Prevention and management of aggression in ... - WorkSafe Victoria

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ToolP4Behaviour assessment (cont)Behaviour assessment worksheetClient nameI.D. NoScorer am/pm on / /1 = absent 2 = present to aslight degree3 = present to amoderate degree4 = present to anextreme degreeThe behaviouris not presentThe behaviour ispresent, but doesnot disrupt others(e.g. staff and/orclients). Theindividual mayredirectspontaneouslyThe individualneeds to beredirected, butbenefits fromsuch cueingThe individualis not able toengage inappropriatebehaviour evenwhen externalredirectionis providedExtremeModerateSlightAbsentImpulsive, impatient, low tolerancefor pain or frustrationUncooperative, resistant to care,demandingViolent and/or threatening violencetowards people or propertyExplosive and/or unpredictable angerRapid, loud or excessive talkingSelf-abusiveness, physicaland/or verbalCurrent symptoms of alcoholor substance misuseAdd checks in each column:1 2 3 41 2 3 41 2 3 41 2 3 41 2 3 41 2 3 41 2 3 4+ + + =Then add the four scoresTotal score:Total score: 10 or below 11 to 14 15 to 17 more than 17FinalassessmentWithin normallimitsMildoccurrenceModerateSevereEnter final comments here:Page 2 of 276 Handbook / Prevention and management of aggression in health services WorkSafe Victoria
ToolP5Client alertHandbook keyTemplate client alertLink to handbook Patient alert systems (section 5.5)Purpose/aimDescriptionUser(s) – area/departmentUser(s) – positionTime required to completeSource(s) of informationReviewIdentify individuals with a propensity forviolence in the context of protecting staffand other clientsFile flagging as used for a variety of otherclinical risk management and safety reasonsInpatient areasTo be completed by a senior clinician after riskassessment has been completedLess than 2 minutesRisk identification and assessmentOngoing, TBAClient alertThis page should be placed prominently in the front of the client’s file to informstaff of potential risks to their health and safety.Based either on assessment or past behaviour, the following potential areasor risks to staff have been identified:Client (patient/resident)CarerEnvironmentOther, as indicated Staff are advised to check current notes to familiarise themselves with theserisks before contact, and to always use safe work practices themselves andwith respect to others.Client’s file entries must inform others of any risks or potential risks.SignedDesignationLast updated / /Source: Zero Tolerance (Occupational Violence and Aggression) Policy andToolkit, Australian Nursing Federation (Victorian Branch), 2002.Page 1 of 1WorkSafe Victoria Handbook / Prevention and management of aggression in health services 77
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A handbookfor workplacesPrevention
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4.Workplace design4.3 Crime prevent
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4.Workplace designOther considerati
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4.Workplace design4.6 Alarm systems
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Page 55 and 56: ToolD1Design and aggressionDesign a
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Page 61 and 62: ToolD2Violence and the design proce
Page 67 and 68: ToolP1Violence prevention policyNam
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Page 71 and 72: ToolP2High risk screening (cont)No
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Page 85 and 86: ToolT2Aggression risk calculatorThi
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