3/1/2018. Workplace Violence Prevention Webinar Introduction

Transcription

1 Workplace Violence Prevention Webinar Introduction THOMAS ESS ASSOCIATE VICE PRESIDENT RESIDENTIAL SERVICES EMERGENCY PREPAREDNESS COORDINATOR 1

2 Sources of Workplace Violence Violence by a stranger or visitor. Domestic Violence involving an employee that manifests at the work place. Violence between employees Behavior exhibited by individuals receiving supports and services towards an employee providing care. OSHA OSHA does not have a Workplace Violence Standard However The General Duty Clause, Section 5(a)(1) of the Occupational Safety and Health Act of 1970, states a workplace must be free from recognized hazards that are causing or are likely to cause death or serious harm. The courts have interpreted OSHA's general duty clause to mean that an employer has a legal obligation. 2

3 OSHA: Patient, Client and Setting-Related Risk Factors Healthcare and Social Services Field Working directly with people who have a history of violence, abuse drugs or alcohol, gang members, and relatives of patients or clients Transporting patients and clients Working alone in a facility or in patients homes Poor environmental design of the workplace that may block employees vision or interfere with their escape from a violent incident OSHA: Patient, Client and Setting-Related Risk Factors Healthcare and Social Services Field Poorly lit corridors, rooms, parking lots and other areas Lack of means of emergency communication Prevalence of firearms, knives and other weapons among patients and their families and friends; and Working in neighborhoods with high crime rates. 3

4 OSHA: Organizational Risk Factors Lack of facility policies and staff training for recognizing and managing escalating hostile and assaultive behaviors from patients, clients, visitors, or staff Working when understaffed especially during mealtimes and visiting hours High worker turnover Inadequate security and mental health personnel on site OSHA: Organizational Risk Factors Unrestricted movement of the public Perception that violence is tolerated and victims will not be able to report the incident to police and/or press charges.** **The Fundamental shift for the human Services field: We can no longer accept service recipient only protection, employees must be considered. Examples 4

5 OSHA: Basic Tenants Management commitment and employee participation Worksite analysis and Hazard Identification Hazard prevention and control Safety and health training Recordkeeping and program evaluation Considerations Develop a robust Workplace Violence Prevention Program Establish go to staff (Champions Model) Training standards for staff. Recordkeeping of occurrences Monitoring/Data Analysis of all occurrences Trending of all occurrences Engage stakeholders in recommendations for preventative measures Health and Safety Committee Mechanism for anonymous reporting by employees Open door philosophy Relationship with Law Enforcement Program Evaluation 5

6 Considerations Develop a robust Workplace Violence Policy and Procedures Access control Employee Identification Physical plant evaluation Risk specific training Community safety Reception safety Active Shooter / Violent Intruder Policy The Facts The agreed-upon definition of an active shooter by US government agencies (including the White House, US Department of Justice, FBI, US Department of Education, US Department of Homeland Security, and Federal Emergency Management Agency) is an individual actively engaged in killing or attempting to kill people in a confined and populated area. In most cases, active shooters use firearms and there is no pattern or method to their selection of victims. 6

7 The Facts: FBI Analysis The Facts: FBI Analysis

8 The Facts: FBI Analysis The Facts: FBI Analysis

9 The Facts FBI Study of Active Shooter Incidents in the U.S % involved 1 shooter 69% of all incident ended in 5 minutes or less. Predominantly perpetrated by White Males years of age. ALICE Citizen Response to a Violent Intruder Alert Lockdown Inform Counter Evacuate 9

10 ALICE Why is Citizen Preparation Necessary? 25 Years of mass shooting events have yielded a national average for Law Enforcement response to the scene Arrival 5-6 Minutes ALICE Citizen preparation for danger is nothing new. Where do we first learn what to do when. There is a fire? There is a stranger? There is an active shooter/violent intruder? 10

11 ALICE Humans Beings Three Natural Responses Fight Flight Freeze Which is preferred? ALICE Columbine High School, April 20, 1999 Lessons Learned: There were many but the primary one is often missed 11

