1. Workplace Violence Employee Survey 2010

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Geoffrey Marsh
6 years ago
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1 1. Workplace Violence Employee Survey Do you feel safe at work? 2. Do you think you are prepared to handle a violent situation, threat, or responsive and escalating behaviours exhibited by clients while at work? 3. In your opinion, has the employer provided you with every necessary control and measure to protect your safety? Page 1

2 4. If you answered no, check areas that require improvements: Lighting Secure areas to store personal belongings Security personnel Secure restrooms Secure parking lot Restricted public access to work areas Patient or client transfers - violencerelated Information about security devices (I.e. Cameras, alarms, panic buttons, etc) is clearly communicated to all employees Appropriate security devices (I.e. panic buttons, personal alarms, cell phones) Communication about the care plan and client's previous history of violence or behavioural issues Other (please specify) Require Improvement Page 2

3 . If you work in the community during your work, are you provided with any of these supports? (Add any supports you think would help safeguard your safety) The assistance of a buddy in high-risk situations A cell phone or radio when needed A security contact person The information you need about the client The information you need about the geographical location Timely assistance when you report a problem Other (please specify) Page 3

4 2. Violence Prevention Policy 1. Is there a written violence prevention policy for your workplace? 2. If yes, have you ever seen a copy of the policy? 3. Are there written procedures for violence prevention that deal with your work area? 4. If yes, are they easy to understand and follow?. Have you ever seen a copy of the procedures? Comments: Page 4

5 3. Incident Reporting and Follow-Up 1. Is there a system for reporting threats and violence or aggression? 2. If yes, is it easy to understand and follow? 3. Are you required to report threats and violence or aggression? 4. If yes, can you do so without fear of reprisal?. Does the supervisor or manager investigate incidents without undue delay?. Does the supervisor or manager take suitable corrective action without undue delay? 7. Are police and emergency services called immediately when an incident involving a criminal act occurs? Page

6 8. Are co-workers briefed about a violent incident before coming on shift or before dealing with a previously violent client? Comment 9. Is there a program to provide support for workers both directly and indirectly involved in events of workplace violence (critical incident stress management)? Page

7 4. Education and Training 1. Have you received training in recognizing, preventing and dealing with workplace violence? 2. Have you received training in psychiatric, behavioural and physiological conditions associated with escalating behaviours? 3. Have you received training in self-defence measures that are respectful to the clients you are caring for? 4. Have you received training in communication and care strategies?. If yes, do you feel that training was adequate?. Is your training tailored to the particular job that you do? 7. Do you know what protocols (polices and procedures) exist in your workplace to deal with violence and its consequences? Page 7

8 8. Do you know what standard of care your employer expects you to deliver when a patient or client is abusive or threatening toward staff? 9. Please provide any comments/suggestions: Page 8

9 . Incidents at Work 1. Have you ever been the victim of a violent incident on the job? 2. If yes, please indicate the type of incident below: A client attempted to physically harm me A visitor attempted to physically harm me A staff member attempted to physically harm me A member of the public attempted to physically harm me A client physically harmed me A visitor physically harmed me A staff member physically harmed me A member of the public physically harmed me A client verbally abused me A visitor verbally abused me A staff member verbally abused me A member of the public verbally abused me A client verbally threatened me with harm A visitor verbally threatened me with harm A staff member verbally threatened me with harm A member of the public verbally threatened me with harm A client made inappropriate sexual remarks or advances A visitor made inappropriate sexual remarks or advances A staff member made inappropriate sexual remarks or advances A member of the public made inappropriate sexual remarks or advances A client fondled, kissed, touched body parts or exposed himself/herself inappropriately A visitor fondled, kissed, touched body parts or exposed himself/herself inappropriately A staff member fondled, kissed, touched body parts or exposed himself/herself inappropriately Page 9

10 A member of the public fondled, kissed, touched body parts or exposed himself/herself inappropriately A client exhibited other inappropriate behaviour A visitor exhibited other inappropriate behaviour A staff member exhibited other inappropriate behaviour A member of the public exhibited other inappropriate behaviour Other (please specify) 3. Did you have any previous indication that this situation might occur? From where/whom? 4. Were you alone?. Do you believe the person was mentally or cognitively impaired or under the influence of alcohol or drugs? Please describe: Page 10

11 . If the incident involved a client, did you record the incident on the client's care plan/case notes or communication log? 7. What type of service/care were you doing when the incident occurred? 8. Did the incident involve a weapon? If yes, what type of weapon? 9. Were you injured? If yes - describe injuries 10. Did you receive first aid, medical treatment or lose time from work? If yes, please describe: Page 11

12 11. Did you report the incident to Good Shepherd? 12. Were you offered defusing (an opportunity to express your thoughts about the incident, and learn about normal stress reactions and available services)? If yes - was it done? 13. Were you offered Critical Incident Stress Management debriefing (a discussion with a facilitator to alleviate trauma and speed up your recovery) within 24 to 72 hours? If yes - was it done? 14. Did you charge the person involved? Page 12

13 1. Was any action taken as a result of this incident? If yes, please describe: 1. In your opinion, what steps could be taken to make your workplace safer? Page 13

14 . Voluntary Disclosure While this survey is confidential, if you are a victim of violence in need of support you are encouraged to voluntarily disclose your name or call your Program Manager, Director or a member of the Human Resources Department, if intervention by Good Shepherd may prevent future violence against others, or you have witnessed the violence of another individual where follow-up may be made by Good Shepherd and support provided to the individual affected. 1. Voluntary Disclosure Name Program Phone # Page 14

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