Definitions & Models
This word describes harsh physical or verbal actions meant to harm someone.
What is Aggression
Noise, crowding, lack of privacy on a unit are examples of this category of risk factor
What are environmental variables?
This is the first and least restrictive way to calm an aggressive patient
What is verbal de-escalation? (psychological pathway)
This organization accredits hospitals and now requires them to have a violence-prevention program
What is Joint Commission?
People with schizophrenia can often hear these - sometimes telling them to hurt themselves or others
What are voices (auditory hallucinations)?
This is the last and most dangerous phase of the aggression continuum, after trigger and escalation
What is the crisis phase
This is the single best predictor that a patient might become violent
What is a past history of violence?
This is the one thing staff should never do when facing an aggressive patient (try to handle it without anyone else)
What is de-escalate alone?
Hospital now train staff in these calm-down skills so a tense situation doesn't escalate into a crisis
What is de-escalation training?
This term describes a dementia paitnet becoming more confused and agitated in the late afternoon or evening
What is sundowning?
This is the name for Caplan's 6-phase model from activation all the way to stabilization
What is the Assault cycle
A patient having one of these nearby in the most dangerous warning sign of all
What is a weapon?
This 3-letter word abbreviation means a medication that is given "as needed"
What is a PRN?
According to recent surveys, what's happened to workplace violence against healthcare workers over the last year - better or worse
What is worse?
What is anxiety?
In the assault cycle, this phase comes right after crisis and often involves fatigue or shame
What is post-crisis depression?
This term describes the amount of personal space a person needs in order to feel safe
What is personal space (buffer zone)?
Staff must do this within 24 hours after an incident, where they talk through what happened as a group
What is debrief?
This is the general term for a workplace rule or requirement that hospitals must follow to keep staff safe
What is a regulation (or standard)?
Withdrawal from this type of drug (like cocaine or methamphetamine) raises the risk of aggression
What is stimulants?
This word means an outburst of physical force that injures a person or damages an object
What is Violence
Most inpatient assaults happen because of this kind of conflict between a patient and staff
What is a power struggle
This safer alternative to restraints means one staff member closely watching a patient at all times
What is a 1:1?
This Federal agency enforces workplace safety rules. including protection from violence on the job
What is OSHA?
Injury to this organ is, on its own, a risk factor for aggression
What is the brain?