gesture
 sign of drug or alcohol use
 presence of weapons

Maintained Beware That Helps Diffuse Anger

 presents calm caring attitude.

 don’t matter the threat.
 don’t give orders.
 acknowledge the person taking for example I know you are under stress.
 avoid any behavior that may be interpreted as aggressive for example.
moving rapidly getting two doors touching on Speaking loudly behavior.
 Divided such situation for potential violence when you enter a room or
begin to relate to patient visitors
 Be vulgar throughout the encounter.
 Don’t isolate yourself with potentially violence person.
 Always keep on open path for exciting don’t let the potentially violent
person between you and the door.
 STEPS TO TAKE , IF YOU CANT DIFFUSE THE SITUATION :-

 Remove yourself from situation.

 Call severities for help
 Respects any violent incident to your management.
 Call for police help with the permission of managements.

SR.N Acts IPC punishment

O
1 Interruption in working hospital 353 2 years Rigorous
imprisonment
2 Misbehaving with hospital on duty 504 24Yrs Rigo
doctor ,Nurses staff ward boy girl. Rigorous
imprisonment

3 Abusing within the premises ward 504 2yrs Rigorous

boy/girl of hospital imprison meet
4 Threatening doctor ,Staff Nurses 506 3yrs to tori of
ward boy girl in any manner. Rigorous

5 Assault on doctor staff Nurse ward 3329 333 imprisonment

boy , air in any manner OF gesture 3yrs to 10 years
to do so. of Rigorous
imprisonment
6 Destruction of property of hospital 427 34rs of Rigorous )
in any amount and any manner imprisonment son
meet

7 unnecessary mobbing inside the I41 and 143 6 months of

hospital premises. Rigorous 1
IPC ACTS

SUMMARY :-

 Risk assessment anytime

 identification identify an aware of trigger and frustration
 prevention and safety measures of workplace finance
 behavioral modification.
CONCLUSION :-

Despite high prevalence of violence return reporting and legal president of it was
low its sense workplace place cant be reduced with educating the nurses
managers support Christian accompanies under surveillance empowering the
guidelines and effective military individual relationship.

BIBLIOGRAPHY :-

1. While lead,. D,K S,P and fappen R.M (2010), essential of nursing

leadership and management, 5th edition, puiladepnia, F,A davis. PN

234,345,471

2. Deepak,K,Chandran, S.C and Kumar MBP (2017). PN 23-27

3. Vati,Y (2013), Principles and practice of nursing management and

administration, 1st edition, new Delhi, Jaypee medical publisher. PN 45-46