12 Columbine High School 911 Call 12

13 WHAT IF THEY HAD EVACAUTED INSTEAD? The Lesson from Virginian Tech Room 210 No Class Stayed Down Room Present Jumped and Barricaded Room Present Room 200 No Class 10-Killed 2- Wounded 2-Killed 3-Wounded Offices Stayed Down Room Present Barricaded After 1 st time Room Present Barricaded Room Present 12-Killed 6- Wounded 5-Killed 6-Wounded 0-Killed 0-Wounded 13

14 The Lesson from Virginian Tech Fatalities 28 vs. 2 Passive vs. Proactive ALICE Common Sense, just not Common Knowledge Alert Lockdown Inform Counter Evacuate ALICE is NOT linear, progressive response 14

15 ALERT ALERT Information is the key to good decisions Information should flow in all directions Provide as much initial intel as possible to as many people as possible. Use any and all available means: Texts, PA through Phones, web, twitter, Facebook etc. May be your sensory inputs (don t ignore your gut) ALERT GUNMAN IN THE FRONT LOBBY NEAR FRANKS OFFICE ALICE ALICE ALICE 15

16 LOCKDOWN Excellent Starting Point When should doors be locked? Locked doors are a time barrier. Locks can, and have been defeated BARRICADE The idea is to create a stronghold than nobody can breach BE A HARDER TARGET! Once Lockdown is in effect no one should be allowed into a secure room under any circumstances. Only open the locked door for uniformed police personnel. LOCKDOWN Enhanced Lockdown 16

17 LOCKDOWN INFORM Real-time information should be provided to all by all means possible. Use the information to make a single of collective decision as to the best option for survival. Be flexible because the situations will be dynamic and can change quickly. Information (especially your senses) can you your greatest ally. 17

18 EVACUATE The preferred method! Only 1% of Violent Intruder events have been more than one person. Do not use car to evacuation RALLY POINT COUNTER Is it possible to interrupt the skill set needed to shoot accurately? Skill Level Active Shooter Police Low High Police: 20-30% Active Shooter 50%+ Hit Rate 18

19 COUNTER You can survive contact with an armed intruder!! Police miss 70-80% of their shots in a dynamic environment The bad guy is not usually a highly skilled shooter Engage in acts that will create a dynamic environment Noise Distance Distraction Clean or Clutters there is plenty to Counter 19

20 ALICE Resolution Number of Incidents Applied Force (Citizen/Police) 93 46% No Applied Force 28 14% Suicide/Attempted Suicide 80 40% Attacker Fled 1 <1% Total % Percentage SOURCE: NYPD Active Shooter Recommendations and Analysis of Risk Mitigation 2011 ALICE SINCE 1966 by Casualties Category Police Resolution: 1300 Shooter Resolution: 500 Victim Resolution:

21 Usual Opponent Concerns There could be more than one shooter They could run into the shooter How will we account for people? Who will be liable? Rally Point could be a secondary attack location. Evacuating people will get in the way of Police How will the police distinguish friendlies from the shooter if you get the gun away? Counter Strategies are ridiculous. The Facts Where is your greater risk? fatalities by event type Active Shooter : 661 (FBI Study) Natural Disaster : 9,690 (NWS) Fire: 55,557 (U.S. Fire Administration) 21

22 Implementation Challenges Who should be trained? How does this meet the needs of our individuals? Cost Things to consider Rally Point Identification Use of Fire Alarms Reunification Mass Notification Communication Plan Incident Command Department of Homeland Security: Run Hide Fight Workplace Violence Prevention Webinar ANY QUESTIONS? Contact Information Office Cell Sources: ALICE Training Institute OSHA Workplace Violence Prevention Guide 2016 osha.gov FBI Analysis of Active Shooters fbi.gov FBI:A Study of Active Shooter Incidents in the United States NYPD : Active Shooter Recommendations and Analysis for Risk Mitigation National Weather Service Fatalities Statistics US Fire Administration 22